This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: General obstetrics, Subject name: Gynaecology & Obstetrics
[{'content': 'A gravida 3 female with H/o 2 previous 2nd trimester aboion presents at 22 weeks of gestation with funneling of cervix. Most appropriate management would be: \nSelect and explain. \nA. Administer dinoprostone and bed rest, B. Administer misoprostol and bed rest, C. Apply fothergill stretch, D. Apply McDonald stitch', 'role': 'user'}, {'content': 'Answer: D \nExplanation: <p> Cervical incompetency is the one of the cause for recurrent 2nd trimester miscarriage(20%) Management of cervical incompetence is by two types of operations named after Shirodkar and McDonald Reference:DC Dutta&;s textbook of obstetrics,8th edition,page no:199 <\\p>', 'role': 'assistant'}]