When do Doctors Recommend C-Sections?
Below is an overview of the most common problems during pregnancy that may indicate a Cesarean section (c-section) delivery instead of a vaginal delivery.
Prolonged labor may lead to the decision to perform a c-section. If labor has been intense and more lengthy than advisable, a physician may decide on surgery.
Dystocia is an abnormal or particularly difficult labor or childbirth.
Fetal distress is the presence of signs in a pregnant woman that that the fetus is not well or is becoming excessively fatigued. These symptoms may present either before or during childbirth.
Cord prolapse is when the umbilical cord precedes the fetus’ exit from the uterus.
Uterine rupture typically occurs during early labor, but may already be present during late pregnancy. The reliability of the middle layer of the uterine wall is breached.
Placental problems such as placenta praevia where the placental lining is separated from the uterus. Or, placenta accrete, an abnormal attachment of the placenta to the middle layer of the uterine wall.
Breech or traverse positions. Breech is when the baby enters the birth canal with the buttocks or feet first. Traverse position is sideways.
Failed induction of labor. When labor has been induced by various methods, but has failed to cause productive results.
Failed instrumental delivery. The use of forceps and other instruments.
Overly large baby. When the baby is just too big to fit through the birth canal.
Umbilical cord abnormalities.
Other complications of pregnancy and preexisting conditions include but not confined to:
- Pre-eclampsia
- Hypertension
- Multiple births
- High risk fetus
- HIV infection of the mother
- STDs
- Previous c-section
- Prior problems
There are many factors involved in the decision to perform a c-section. We have only touched on the more frequently presented ones. You should always consult with your physician if you any concerns and questions.
