G3 with previous second trimester abortion presents with 22 week of gestation, abdominal pain, USG shows funneling of internal os. What is the ideal management?
(A) Dinoprost and bed rest (B) Misoprost and bed rest (C) Fothergills stitch (D) Mc Donald stitch
(D) Patient presenting at 22 weeks with:

Funnelling of cervix on ultrasound examination and history of second trimester abortions indicating cervical incompetence as the cause of preterm labor. In this case Mc Donald stitch will be the ideal treatment as it will prevent preterm labor.