Doctors in Mumbai have successfully performed an elective caesarean section (LSCS) of a 37-year-old woman with a 13-cm uterine fibroid, give birth to her child. 

The patient, who had conceived naturally for the first time after eight years of marriage, was ecstatic to start her journey towards motherhood. However, during her initial scan, a huge intramural fibroid on the uterus was identified, with apprehension regarding the progress of the pregnancy and eventual delivery method.

In spite of the diagnosis, all scans including nuchal translucency (NT) scan, double marker, and anomaly scan were normal. At 12 weeks, she had a low pulsatility index (PI) of bilateral uterine arteries, for which low-dose aspirin (75 mg) was started to improve placental blood supply and foetal growth.