<prompt> 35 years old primipara in labour with transverse lie. Treatment of choice is -Internal cephalic versionEmergency cesarean sectionWait and watchExternal cephalic version  <response>: Ans. is b emergency caesarean section Ref. Dutta, 6e, p 397 5e, p 426 and p406.Patients in labour with transverse lie are usually managed by external cephalic version followed by surgical rupture of the membrane.But the lady is an elderly primi so external cephalic version is contraindicated in her.This patient requires an emergency caesarean section.Contraindications of versionSevere preeclampsia or marked hypertensionPost caesarean pregnancyPlacenta previaSevere degree of contracted pelvisFetal malformationsElderly primigravidaeMultiple pregnancy. 