Labour and delivery: Bracht manoeuvre: practice question

A OBG question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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OBG · Labour and delivery: Bracht manoeuvre

Sample item

During an assisted breech delivery, after the umbilicus is born, the obstetrician grasps the trunk with thumbs along the fetal back and fingers around the thighs, and swings the body up towards the mother's abdomen without traction, using the symphysis as a fulcrum, until the head is born. Which manoeuvre is this?

ABracht manoeuvreBLovset manoeuvreCMauriceau-Smellie-Veit manoeuvreDBurns-Marshall method

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Bracht manoeuvre

The Bracht manoeuvre delivers the trunk by elevation without traction, relying on maternal expulsive effort. Lovset is used to deliver extended arms, and Mauriceau-Smellie-Veit is for the aftercoming head. Burns-Marshall lets the baby hang by its own weight.

Option by option

A. Bracht manoeuvre (correct)
Correct. The trunk is elevated over the symphysis with grip on the back and thighs.
B. Lovset manoeuvre
The Lovset manoeuvre rotates the trunk through 180 degrees to bring down the arms.
C. Mauriceau-Smellie-Veit manoeuvre
The Mauriceau-Smellie-Veit manoeuvre flexes the aftercoming head with a finger in the mouth or on the maxilla.
D. Burns-Marshall method
The Burns-Marshall method allows the body to hang until the nape of the neck appears, then lifts it, and does not use the grip described.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

Questions about this OBG question

What is the answer to this OBG question?

The best answer is A, Bracht manoeuvre. The Bracht manoeuvre delivers the trunk by elevation without traction, relying on maternal expulsive effort.

Why is "Lovset manoeuvre" not the answer?

The Lovset manoeuvre rotates the trunk through 180 degrees to bring down the arms.

Why is "Mauriceau-Smellie-Veit manoeuvre" not the answer?

The Mauriceau-Smellie-Veit manoeuvre flexes the aftercoming head with a finger in the mouth or on the maxilla.

Why is "Burns-Marshall method" not the answer?

The Burns-Marshall method allows the body to hang until the nape of the neck appears, then lifts it, and does not use the grip described.

What concept does this question test?

It tests Labour and delivery: Bracht manoeuvre in OBG. Lovset is used to deliver extended arms, and Mauriceau-Smellie-Veit is for the aftercoming head. Burns-Marshall lets the baby hang by its own weight.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Labour and delivery: Bracht manoeuvre?

Learn management algorithms as steps: PPH, eclampsia, ectopic pregnancy. Then use the flashcards and the other OBG questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.