The conditions that cause a higher risk pregnancy and may require a cesarean delivery include:
Cord prolapse: an obstetric emergency that happens before or during labor in breaking the amniotic sac (“bag of waters”) and the umbilical cord falls into the vagina before the baby out. Emergency Caesarean section is performed to save the baby’s life.
Placenta previa: The placenta covers part or all of the opening of the cervix into the birth canal or vagina.
Abruption: the placenta separates partially or completely from the uterus before birth.
Cephalopelvic disproportion: the baby is too large to pass through the birth canal or not aligned correctly within the pelvic bones and the channel.
Breech delivery: the baby puts the buttocks or feet first instead of being located in the normal position with the head down.
Multiples: develop two or more babies at once. Some twin pregnancies may have a vaginal delivery, cesarean section but is usually performed when you wait three or more babies.
Previous surgery in the womb: includes certain types of caesarean sections, especially those involving a vertical cut, also known as incision (cut) classic. Having released several large fibroids fibroids or uterine wall above may weaken the walls, making a C-section necessary.
Fetal distress, also known as abnormal fetal heart rate (which is not correct): a remarkable pattern of fetal heart rate and persistently abnormal during labor, which may be hazardous to the life of the fetus.
Maternal disease: covers diseases like heart problems or diabetes.
Preeclampsia and eclampsia (toxemia of pregnancy): Symptoms include very high blood pressure, protein in urine, and seizures.
Human immunodeficiency virus (HIV) or other infections of the mother: a mother with HIV or active herpes lesions in whom a cesarean is less likely to transmit infection to her baby. Although one study showed that a caesarean section may reduce the transmission of hepatitis C from mother to child, the results are preliminary. The Centers for Disease Control and Prevention United States currently does not recommend the practice of cesarean section in women with hepatitis.
It is important that all women be screened to determine if it is necessary that your delivery is by caesarean section. While each of the cases mentioned above is a reason to consider a cesarean section, every situation is different. Some babies are breech located sited so that may allow safe vaginal delivery, while others do not. Placenta previa does not always affect vaginal delivery if the opening of the cervix is ??only partially covered.
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