This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Breech Presentations , Subject name: Gynaecology & Obstetrics
Breech presentation with footling. Management is: 
Select and explain. 
A. Vaginal delivery, B. Ceasarean section, C. Forceps delivery, D. Internal podalic version
B: Ceasarean section
Answer: B: Ceasarean section 
Explanation: Ans. (b) Ceasarean SectionRef.: D.C. Dutta 8th ed. / 441-42, Williams 22/e / 571* Because Breech presentation with footling has very high incidence of cord prolapse, delivery by caesarean section is recommended in these patients.Indication of C.S in breech are:* Big baby (Wt> 3.5 kg.)* Hyperextension of head (stargazing fetus)* Footling presentation (risk of cord prolapse)* Suspected pelvic contraction* Severe IUGR