Question

The fetus in a breech presentation is often born by cesarean delivery because

a. The buttocks are much larger than the head.
b. Postpartum hemorrhage is more likely if the woman delivers vaginally.
c. Internal rotation cannot occur if the fetus is breech.
d. Compression of the umbilical cord is more likely.

Answer 1

The fetus in a breech presentation is often born by cesarean delivery because the buttocks are much larger than the head, compression of the umbilical cord is more likely, and internal rotation cannot occur if the fetus is breech.

Step-by-step explanation:

The fetus in a breech presentation is often born by cesarean delivery because:

1. The buttocks are much larger than the head. In a breech presentation, the buttocks are the presenting part, and they are typically larger than the head. This can make it difficult for the baby to pass through the birth canal during a vaginal delivery.
2. Compression of the umbilical cord is more likely. In a breech presentation, the umbilical cord can become compressed between the baby's body and the birth canal, leading to decreased blood flow and oxygen supply. This poses a significant risk to the baby and may require an immediate cesarean delivery.
3. Internal rotation cannot occur if the fetus is breech. During a vaginal delivery, the baby's head typically needs to rotate internally to pass through the birth canal. In a breech presentation, internal rotation is less likely to occur, making a vaginal delivery more difficult and potentially unsafe.