A35yr Ad primigromida conceieved after IVFcycles attends ANC checkup with 38week POG Her obstetric details reveals DCDA twins with 1st twin as breads Onexamination BP 140/90 multy on two occasions with proteinuria + 1 How do you manage: (A) watch for BP and terminate when BP gets elevated, (B) Watch for BP and induce on the EDD, (C) Immediate C section, (D) hnduction of labour
Answer is C. Indication of immediate C section 2ndtwin 1=1st twin non cephalic 2= cord potapse of 2nd twin 3= Abruptio Placenta 4= Difficulty in internal podalic version ref : dutta 9th ed