What are the indications for cesarean section?

Today, 25% of children are born with caesarean section. Of course, to a greater extent this applies to developed countries, where maternity is already decided in adulthood. Nevertheless, there are specific indications for caesarean section and without them this intervention is not carried out.

Some women now want to resort to this manipulation to avoid pain and a number of other unpleasant moments that arise during natural childbirth. However, it is necessary to understand that the cesarean section is a serious operation with a painful rehabilitation period and possible serious complications.

Therefore, there are strict testimonies for him, without which it is not expedient to conduct it. They are absolute, when the natural birth is simply impossible, lead to the death of the fetus or mother, or will harm their health.

Also, there are indications for caesarean section, in the presence of which there is a possibility of unpleasant consequences. It depends on each case. In this situation, the doctor and the patient weigh the pros and cons and make the final decision.

Cesarean section can be emergency and planned. In the first case, its necessity is known long before the onset of labor, and sometimes even before pregnancy. Emergency intervention is carried out when its expediency becomes apparent already in the process of delivery.

So, the indications for caesarean section:

• Cranio-pelvic disproportion;
• Unsuccessful penis and presentation;
• Prolonged labor;
• Fetal disease;
• Prolapse of the umbilical cord;
• Mechanical obstacles;
• Placental abruption;
• Multiple pregnancies ;
• Placenta previa;
• Probability of uterine rupture ;
• Mother's illness;
• Cesarean section in past births.

Relative contraindications to natural childbirth are:

• Narrow pelvis of the woman in childbirth;
• Weak labor activity;
• Complications of pregnancy;
• Mother's diseases, not related to the bearing of the child.

Let's consider the indications for Caesarean section in more detail. In case of cranio-pelvic disproportion, either the head of the child is too large or the mother's narrow pelvis takes place, and also a combination of the two is possible. Usually, before delivery, this situation is poorly diagnosed, although it is often suspected. Especially since the head of the child is somewhat compressed, and the mother's pelvis is diverging. However, if the fights are strong, but there is no progress of labor, it is possible that there is a craniocerebral disproportion.

In case of unsuccessful presentation, the baby is located in the uterus so that it is difficult and dangerous to carry out natural childbirth. Distinguish its following types:

• Transverse;
• Gluteal (foot and full);
• Frontal and facial;
• Posterior occipital.

Prolonged birth takes place when there is no progress in ovulation of the fetus, opening of the cervix and insufficiently strong contractions even after attempts to stimulate the uterus to stronger contractions or to relax it. Such a diagnosis is made only after the onset of the active phase, when the opening is more than 5 cm.

Now we will consider such indications for caesarean section, as placenta previa and abruption. At the first pathology, it overlaps the cervix and is implanted to it. Therefore, when it is opened, the placenta is separated, bleeding begins, and the child lacks oxygen. The main symptom is bleeding after 7 months, not accompanied by pain.

With detachment of the placenta, it is prematurely separated from the uterus. This causes bleeding and pain. In this case, the fetus lacks oxygen. Depending on the degree of pathology, intervention may be required. Placental abruption occurs most often in the last trimester or during childbirth.

A greater risk of this pathology in drinking and smoking mothers, as well as under high pressure. If the palpitations of the fetus are normal, the bleeding is small and the contractions continue, then it is possible to perform natural childbirth.

So, the indications for caesarean section are absolute, when there is simply no other option, or relative, when you need to weigh everything carefully. In any case, the decision should be made by a competent doctor taking into account the wishes of the mother in childbirth.