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': '30 years old primipara in labour with transverse lie.Treatment of choice is: \nSelect and explain. \nA. Internal cephalic version, B. Emergency cesarean section, C. Wait and watch, D. External cephalic version', 'role': 'user'}, {'content': 'Answer: B \nExplanation: Patients in labour with transverse lie can be managed by external cephalic version followed by surgical rupture of the membrane.\nBut it is important to note that the patient is a primigravida with age 30 years, i.e. elderly primi, so ECV is contraindicated.\nThis patient requires an emergency cesarean section.\n\nGuidelines for the management of transverse lie\nAntenatal\n↓\nExternal cephalic version in all cases beyond 35 weeks\n↓\nIf version fails or is contraindicated\n↓\nCesarean section at 38 weeks\nDuring labour', 'role': 'assistant'}]