Answer: A

Reasoning: The instrument shown is a Doyen’s (bladder/abdominal) retractor, which is classically used during lower-segment Caesarean section to pull the bladder caudally and keep it out of the uterine incision field. Studies of Cesarean technique still describe the “conventional Doyen retractor” for this purpose, confirming its routine use in LSCS rather than in vaginal hysterectomy or Manchester/Fothergill repairs [Theodoridis et al., 2011, PMID 21485728].