In breech presentation at term, which factor is considered when deciding on cesarean delivery?

• A. Placental location
• B. Fetal sex
• C. Maternal height
• D. Estimated fetal weight and pelvis adequacy

Answer: (D)

In term breech management, the key concern is whether the baby can pass safely through the pelvis. The most influential factors are the estimated fetal weight and the adequacy of the maternal pelvis (cephalopelvic disproportion risk). If the pelvis is inadequate or the baby is estimated to be large, the risk of complications during vaginal breech delivery increases significantly, making cesarean delivery the safer option. Placental location isn’t the primary determinant unless there’s a placenta-related problem such as previa; fetal sex and maternal height don’t reliably guide the decision in this scenario. So, weighing estimated fetal weight and pelvis adequacy best informs whether cesarean delivery is chosen.