A 32-year-old primigravida at 38 weeks of gestation attends the GP. She reports her baby has been in a transverse lie at her last two antenatal appoin...

Question

A 32-year-old primigravida at 38 weeks of gestation attends the GP. She reports her baby has been in a transverse lie at her last two antenatal appointments. She has no abdominal pain and the pregnancy has been otherwise uncomplicated. Which is the single most appropriate management?

Accepted Answer

Refer to the obstetric team for urgent assessment - a persistent transverse lie at term carries a risk of cord prolapse if membranes rupture, and admission or planned delivery should be discussed

Answer

Await spontaneous version to cephalic presentation

Answer

Arrange elective caesarean at 42 weeks

Answer

Attempt external cephalic version at the GP surgery

Answer

Reassure that transverse lie at term is common and benign

uk-drcog MCQ (SBA): Persistent Transverse Lie at Term

A 32-year-old primigravida at 38 weeks of gestation attends the GP. She reports her baby has been in a transverse lie at her last two antenatal appointments. She has no abdominal pain and the pregnancy has been otherwise uncomplicated. Which is the single most appropriate management?