Caesarean section is planned (when doctors find out in advance of its necessity and set the date) and emergency (when circumstances require immediate surgical intervention). indications for cesarean section can be either unconditional (eg, clinically narrow pelvis) and controversial when the final decision depends on the resolution of a particular doctor (such as breech presentation or previous caesarean section).
indications for elective caesarean section:
- placenta covers the internal os of the uterus (placenta previa) or untimely starts to flake.
- two or more previous cesarean section have mothers.
- risk of bleeding (if the scar from a previous cesarean or other uterine surgery).
- Uterine fibroids (in severe cases).
- anatomically narrow pelvis, abnormal structure and diseases of the pelvis, the pubis and hip joints.
- large fruit (especially at first birth).
- foregoing plastic surgery on the genitals.
- incorrect position of the baby in the uterus (pelvic and gluteal-Foot presentation, cross-location).
- Multiple pregnancy (not always, particularly in the presence of common placenta in double or wrong position of one of the children).
- Cancer of the cervix or ovaries.
- Chance of retinal detachment in the mother during childbirth.
- Genital herpes.
- artificial valves in the heart, kidney transplant surgery in the past (and other heavy operations).
- general poor health mothers, exacerbation of chronic diseases.
- Stunting or fetal hypoxia (when treatment is ineffective).
- severe malformations in the baby.
- last - birth, death ended or serious injury to a child.
- vitro fertilization (often, but not always).
Indications for emergency cesarean section:
- not enough strong contractions or their complete cessation.
- Clinically narrow basin (during labor becomes clear that the baby's head is too big and a natural delivery is not possible).
- The baby can not pass through the birth canal because of the wrong position (eg, when the child "is a person").
- prolapse of the umbilical cord or the baby's body parts.
- Uterine rupture or threat.
- long period of anhydrous (water departed, and labor does not begin).