This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Abnormal labor, Subject name: Gynaecology & Obstetrics
Indications for cesarean hysterectomy are all except 
Select and explain. 
A. Placenta accreta, B. Couvelaire uterus, C. Atonic uterus with uncontrolled PPH, D. Rupture uterus
B: Couvelaire uterus
Answer: B: Couvelaire uterus 
Explanation: 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)