This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Gynaecological Disorders in Obs., Subject name: Gynaecology & Obstetrics
Treatment of red degeneration of fibroid in pregnancy: 
Select and explain. 
A. Analgesics, B. Laparotomy, C. Termination of pregnancy, D. Removal at cesarean section
A: Analgesics
Answer: A: Analgesics 
Explanation: Ans. is a, i.e. AnalgesicsRef. Shaw 14/e, p 326; Dutta Obs. 6/e, p 309; Jeff coate 7/e, p 502Management of Red degeneration of fibroid.Patient is managed conservatively QPatient is put to bed rest and given analgesics Q (to relieve the pain), sedatives Q and, if required antibiotics QIf because of mistaken diagnosis laparotomy is done, abdomen is closed without doing anythingMyomectomy should never be contemplated during caesarean section as vascularity of fibroid is increased during pregnancy (due to increased estrogen) leading to increased blood loss during cesarean section. Q