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TEALE FENNING
Medical Education
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m.karoshi
Joined: 24 Oct 2006
Posts: 11
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 Posted: Wed Nov 01, 2006 2:27 am Post subject: Breech @ term fully dilated, presenting part @ spines |
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Dear all
I have come across this OSCE scenario, what would you do?
Would you do a caesarean or conduct a vaginal breech delivery?as patient is actively contracting. |
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Nick Raine-Fenning
Course Director
Joined: 27 May 2006
Posts: 1854
Location: Nottingham
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| Posted: Wed Nov 01, 2006 10:34 am Post subject: |
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It depends - there is no correct answer!
This is actually a good question and you have fallen into the trap of thinking there is a set 'College answer'.
What you need to do is to take a history, examine her, investigate (maternal obs, CTG etc), and then counsel her of the risks with either method.
A breech at full dilatation may not progress anyway and you will have no option but to deliver abdominally.
Think about it 
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