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Gynaecology & Obstetrics NEET Jan 2020 ef0824fc

35 yr old primigravida conceived after IVF cycle attends obstetrics clinic with 38 weeks gestation. Her obstetrics details reveals DiCho-DiAmn twins with 1st twin as breech. Her BP was 140/90 mmHg on 2 occasions with proteinuria +1. How will you manage this case?

A
Induction of labour
B
Plan a cesarean for termination
C
Watch for BP and induce of normal delivery on Expected Date of delivery
D
Watch for BP and terminate (vaginal/ Casarean) only when BP is normal.
High-Yield Explanation
First fetus of the twins is having breech presentation which demands C-section. Other mode of presentation and delivery Both Cephalicpresntation(60%)-Normal Vaginaldelivery can be done First cephalic 2nd breach-Normal Vaginal delivery can be done

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