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2252 Gynaecology & Obstetrics

A primipara with a breech presentation is in the second stage of labor for 2 hours. The fetal heart rate is 140 beats per minute. She is getting 3 uterine contractions per 10 minutes. The breech is felt at the level of the ischial spines. The membranes are absent. The pelvis is adequate. The estimated fetal weight is 3 kg.What is the most appropriate management?

ACommence an infusion of oxytocin
BImprove maternal hydration with intravenous fluids
CObserve for a further period of 1 hour for spontaneous delivery to occur
DPerform a lower segment cesarean section
Gynaecology & Obstetrics
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