Breech and ECV Extra Questions

Option List:
One option may be used more than once
A. 3%
B. 0.10%
C. 0.20%
D. 20%
E. 40%
F. 50%
G. 60%
H. 9.90%
I. 90%
J. 72%
K. 47%

1. Incidence of breech presentation at term

2. Risk of perinatal mortality with planned vaginal breech birth

3. Risk of perinatal mortality with planned cephalic birth

4. Rate of emergency Caesarean section in women planning a vaginal breech birth

5. Success rate of ECV in multiparous women

6. Success rate of ECV in nulliparous women

7. Overall success rate of ECV

8. Rate of reversion to breech after successful ECV

9. Recurrence rate after 1 breech presentation

10. Proportion of undetected breech presentation at term

Option List:
A. Category I caesarean section
B. Breech extraction
C. Admit and observation
D. Category IV caesarean section
E. Stabilising induction
F. Expectant management
G. Internal podalic version
H. Category II caesarean section
I. Vaginal breech delivery
J. Oxytocin augmentation
K. Induction at 36 weeks
L. Artificial rupture of membranes
M. Lovset’s manoeuvre
N. External cephalic version
O. Category III caesarean section
P. Destructive procedures
For each description below, choose the single most appropriate answer from the above list of options. Each option may be used once, more than once, or not at all.

11. A 30-year-old primigravida attends the delivery suite at 39 weeks’ gestation inestablished labour. On vaginal examination she is 4cm dilated with a foot presentation.

12. A community midwife refers a 34-year-old in her fifth pregnancy for an unstable lie at 37 weeks’ gestation. On clinical examination the fetus is presenting transversely with an adequate liquor volume. There is no uterine activity, and vaginal examination reveals a closed cervix.

13. A 30-year-old woman in her first pregnancy presents at 36 weeks’ gestation in spontaneous labour. On abdominal examination she is contracting 3 in 10. On vaginal examination the cervix is 3cm dilated. The vertex is at –3cm above the ischial spines with a fetal limb felt alongside the vertex.

14. A community midwife refers a 27-year-old woman in her first pregnancy at 37 weeks’ gestation for a suspected breech presentation. She is fit and healthy. Breech presentation is confirmed by ultrasound scan.

Option List:
A. 1:120
B. 1:200
C. 1:50
D. 90:100
E. 1:270
F. 1:1000
G. 3:100
H. 1:100
I. 50:100
J. 1:1500
K. 22:100
L. 7:1000
For each description below, choose the single most appropriate answer from the above list of options. Each option may be used once, more than once, or not at all.

15. A 32-year-old woman is admitted at 40 weeks’ gestation from home in labour. It was noted on a 28-week scan that the fetus was in the breech presentation. What is the risk of the fetus remaining breech?

16. A 23-year-old woman is admitted in labour. She is in her second pregnancy, her first having been an elective caesarean section for breech presentation. What is the risk of scar rupture?

17. A 30-year-old lady presents at term in spontaneous labour in her third pregnancy. She had previously had two spontaneous vaginal deliveries. She has a prelabour rupture of membranes and a prolonged first stage in labour. The head is 3/5th palpable via the abdomen. Vaginal examination shows the presence of the bregma in the centre of the cervix, which is 4cm dilated. What is the risk of this presentation in labour?

18. A 27-year-old primigravida presents with a history of spontaneous rupture of membranes at 36 weeks’ gestation. She is known to have had an amniotic fluid index of 27cm on a previous scan. Speculum examination shows the presence of a loop of cord in the vagina. What is the incidence of this complication?