Which position should the mother be in during breech delivery to facilitate the process?

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!

During a breech delivery, the mother is best positioned supine, which allows for the most effective management of the situation. The supine position provides the clinician with better access for visualization and intervention if necessary, such as manual rotation or extraction of the fetus. Additionally, this position can help facilitate appropriate fetal descent and ensure that the pelvis is optimally aligned for the delivery of the breech presentation.

While other positions, such as left lateral or all fours, could potentially provide comfort to the mother or help with some aspects of labor, they do not enhance control or direct intervention capabilities during a breech delivery in the same way that the supine position does. Squatting may increase pelvic diameter, but it can complicate the delivery process for the breech fetus by requiring more effort from both the mother and the healthcare provider in managing the position and descent of the fetal body. Therefore, the supine position remains the most favorable for facilitating a breech delivery.

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