This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
[{'content': 'Indications of urgent delivery of the second baby in twin are all except: \nSelect and explain. \nA. Abruptio placentae, B. Cord prolapse of the second baby, C. Inadvertent use of IV ergometrine with the delivery of the anterior shoulder of the first baby, D. Breech presentation of the second baby', 'role': 'user'}, {'content': 'Answer: D \nExplanation: The interval between delivery of twins should be less than 30 minutes. If there is a delay of more than 30 minutes, interference should be done..\n\nBut there are some conditions in which urgent delivery of the second baby is required – Indications of urgent delivery of the second baby: (1) Severe (intrapartum) vaginal bleeding (2) Cord prolapse of the second baby (3) Inadvertent use of intravenous ergometrine with the delivery of the anterior shoulder of the first baby (4) First baby delivered under general anesthesia (5) Appearance of fetal distress.\nManagement: In all these conditions, the baby should be delivered quickly. A rational scheme is given below which depends on the lie, presentation and station of the head.\n\nHead\n\n–– If low down, delivery by forceps\n–– If high up, delivery by internal version under general anesthesia.\n\nBreech should be delivered by breech extraction\nTransverse lie—internal podatic version followed by breech extraction under general anesthesia.\n\nIf, however, the patient bleeds heavily following the birth of the first baby, immediate low rupture of the membranes usually succeeds in controlling the blood loss.\nRemember:\nThe only indication for internal podatic version these days is:\n\nSecond twin transverse lie', 'role': 'assistant'}]