Answer:
The answer is Multiple Gestation
Step-by-step explanation:
The options are;
1. multiple gestation
2. breech presentation
3. RH-negative blood type
4. history of gestational diabetes
The answer is 1- Multiple gestation.
Primigravida is a lady who is pregnant for the first time.
External cephalic version (ECV) is a medical procedure which includes the external rotation of the fetus from a breech presentation to a cephalic (head) position.
Contraindications to the External Cephalic Version include multiple gestation (two or more pregnancies at a time) because of the potential for fetal injury or uterine injury while rotating one or two of the fetus.
Breech presentation is not a contraindication because ECV is a corrective procedure that includes the turning of the baby from breech position to cephalic position.
RH-negative blood type is not a contraindication because it does not affect the procedure. ECV can be performed on a mother with RH-negative blood type, she will be administered RH immunoglobulin in case minimal bleeding occurs.
A history of gestational diabetes is also not a contraindication unless the fetus is large for gestational age and the client has cephalopelvic disproportion.