For a safe breech delivery, which fetal weight range is optimal?

Study for the ABOG Oral Boards Obstetrics Test. Study with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam!

The optimal fetal weight range for a safe breech delivery is 2500-4000 grams because this size tends to strike a balance between sufficient gestational maturity and manageable size during delivery.

Fetuses within this weight range have typically developed the necessary physiological characteristics that can help facilitate a breech delivery, such as muscle tone and enough strength to help navigate through the birth canal. Additionally, a fetal weight in this range is less likely to be associated with complications that can arise from both smaller and larger fetuses.

Delivering a baby that weighs less than 2500 grams may increase the risks associated with preterm birth and insufficient muscle tone, which can complicate the delivery process. On the other hand, a fetal weight over 4000 grams significantly raises the risk of delivery complications, including shoulder dystocia and trauma to both the mother and the baby. Therefore, the 2500-4000 grams range is considered the safest for breech presentations, allowing for a better outcome for the mother and the infant.

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