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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.

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