<prompt> An elderly multigravida female presents in labor. She has multiple fibroids in lower uterine segment. Management is:Vaginal deliveryTrial of laborLSCSClassical cesarean followed by hysterectomy  <response>: Ans. is d, i.e. Classical cesarean section followed by hysterectomySince this female is multigravida with multiple fibroids in lower uterine segments - vaginal delivery is not possible as multiple fibroids are present in lower uterine segment. We will have to do cesarean - but LSCS is also not feasible due to fibroids in lower segment a lot of bleeding will occur if we cut through fibroid. Hence classical cesarean section should be done. The treatment of multiple fibroids in a multipara is hysterectomy, so classical cesarean section should be followed by hysterectomy. 