What management options are available for a breech presentation?

For a breech presentation, the management options are primarily concerned with ensuring the safety of both the mother and the infant. Attempting external cephalic version, which involves a healthcare provider manually turning the fetus to a head-down position, is a common practice for breech presentations. If this is not successful or not appropriate due to medical contraindications, cesarean delivery is often recommended as the safest option for breech infants, particularly in cases of term pregnancies.

The other options do not provide the same level of safety or effective management for breech presentations. Monitoring only may apply in certain situations, but it does not actively address the potential complications associated with a breech delivery. Immediate induction of labor is typically not recommended for breech presentations, as it may increase risks without proper fetal positioning. Waiting for natural delivery is also not advisable due to the increased risk factors involved, such as complications during the delivery process that can be more dangerous with a breech presentation. Therefore, the combined approach of attempting external cephalic version or opting for cesarean delivery is clearly the most appropriate and widely accepted management strategy.