This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Operative Obs, Subject name: Gynaecology & Obstetrics
A term G2P1L1 presents with active labor. Her cervix is 8 cm dilated; fetal head station +2, MSL+, Type 2 deceleration seen in NST. What is the next step in management? 
Select and explain. 
A. Vacuum, B. Forceps, C. LSCS, D. Wait for spontaneous
C: LSCS
Answer: C: LSCS 
Explanation: Ans. is c, i.e. LSCSNow in this patient who is in labor, Type 2 deceleration seen i.e. late Deceleration which indicates fetal distress. Now the cervix is 8 cm dilated and not fully dilated so forceps cannot be applied.Vacium although can be used in 8 cm dilated cervix but in fetal distress vacium cannot be used. Hence the only option is cesarean section.