This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
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: Patients in labour 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.

Guidelines for the management of transverse lie
Antenatal
↓
External cephalic version in all cases beyond 35 weeks
↓
If version fails or is contraindicated
↓
Cesarean section at 38 weeks
During labour