This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Malpresentation, Subject name: Gynaecology & Obstetrics
[{'content': 'When in labor, a diagnosis of occipito-posterior presentation is made. The most appropriate management would be: \nSelect and explain. \nA. Emergency CS, B. Wait and watch for progress of labor, C. Early rupture of membranes, D. Start oxytocin drip', 'role': 'user'}, {'content': 'Answer: B \nExplanation: Ans. is b, i.e. Wait and watch for progress of laborRef JB Sharma TB of Obs. p 284, Operative Obs and Gynae by Randhir Puri and Narendra Malhotra 7/e, p 173; Williams Obs 23/e, p 479Occipito-posterior positions\'Expectant observation is practiced initially as given time, most of the malposition will rotate anteriorly and the baby will be born spontaneously\' Ref. JB Sharma Obs. p 284"In practice about 5-10% of women admitted in labor with cephalic presentations present with occipito-posterior presentations. Given time and patience, many of these will rotate and get corrected to occipitoanterior position and deliver normally". --Operative Obs and Gynae 7/e, p 173, Randhir Puri and Narendra MalhotraThis explains that a careful wait and watch policy should be adopted for occipito-posterior position.', 'role': 'assistant'}]