- 1. Fetal suffering
- 2. When the baby is not upside down
- 3. In case of twins or when the baby is very large
- 4. Premature baby, underweight or have any syndrome
- 5. Childbirth takes more than 12 hours
- 6. In case of placenta previa or placental detachment
- 7. When the umbilical cord comes out first
- 8. When the mother has HIV, Herpes or HPV
- 9. Other diseases in the mother
- 10. When the mother has had more than 2 C-sections
Caesarean section is a surgery that has many associated complications and a higher risk of maternal death and therefore should only be performed when there are medical indications for this type of procedure, such as fetal distress, prolonged labor or when the baby is very large, for example. example.
The decision for cesarean section must be made by the doctor but it is also important to take into account the pregnant woman's desire to have a normal delivery or not. Although normal delivery is the best way for the baby to be born, it is sometimes contraindicated, requiring a cesarean section and it is up to the doctor to make the final decision after checking the health status of the mother and baby.
Some good reasons for having a cesarean are:
1. Fetal suffering
When the baby's heart rate is weaker there is evidence that the baby is suffering and in this case it is always necessary to have a cesarean section, as soon as possible because, in this case, there is a greater risk of death when opting for normal delivery.
2. When the baby is not upside down
If the baby remains lying on his side and does not turn until the moment of delivery, it is better to have a cesarean because there is a greater risk of fetal death or soon after birth. Caesarean section is also indicated when the baby is turned upside down and can be indicated when the baby is turned upside down but is positioned with the head slightly turned back with the chin more upwards, when the ideal position is the chin is as close as possible to the chest.
3. In case of twins or when the baby is very large
In the pregnancy of twins, when the two babies are properly turned upside down, delivery can be normal, however, when one of them has not turned until the moment of delivery, it may be more advisable to have a cesarean section. When they are triplets or quadruplets it is more advisable to have a caesarean section.
When the baby weighs more than 4.5 kg it can be very difficult to pass through the vaginal canal, which is why, in this case, it is better to resort to cesarean section. However, if the mother does not suffer from diabetes or gestational diabetes and has no other aggravating situations, the doctor may indicate normal delivery.
4. Premature baby, underweight or have any syndrome
Premature or underweight babies tend to need more care at birth and have a higher risk of complications, just as those who have diseases such as hydrocephalus or who have an organ such as liver or heart outside the body must always be born through cesarean section.
5. Childbirth takes more than 12 hours
When labor exceeds 12 hours and it has been tried to facilitate it with oxytocin and when there is no complete dilation, the doctor may indicate that a cesarean section is performed because there is a risk of rupture of the uterus and also the possibility of post-hemorrhage. childbirth, a complication that puts the woman's life at risk and that occurs when after the birth, the uterus does not return to its normal size, with great blood loss.
6. In case of placenta previa or placental detachment
When the placenta is located in a place that obstructs the passage through the birth canal, it is better to have a cesarean section because it is possible that the placenta will come out before the baby, bringing serious complications, the same occurs when there is a detachment of the placenta. These indications occur because the placenta is responsible for the arrival of oxygen and nutrients for the baby and when it is compromised, the baby can suffer.
7. When the umbilical cord comes out first
When there is complete dilation and the baby is about to be born, you can wait for a normal delivery, but when the cervix is not yet fully open and the baby may take time to be born it may be safer to have a cesarean.
8. When the mother has HIV, Herpes or HPV
To prevent the baby from being contaminated during delivery, the doctor may indicate the use of antiretrovirals at the end of pregnancy and choose a cesarean section. Breastfeeding is contraindicated and the baby must be fed with a bottle and artificial milk. See what you can do to not infect your baby with the AIDS virus by clicking here.
When the mother has genital herpes sores at the end of pregnancy, the baby may be infected with the herpes virus and therefore it is more appropriate to have a cesarean delivery. However, if the woman is taking antivirals for 7 days, the wound can heal faster and if labor has not yet started by 41 weeks she can attempt normal delivery.
When the mother has HPV and the wounds are located inside the vagina, where the baby passes, as he can be infected with the virus the doctor must indicate a cesarean. However, when the disease is in remission and small wounds cannot be seen even in colposcopy exams, it is possible to opt for normal delivery.
9. Other diseases in the mother
When the mother has illnesses such as psychological disorders, heart or lung problems, purpura or cancer, the doctor must assess whether there is a risk of death during childbirth and if the risk is small, normal labor can be expected. But when the doctor comes to the conclusion that this can endanger the life of the woman or the baby, he may indicate a caesarean section.
10. When the mother has had more than 2 C-sections
If labor does not start spontaneously, and it is necessary to take oxytocin in the vein, the doctor may indicate a cesarean delivery because there is a greater risk of uterine rupture and death of the mother during delivery. However, if the woman has already had a baby by normal delivery after having a C-section, there is evidence of minor complications and it may be possible to attempt a normal delivery.
Other surgeries in the uterus that also indicate the need for cesarean section are removal of uterine fibroids, surgery to reconstruct the uterus, in case of anterior uterine rupture.
Although cesarean section is a surgery that has its risks, as occurs in any other surgery, this may be the best option for the arrival of the baby and therefore you should talk to the doctor and understand your position when he chooses this surgery. See how to recover from a cesarean faster by clicking here.
