Fibroids, the commonest benign pelvic tumor, have a
common association with subfertility and increasing
maternal age. Placenta praevia and fibroid (if submucous)
has an association with placenta accreta. Here we report
the case of an elderly primigravida with history of prolong
subfertility, admitted with 37 weeks pregnancy with multiple
fibroids and central placenta praevia with focal increta.
Even with all these complicating factors, with the advent of
better uterotonic drugs, conservative management could be
considered successfully now-a-days.
Key words: Caesarean myomectomy, Fibroid, Placenta
praevia/accreta, Postpartum haemorrhage.