This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
A full-term multigravida is having breech presentation. Ideal management in this case would be: September 2006 
Select and explain. 
A. Elective caesarean section, B. External cephalic version followed by vaginal delivery, C. Trial of labour, D. External cephalic version followed caesarean section
B: External cephalic version followed by vaginal delivery
Answer: B: External cephalic version followed by vaginal delivery 
Explanation: 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.