You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is A35yr Ad primigromida conceieved after IVFcycles attends ANC checkup with 38week POG Her obstetric details reveals DCDA twins with 1st twin as breads Onexamination BP 140/90 multy on two occasions with proteinuria + 1 How do you manage and explain in detail?
Indication of immediate C section 2ndtwin 1=1st twin non cephalic 2= cord potapse of 2nd twin 3= Abruptio Placenta 4= Difficulty in internal podalic version ref : dutta 9th ed