A nulliparous woman at 36 weeks of pregnancy has a breech presentation confirmed on ultrasound. She has an otherwise uncomplicated pregnancy. What should be offered?

Answer and explanation

Correct answer: B. External cephalic version

  1. Step 1: NICE advises discussing ECV for women with an uncomplicated breech pregnancy.
  2. Step 2: ECV is offered from 36 weeks in nulliparous women and 37 weeks in multiparous women, with options of planned caesarean or vaginal breech birth discussed.
Answer
External cephalic version.
Why not the others: Induction of labour at 37 weeks with the baby left in the breech position: Inducing a breech baby is not appropriate. Immediate caesarean section at 36 weeks, regardless of her preferences: Caesarean is an option, but not forced regardless of her choice or offered before discussing ECV. No discussion of options until she is in established labour: Delaying discussion removes her ability to choose.

Practise more Further obstetrics and gynaecology scenarios.

Free questions with an explanation for every one, and full timed PLAB 1 (GMC, international medical graduates) mock tests.

All Further obstetrics and gynaecology scenarios questionsTake a mock test

More Further obstetrics and gynaecology scenarios questions