What should you do with a pregnant patient with breech presentation?

• A. Deliver the head first
• B. Support the body of the baby during delivery of the head
• C. Clamp and cut the umbilical cord immediately
• D. Provide APGAR scoring before delivery

Answer: (B)

In breech presentation the presenting part is not the head, so the priority is to deliver the body first and then assist with the head to prevent head entrapment. Supporting the baby’s body during the delivery of the head helps control the speed of birth and keeps the airway secure, reducing the risk of the head delivering prematurely or getting stuck as the rest of the body emerges. After delivery of the body, you can guide and support the head with gentle maneuvers and ensure the airway is clear, while keeping the infant warm and ready for drying and assessment. Do not deliver the head first, and do not clamp the umbilical cord before full delivery; APGAR scoring is performed after birth, not before.