A full-term multigravida is having breech presentation. Ideal management in this case would be: September 2006: (A) Elective caesarean section, (B) External cephalic version followed by vaginal delivery, (C) Trial of labour, (D) External cephalic version followed caesarean section
Answer is B. Ans. B: External cephalic version followed by vaginal delivery Indications for Elective caesarean section in breech presentation: Estimated fetal weight more than 3.5 kg Hyperextended head Footling presentation Associated complications Pelvic inadequacy Otherwise try external cephalic version and trial of vaginal breech delivery.