This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: General obstetrics, Subject name: Gynaecology & Obstetrics
Indications of urgent delivery of the second baby in twin are all except 
Select and explain. 
A. Abruptio placentae, B. Cord prolapse of the second baby, C. Inadveent use of IV ergometrine with the delivery of the anterior shoulder of the first baby, D. Breech presentation of the second baby
D: Breech presentation of the second baby
Answer: D: Breech presentation of the second baby 
Explanation: Sometimes rapid delivery is indicated as in cord prolapse,abruption of the second twin or fetal distress.In such cases,the second baby is delivered by vaccum or forceps if it is in a veex presentation and by breech extraction in case of breech. Refer page no 188,189 of Text book of obsteics,sheila balakrishnan,2 nd edition