When Is A Cesarean Section Birth Absolutely Necessary?

*  Complete placenta praevia (grade 4), where the placenta completely covers the opening of the cervix.

*  Transverse Lie, the baby islying sideways in the uterus and is unable to be turned.

*  Prolapsed umbilical cord, a section of the cord falls past the baby, through the mother’s open cervix and into the vagina.  this is a code green medical emergency.

*  Abrupted placenta – the placenta tears away from the wall of the uterus, cuasing bleeding for the mother and a lack of oxygen and nutrients to the baby, another medical emergency.

*  Severe pre-eclampsia or eclampsia.  Pre-eclampsia is a high blood pressure with proteing in the urine, nausea, headaches and vomiting and can be life threatening for mother and baby.  It can progress to eclampsia when seizures occur.

*  True fetal distress

*CPD (cephalopelvic disproportion) – The baby is too large for the mother’s pelvis

*  Initial outbreak of active herpes at the onset of labour

*  Uterine rupture – a previous cesarean scar ruptures and tears open.  Very rare.

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