This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Labour - normal, abnormal, malposition, malpresentation and their management, Subject name: Gynaecology & Obstetrics
Occipito posterior position in labor, management is - 
Select and explain. 
A. External cephalic version, B. Internal podalic version, C. Wait and Watch, D. Caesarean section
C: Wait and Watch
Answer: C: Wait and Watch 
Explanation: Out of total Occipito posterior position, -80% becomes OccipitoAnterior- Mode of delivery - Normal (hence it is preferable to wait and watch for spontaneous rotation to occur) -15-16% becomes persistent OccipitoPosterior occurs in anthropoid pelvis Mode of delivery - Face to pubis delivery -2-4% undergoes Deep transverse arrest occurs in android pelvis Mode of delivery - Manual rotation and forceps extraction(sagittal suture of baby should be in AP plane of pelvis) or cesarean section