An elderly multigravida female presents in labor. She has multiple fibroids in lower uterine segment. Management is:
Ans. is d, i.e. Classical cesarean section followed by hysterectomySince this female is multigravida with multiple fibroids in lower uterine segments - vaginal delivery is not possible as multiple fibroids are present in lower uterine segment. We will have to do cesarean - but LSCS is also not feasible due to fibroids in lower segment (a lot of bleeding will occur if we cut through fibroid). Hence classical cesarean section should be done. The treatment of multiple fibroids in a multipara is hysterectomy, so classical cesarean section should be followed by hysterectomy).
Vaginal delivery
Trial of labor
LSCS
Classical cesarean followed by hysterectomy
Operative Obs