Macrosomia is a factor that increases the likelihood of cesarean section for breech delivery.

Macrosomia is a factor that increases the likelihood of cesarean section for breech delivery.

• A. True
• B. False
• C. Not specified
• D. Only when combined with placenta previa

Answer: (A)

The main concept is that fetal size can change the management of a breech delivery. When the baby is macrosomic (larger than normal), delivering a breech fetus vaginally becomes more challenging because of cephalopelvic disproportion and the technical difficulties of delivering a large head after the body is out. To minimize risk to both mother and baby, clinicians are more likely to perform a cesarean section in breech presentations if the baby is macrosomic. This is why the statement is true: macrosomia independently increases the likelihood of cesarean delivery for breech delivery. The other options don’t fit because the increased cesarean risk with breech is not contingent on placenta previa, and saying it’s not specified would ignore the well-established link between fetal overgrowth and surgical delivery in breech cases.

The main concept is that fetal size can change the management of a breech delivery. When the baby is macrosomic (larger than normal), delivering a breech fetus vaginally becomes more challenging because of cephalopelvic disproportion and the technical difficulties of delivering a large head after the body is out. To minimize risk to both mother and baby, clinicians are more likely to perform a cesarean section in breech presentations if the baby is macrosomic. This is why the statement is true: macrosomia independently increases the likelihood of cesarean delivery for breech delivery.

The other options don’t fit because the increased cesarean risk with breech is not contingent on placenta previa, and saying it’s not specified would ignore the well-established link between fetal overgrowth and surgical delivery in breech cases.