Which statement is NOT a criterion for considering vaginal breech delivery?

Which statement is NOT a criterion for considering vaginal breech delivery?

• A. Frank or complete breech
• B. Term gestation
• C. Adequate maternal pelvis
• D. Hyperextended head on ultrasound

Answer: (D)

Assessing whether to attempt vaginal breech delivery relies on favorable conditions that make passage safer for both mother and baby. The main factors that support considering a vaginal approach are a frank or complete breech presentation, term gestation, and an adequate maternal pelvis. These conditions suggest the baby is positioned in a way that can be managed and delivered more safely through the birth canal with skilled technique and close monitoring. Hyperextended head on ultrasound is not a favorable criterion. If the head is hyperextended, delivering the head vaginally becomes more difficult and riskier, increasing the chances of delivery complications or injury. This finding points toward increased risk rather than safety, so it would steer the plan away from attempting vaginal breech delivery and toward cesarean if vaginal birth is being considered.

Assessing whether to attempt vaginal breech delivery relies on favorable conditions that make passage safer for both mother and baby. The main factors that support considering a vaginal approach are a frank or complete breech presentation, term gestation, and an adequate maternal pelvis. These conditions suggest the baby is positioned in a way that can be managed and delivered more safely through the birth canal with skilled technique and close monitoring.

Hyperextended head on ultrasound is not a favorable criterion. If the head is hyperextended, delivering the head vaginally becomes more difficult and riskier, increasing the chances of delivery complications or injury. This finding points toward increased risk rather than safety, so it would steer the plan away from attempting vaginal breech delivery and toward cesarean if vaginal birth is being considered.