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
Vasa pre in a term gestation is managed by __________ 
Select and explain. 
A. Rapid induction and delivery by vaccum, B. Rapid induction and delivery by forceps, C. Immediate LSCS, D. Adopt vagos method and rapid vaginal delivery
C: Immediate LSCS
Answer: C: Immediate LSCS 
Explanation: Vasa Pre in a term gestation is managed by immediate LSCS. Management of vasa pre: Confirmed vasa pre not bleeding: Admit at 28-32 weeks, plan elective CS depending on fetal lung maturity Bleeding vasa pre: Delivery should be done by category 1 Emergency CS. (Categories based on urgency such as emergency, urgency, scheduled, elective) Neonatal blood transfusion may be needed. Vagos method: It is a management technique used in Umbilical cord prolapse, where Foley catheter is placed and the bladder provides upward pressure on the fetus, thus alleting the compression on the cord. Ref: DC Dutta&;s Textbook of Obstetrics 8th edition Pgno: 301