A30-years-old primipara in labor with transverse lie. Treatment of choice is:
Internal cephalic version
Emergency cesarean section
Wait and watch
External cephalic version
Ans. is b, i.e. Emergency cesarean sectionRef Dutta Obs. 9/e, p 372; Williams Obs. 22/e, p 510, 23/e, p 478Patients in labor 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.
Malpresentation