This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Labour - III, Subject name: Gynaecology & Obstetrics
26 yrs woman with fetus in transverse lie, shoulder presentation, membranes absent, comes to the casualty in second stage of labour, management includes? 
Select and explain. 
A. External cephalic version, B. Internal podalic version, C. Cleidotomy, D. Cesarean section
D: Cesarean section
Answer: D: Cesarean section 
Explanation: Caesarean section in the preferred method of delivery if version fails or contraindicated . External cephalic version should be considered around 37 weeks onward . Internal podalic version is contraindicated because it can cause premature rupture of the membrane, placental abruption and bleeding. It can be done in transverse lie of 2nd baby in twin pregnancy. Cleidotomy is done for shoulder dystocia in dead fetus.