35 yr old primigravida conceived after IVF cycle attends obstetrics clinic with 38 weeks gestation. Her obstetrics details reveals DiCho-DiAmn twins with 1st twin as breech. Her BP was 140/90 mmHg on 2 occasions with proteinuria +1. How will you manage this case?: (A) Induction of labour, (B) Plan a cesarean for termination, (C) Watch for BP and induce of normal delivery on Expected Date of delivery, (D) Watch for BP and terminate (vaginal/ Casarean) only when BP is normal.
Answer is B. First fetus of the twins is having breech presentation which demands C-section. Other mode of presentation and delivery Both Cephalicpresntation(60%)-Normal Vaginaldelivery can be done First cephalic 2nd breach-Normal Vaginal delivery can be done