<prompt> A pregnant woman presents with a placenta previa of a major degree. The fetus is malformed. Which of the following will be the best line on management?Cesarean sectionOxytocin dripRupture of membranesInstillation of PG E2  <response>: Ans: A Cesarean section Ref: DC Dutta s Textbook of Obstetrics, 7th edn, Pg 248Explanation:Placenta Previa - ManagementType II B. Ill and IV are the major degree placenta previa.Criteria for expectant management:Gestational age 37 weeksHemodynamicallly stable patientBleeding has stoppedNo evidence of fetal distresscongenital mal formationsintrauterine death.Expectant management includes tocolysis, steroids for lung maturity.In this scenario, baby is congenitally malformed. Hence, there is no question of expectant management. Now, the question is to whether to induce labor or directly go for caesarean section.Whatever is the condition of the baby, caesarean section is the mode of delivery for major degree placenta previa.Also Note:Dangerous type of placenta previa - Type II B.Stallworthy sign is seen in -Type II B placenta previa. 