12 Common Reasons Why Having A Cesarean Might Be Necessary
Whether you are a high-risk mother or not, it is a good idea to be prepared for the possibility of having a cesarean, because surprises do occur. Emergency cesareans are done only after a definitive diagnosis is made. A woman will have an emergency cesarean if there is pelvic disproportion (the baby is too big to fit through the birth canal), fetal distress (for example, due to the umbilical cord wrapping around the fetus's neck, placental insufficiency, low oxygen, or infection), maternal distress, such as abruptio placenta, maternal heart problems, or toxemia of pregnancy. Although time will be of the essence, it is important that you ask for even a brief explanation for the surgery. It is also your prerogative to request a second opinion.
Below is a list of the most common indications for cesarean birth:
1. Repeat cesarean due to previous surgery on the uterus.
2. Placenta previa, to prevent excessive maternal bleeding that may affect the fetus.
3. Abruptio placenta, to prevent rapid blood and oxygen loss to the baby as a result of the placenta separating.
4. Herpes infection, to prevent passing it on to the baby through the birth canal.
5. Severe toxemia, to prevent fetal complications.
6. Fetal distress as identified through ultrasounds and/or fetal monitoring.
7. Abnormal fetal position, such as breech or transverse presentation, making it impossible for the baby to pass through the birth canal.
8. Diabetic mother, if the disease results in a very large baby or poor blood flow to the placenta.
9. Prolapsed cord, to prevent loss of oxygen to the baby.
10. Cephalopelvic disproportion (CPD), if the baby's head is too large to pass through the birth canal.
11. Failure of labor to progress or if oxytocin has not been effective.
12. Forcep or vacuum failure.
