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': 'The following is always an indication of cesarean section, except: \nSelect and explain. \nA. Abruption Placentae, B. Untreated stage of Ib Ca cervix, C. Active primary genital herpes, D. Type IV Placenta Previa', 'role': 'user'}, {'content': 'Answer: A \nExplanation: Cesarean Section is not indicated in all cases of abruptio placentae.\n\n“An attempt at vaginal delivery is indicated if the degree of separation appears to be limited and if continuous FHR tracing is reassuring. When the placental separation is extensive but the fetus is dead or of dubious viability, vaginal delivery is indicated”.\n\nCOGDT 10/e, p 334\n\nIn carcinoma cervix, classical cesarean section should be done, vaginal delivery should not be allowed because of cervical dystocia and injuries.\n\nDutta Obs. 7/e, p 308\n\nCesarean section is indicated in an active primary genital HSV infection where the membranes are intact or recently ruptured.\n\nDutta Obs. 7/e, p 300\n\nIn severe degree of placenta previa (Type II posterior, Type III or Type IV), cesarean section is indicated for maternal interest even if the baby is dead.\n\nDutta Obs. 7/e, p 252', 'role': 'assistant'}]