30 years old primipara in labour with transverse lie.Treatment of choice is:
High-Yield Explanation
Patients in labour 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.
Guidelines for the management of transverse lie
Antenatal
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External cephalic version in all cases beyond 35 weeks
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If version fails or is contraindicated
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Cesarean section at 38 weeks
During labour