This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
[{'content': 'Indications for cesarean hysterectomy are all except: \nSelect and explain. \nA. Placenta accreta, B. Couvelaire uterus, C. Atonic uterus with uncontrolled PPH, D. Rupture uterus', 'role': 'user'}, {'content': 'Answer: B \nExplanation: Cesarean hysterectomy refers to an operation where cesarean section is followed by removal of the uterus.\nPeripartum hysterectomy is the surgical removal of the uterus either at the time of cesarean delivery or in the immediate postpartum period (even following vaginal delivery).\nSome indications for peripartum hysterectomy\n\nUterine atony\nAbnormal placentation\n\n– Bleeding\n– Accrete syndromes\n\nUterine extension\nUterine rupture\nCervical laceration\nPostpartum uterine infection\nLeiomyoma\nInvasive cervical cancer\nOvarian neoplasia\n\nM/C cause of cesarean/peripartum hysterectomy is PPH.', 'role': 'assistant'}]