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
30 years old primipara in labour with transverse lie. Treatment of choice is : 
Select and explain. 
A. Internal cephalic version, B. Emergency cesarean section, C. Wait and watch, D. External cephalic version
B: Emergency cesarean section
Answer: B: Emergency cesarean section 
Explanation: Ans. is b i.e. Emergency cesarean section Patients in labour with transverse lie can be managed by external cephalic version followed by surgical rupture of the membrane. But it is impoant to note that the patient is a primigravida with age 30 years i.e. elderly primi, so, ECV is contraindicated.