Which incision should be used for a C-Section of a baby in breech position?

• A. Kerr
• B. Kronig
• C. Low transverse
• D. Classic uterine incision

Answer: (D)

In breech cesarean deliveries, gaining maximum exposure of the uterus is crucial to safely deliver the buttocks and especially the head. A vertical incision through the upper uterine segment, known as a classic uterine incision, provides a larger opening and better access for delivering the fetus in breech presentation. This reduces the risk of head entrapment and makes the extraction quicker and safer for the baby.

The low transverse cut, while common for many cesareans, offers less room in the lower segment and can complicate breech delivery, particularly for the head. The other named incisions are not standard options for breech cesarean in modern practice. Although the classic incision has downsides for future pregnancies, its advantages for breech delivery make it the best choice in this scenario.