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What are the criteria for trial by vaginal delivery for breech presentation?

a) Frank or complete breech, estimated fetal weight < 3500 grams
b) Incomplete breech, estimated fetal weight < 2500 grams
c) Footling breech, estimated fetal weight < 3000 grams
d) Transverse lie, estimated fetal weight < 4000 grams

1 Answer

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Final answer:

For a breech presentation, the criteria for considering a trial by vaginal delivery is a frank or complete breech with estimated fetal weight less than 3500 grams. These conditions are assessed to minimize the risks associated with breech vaginal deliveries.

Step-by-step explanation:

The criteria for trial by vaginal delivery in cases of breech presentation primarily considers the type of breech and the estimated fetal weight. The most favorable conditions for attempting a vaginal breech delivery include either a frank breech or a complete breech presentation. A frank breech has the legs pointing upward and a complete breech has both legs crossed and pointing downward. Furthermore, the estimated fetal weight should be less than 3500 grams to consider a vaginal delivery attempt. This is because a larger fetal weight may increase the risk of delivery complications.

In the context of the options provided, a) Frank or complete breech, estimated fetal weight < 3500 grams is the correct criterion for considering a trial of vaginal delivery in breech presentation. The fetal weight is significant because it correlates with the likelihood of delivery complications—the heavier the fetus, the greater the risk involved with a vaginal breech delivery.