CPM Certified Professional Midwife

Category - Labor, Birth, and Immediate Postpartum

Examination of a primigravida at 39 weeks of pregnancy revealed globular head in the fundus. What type of presentation does this represent?
  1. Unstable lie
  2. Compound presentation
  3. Breech presentation
  4. Transverse lie
Explanation
Answer: C - Breech presentation.

In breech presentation, the lie is longitudinal and the podalic pole presents at the pelvic brim. It is the most common malpresentation. The incidence of breech presentation is one in every 5 births (or 20% of all births). Breech presentation is categorized as uncompleted and complete. When there are no other obstetric complications apart from the breech, it is termed uncompleted. When the presentation is associated with complications (such as prematurity, twins, or placenta previa), the breech is termed complete breech presentation.
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