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1460 Gynaecology & Obstetrics

A 30-year-old G2P1L1 at 37 weeks gestational age is here for a routine visit. Her first was a vaginal delivery of a 4.3 kgs baby boy after 30 min of pushing. This fetus is breech. Vaginal exam demonstrates that the cervix is 50% effaced and 1 to 2 cm dilated. The presenting breech is high out of the pelvis. The estimated fetal weight is about 3.2 kgs. A sonogram confirms a fetus with a frank breech, normal amniotic fluid present, and the head is well flexed. The following are possible management plans except:

AAllow the patient to undergo a vaginal breech delivery whenever she goes into labor
BCesarean section now
CPinard's maneuver can be done for delivery of extended legs
DSchedule an external cephalic version in the next few days
Gynaecology & Obstetrics
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