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In which of the following malpositions is there a saucer-shaped depression observed, at or just below the umbilicus, on abdominal examination?
Question

In which of the following malpositions is there a saucer-shaped depression observed, at or just below the umbilicus, on abdominal examination?

A.

Occipitotransverse position

B.

Mentoanterior position

C.

Occipitoposterior position

D.

Mento-posterior position

Correct option is C


Ans. (c) Sol. In the occipitoposterior position, the baby’s head is positioned in such a way that it causes a depression at or just below the umbilicus during an abdominal examination. This is because the fetal head is directed backward, and the occiput (back of the head) is facing the posterior of the mother, which can create this specific depression.
Explanation of each option:
· (a) Occipitotransverse position – Incorrect. This position refers to the fetal head being positioned sideways (transverse) in the mother's pelvis, which doesn’t typically produce the depression seen in occipitoposterior position.
· (b) Mentoanterior position – Incorrect. The mentoanterior position refers to the fetal head being flexed with the chin facing downward, which does not cause a depression in the same location.
· (c) Occipitoposterior position – Correct. This is the typical position for a depression to be felt just below the umbilicus, as the fetal head is directed backward.
· (d) Mento-posterior position – Incorrect. This position, with the chin of the fetus facing backward, doesn’t cause a similar depression and is not commonly associated with this feature.

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