Which maneuver is designed to deliver extended legs during breech birth?

Which maneuver is designed to deliver extended legs during breech birth?

• A. Pinard maneuver
• B. Lovset maneuver
• C. Mauriceau maneuver
• D. Suprapubic pressure

Answer: (A)

Delivering extended legs in a breech birth requires a technique that allows the lower limbs to come out safely while the rest of the body remains controlled. The Pinard maneuver is the maneuver designed for this situation. It involves guiding and delivering the extended legs with careful hand placement and gentle traction so that the legs emerge one by one and the trunk and head can follow in sequence. This approach helps maintain alignment and reduces the risk of entrapment or cord problems as the breech baby is delivered. The other maneuvers play different roles. The Lovset maneuver is used to deliver the arms by turning the fetus and bringing the arms out first. The Mauriceau maneuver (often part of the Mauriceau–Smellie–Veit sequence) is a head-delivery technique used in breech births, not for delivering the legs. Suprapubic pressure is applied to aid delivery of the head by encouraging flexion and descent, not for leg delivery.

Delivering extended legs in a breech birth requires a technique that allows the lower limbs to come out safely while the rest of the body remains controlled. The Pinard maneuver is the maneuver designed for this situation. It involves guiding and delivering the extended legs with careful hand placement and gentle traction so that the legs emerge one by one and the trunk and head can follow in sequence. This approach helps maintain alignment and reduces the risk of entrapment or cord problems as the breech baby is delivered.

The other maneuvers play different roles. The Lovset maneuver is used to deliver the arms by turning the fetus and bringing the arms out first. The Mauriceau maneuver (often part of the Mauriceau–Smellie–Veit sequence) is a head-delivery technique used in breech births, not for delivering the legs. Suprapubic pressure is applied to aid delivery of the head by encouraging flexion and descent, not for leg delivery.