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    Subjects/OBG/Malpresentations — Breech, Transverse
    Malpresentations — Breech, Transverse
    hard
    baby OBG

    A 32-year-old multigravida (G3P2) at 38 weeks of gestation presents in active labor with contractions every 3 minutes. On examination, the uterus is tender and rigid, and fetal heart rate is 160 bpm with late decelerations. Ultrasound confirms transverse lie with the fetal head on the right and buttocks on the left. The membranes ruptured 2 hours ago. What is the most appropriate management?

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