This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Malpresentation, Subject name: Gynaecology & Obstetrics
A30-years-old primipara in labor 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 sectionRef Dutta Obs. 9/e, p 372; Williams Obs. 22/e, p 510, 23/e, p 478Patients in labor with transverse lie can be managed by external cephalic version followed by surgical rupture of the membrane.But it is important to note that the patient is a primigravida with age 30 years, i.e. elderly primi, so ECV is contraindicated.This patient requires an emergency cesarean section.