A primigravid client is admitted as an outpatient for an external cephalic version. Which factor would be a contraindication for the procedure?

The answer is Multiple Gestation

Explanation:

The options are;

1. multiple gestation

2. breech presentation

3. RH-negative blood type

4. history of gestational diabetes

The answer is 1 - Multiple gestation.

Primigravida is a lady who is pregnant for the first time.

External cephalic version (ECV) is a medical procedure which includes the external rotation of the fetus from a breech presentation to a cephalic (head) position.

Contraindications to the External Cephalic Version include multiple gestation (two or more pregnancies at a time) because of the potential for fetal injury or uterine injury while rotating one or two of the fetus.

Breech presentation is not a contraindication because ECV is a corrective procedure that includes the turning of the baby from breech position to cephalic position.

RH-negative blood type is not a contraindication because it does not affect the procedure. ECV can be performed on a mother with RH-negative blood type, she will be administered RH immunoglobulin in case minimal bleeding occurs.

A history of gestational diabetes is also not a contraindication unless the fetus is large for gestational age and the client has cephalopelvic disproportion.