Which fetal position is generally most favourable for a normal vaginal birth?

Correct answer: A. Left occipitoanterior position

  • A. Left occipitoanterior position
  • B. Right sacrotransverse position
  • C. Left occipitoposterior position
  • D. Right sacrotransverse breech position

Explanation

The occipitoanterior position, especially left occipitoanterior, usually allows the smallest useful diameter of the fetal head to enter the maternal pelvis. Occipitoposterior and transverse positions may make labour longer or more difficult.

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Normal labour covers the onset and stages of labour, cervical effacement and dilatation, fetal lie and presentation, the cardinal movements, and maternal and fetal monitoring. It includes partograph use, pain relief, normal vaginal birth, active management of the third stage, placental assessment and immediate care after delivery.

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