Indications for cesarean hysterectomy are all except: (A) Placenta accreta, (B) Couvelaire uterus, (C) Atonic uterus with uncontrolled PPH, (D) Rupture uterus
Answer is B. Indications of caesarean hysterectomy include rupture of uterus,placenta accreta or morbidly adherent placenta,atonic uterus with uncontrolled PPH,big fibroid Couvelaire uterus which is a severe form of concealed abruptio placenta is not an indication for caesarean hysterectomy. (DC Dutta TB of obstetrics 8th edtn pg 679)