This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Abnormal labor, Subject name: Anatomy
A 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: Patient 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 30 years, i.e, elderly primi so ECV is contraindicated So this patient requires an emergency cesarean section. Ref : Datta Obs 9e pg 372, Williams Obs 23e pg 478.