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: Gynaecology & Obstetrics
30 years old primipara in labour with transverse He- 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: caesarian is the best option in most cases of transverse lie.It is also indicated when external version fails or is contraindicated.If the membranes are intact a low transverse incision is usually possible.There may be difficulty in delivery of the baby at caesarian section in cases done late in labour after the liqour has drained away (refer pgno:385 sheila textbook of obstetrics 2 nd edition)