If a soft irregular foetal pole is felt in pelvic grip, then it may be–

Correct option is B

Sol. When the soft and irregular part of the fetus is felt in the pelvic grip (Leopold’s maneuver), it usually suggests the breech presentation, where the fetal buttocks or feet are entering the pelvis first instead of the head. The fetal head is firm, round, and ballotable, whereas the breech feels irregular and softer. Identifying presentation is vital for delivery planning and may lead to cesarean if vaginal breech delivery poses risks.
Explanation of each option:
· (a) Vertex presentation – In this case, the fetal head is in the pelvis, which is hard, round, and well-defined, not soft and irregular.
· (b) Breech presentation – Correct. The soft, irregular mass felt during pelvic grip corresponds to the buttocks and feet, indicating breech.
· (c) Transverse lie – In this, the fetus lies horizontally, and neither the head nor breech is felt in the pelvis; instead, the abdomen feels broad.
· (d) Occipito posterior position – This refers to the position of the fetal head, not the presenting part. The head is still presenting but facing the mother’s spine.