Cesarean Section


The most frequent reasons for Cesarean section delivery include:

  1. Situations in which the baby's head is too large or the mother's bony pelvis is too small to allow normal vaginal delivery. This is known as CPD (cephalopelvic dispropotion).

  2. Cases in which the placenta separates before the baby is ready to be born (abruptio placenta). This causes internal bleeding, endangering the life of both baby and mother.

  3. Cases of prolonged labor which fail to respond to the usual methods of stimulation.

  4. Certain cases in which the baby is in an abnormal position within the mother's womb; as when a shoulder or arm comes down first.

  5. Certain cases of breech position, with the baby's buttock's or feet coming first.

  6. Cases in which the placenta, is situated very low in the uterus, or in front of the baby's lowest part. This is known as placenta previa and is not infrequent cause of bleeding in the later months of pregnancy. It may also prevent a normal vaginal delivery.

  7. Some instances in which the mother has extremely high blood pressure, diabetes, or severely damaged kidneys.

  8. Situations in which previous operations upon the cervix or vagina have been performed, making it either difficult or inadvisable to permit vaginal delivery.

  9. Cases in which a tumor of the ovary or uterus is situated in such a way that it might block the birth canal.

It should be emphasized that this is not an exhaustive list. Each pregnant patient must be considered individually, with many factors playing an important part in the final decision as to the method of delivery.

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