This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: All India exam, Subject name: Gynaecology & Obstetrics
A35yr Ad primigromida conceieved after IVFcycles attends ANC checkup with 38week POG Her obstetric details reveals DCDA twins with 1st twin as breads Onexamination BP 140/90 multy on two occasions with proteinuria + 1 How do you manage 
Select and explain. 
A. watch for BP and terminate when BP gets elevated, B. Watch for BP and induce on the EDD, C. Immediate C section, D. hnduction of labour
C: Immediate C section
Answer: C: Immediate C section 
Explanation: Indication of immediate C section 2ndtwin 1=1st twin non cephalic 2= cord potapse of 2nd twin 3= Abruptio Placenta 4= Difficulty in internal podalic version ref : dutta 9th ed