A primigravida presents at 41 weeks presents with PROM. On P/V, cervix is 3 cm with with fetal foot felt. The fetus's estimated weight is about 2.7 kg and the fetal hea rate tracing is reactive. How to complete this delivery?
This is Footling breech presentation. There is a high risk of a cord prolapse and hence it is best that footling breech presentations undergo delivery by cesarean section.
Vaginally by breech extraction
Vaginally after external cephalic version
Perform an emergent cesarean section
Internal podalic version
Obstetrics