Management of Cesarean Myomectomy in a Patient with Multiple Fibroids and an Obstructing Lower Uterine Segment Fibroid

Leiomyomas (Uterine Myoma) are tumors found in the uterine smooth muscles, and they are benign in nature. It occurs irrespective of parity status; it is present in non-gravid and gravid uteri. The incidence varies from 217 to 3745 women in 1 women, and the prevalence varies from 4.5 to 68.6 percent (1). The prevalence of uterine fibroid in pregnant women was 0.5-15 percent (2). Incidence of uterine myoma occupying lower segment and its presence & involvement in the breech presentation of pregnancy were indeterminate.