55. You have been called to the delivery of a 30-year-old primigravida who is pushing. The baby is in the breech position. The midwife is conducting the breech delivery and the head of the baby is trapped behind the cervix, which is only 8 cm dilated. What action will you take to deliver the head? A. Apply a forceps B. Apply Burns-Marshall technique C. Apply Mauriceau -Smellie-Veit manoeuvre D. Incise the cervix at 3 and 70' clock positions 56.You have counselled a 30-year-old primigravida at 35 weeks of gestation with a breech presentation, and she agrees to an external cephalic version. You have scheduled this procedure at 36 weeks of gestation. What success rate will you give this woman? A 30% -37% B 38% -45% C 46% -55% D 56% -64% 57. In the conduct of a breech vaginal delivery, what manoeuvre should be used in delivering the arms? A. Bracht manoeuvre B. Burns-Marshall technique C. Gentle traction on the arms D. Lovset's manoevre

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55. You have been called to the delivery of a 30-year-old primigravida who is pushing. The baby is in the breech position. The midwife is conducting the breech delivery and the head of the baby is trapped behind the cervix, which is only 8 cm dilated. What action will you take to deliver the head? A. Apply a forceps B. Apply Burns-Marshall technique C. Apply Mauriceau -Smellie-Veit manoeuvre D. Incise the cervix at 3 and 70' clock positions 56.You have counselled a 30-year-old primigravida at 35 weeks of gestation with a breech presentation, and she agrees to an external cephalic version. You have scheduled this procedure at 36 weeks of gestation. What success rate will you give this woman? A 30% -37% B 38% -45% C 46% -55% D 56% -64% 57. In the conduct of a breech vaginal delivery, what manoeuvre should be used in delivering the arms? A. Bracht manoeuvre B. Burns-Marshall technique C. Gentle traction on the arms D. Lovset's manoevre

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55. The correct answer is C. Apply Mauriceau-Smellie-Veit manoeuvre.In this scenario, the baby is in the breech position and the head is trapped behind the cervix. The Mauriceau-Smellie-Veit manoeuvre is a technique used to deliver the head in breech deliveries when the cervix is not fully dilated. This manoeuvre involves rotating the baby's shoulders to allow the head to pass through the birth canal.56. The correct answer is B. 38%-45%.External cephalic version (ECV) is a procedure where the healthcare provider manually rotates the baby from a breech position to a head-down position. The success rate of ECV varies, but it is generally estimated to be between 38% and 45%. It is important to counsel the woman about the potential risks and benefits of the procedure and ensure that she is fully informed and consents to the procedure.57. The correct answer is A. Bracht manoeuvre.In the conduct of a breech vaginal delivery, the Bracht manoeuvre is used to deliver the arms. This manoeuvre involves rotating the baby's shoulders to allow the arms to be delivered safely.

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