A30-years-old primipara in labor with transverse lie. Treatment of choice is:
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.
Internal cephalic version
Emergency cesarean section
Wait and watch
External cephalic version
Malpresentation