List of scenarios that mean a CS is unavoidable!

**naiwen** · 09-04-2009 13:50

I thought out of interest and education it might be nice to have a list like this, and perhaps another one explaining scenarios where a CS can be avoided.

So these are what I have so far:

Full placenta praevia (sorry about the spelling) where the cervix is fully covered.

Cases where the mother has had rickets or severe breaks to the pubic bones resulting in SPD.

Multiples of 3 or higher (can anyone confirm for triplets?).

HELLP or PE when liver or kidneys or BP are critical.

When the baby has been diagnosed with spina bifida and a CS is neccessary to protect the spinal cord.

TTTS (I beleive this need CS to protect the weaker twin?).

True foetal distress or true cord compression.

Anyone got anymore?

(more)

Transverse bub

Cord Prolapse

When the mother is in remission from a brain tumor and stroke and the stress of labour could cause more neurological damage.

**forbetoel** · 09-04-2009 13:53

A pelvis that is too small for the baby.

**stellarella** · 09-04-2009 13:56

Originally Posted by forbetoel

A pelvis that is too small for the baby.

I believe that falls under this category...

Cases where the mother has had rickets or severe breaks to the pelvic bones resulting in CPD.

**Knocked_for_six** · 09-04-2009 14:02

Originally Posted by naiwen

Multiples of 3 or higher (can anyone confirm for triplets?).

Triplets can and have safety been be born vaginally, it is dependent upon how far along the pregnancy is, how the babies are positioned, the mother's health, and many other issues. The majority of higher order multiples are born by c-section as most doctors consider it do be the safest way.

**naiwen** · 09-04-2009 14:07

Originally Posted by Knocked_for_six

Triplets can and have safety been be born vaginally, it is dependent upon how far along the pregnancy is, how the babies are positioned, the mother's health, and many other issues. The majority of higher order multiples are born by c-section as most doctors consider it do be the safest way.

OK thanks for that

, all the triplets that came through NICU while E was there were CS so I assumed it was very dangerous to have them via VB.

I suppose triplets must have been born via VB back when there was no such thing as a CS!

Is it very dangerous for the last baby?

**Fuchsia!** · 09-04-2009 14:12

Previous Vaginal tearing

Scrap that. Tis cool. I know women can still birth again vagnally but in some cases it is unavoidable.

**sam's mum** · 09-04-2009 14:13

when you don't go into labour, and they can't induce.

**peanutbutter&jelly** · 09-04-2009 14:14

I still am of the opinion that a footling breech, or a brow presentation isn't safe. JMO though... my DF was a brow presentation 22 years ago and was a CS, my DS had one foot under him, one next to his head & was a CS. He wasn't moving, there was no room lol

**Knocked_for_six** · 09-04-2009 14:15

Originally Posted by naiwen

Is it very dangerous for the last baby?

Yes, the risks are greatest with the last bub. Which is why at this stage I am going for c-section.

**~Emmylou~** · 09-04-2009 14:18

Transverse lie.

(Baby lying crossways in the uterus over the cervix).

Cord prolapse.

(Cord comes through cervix ahead of the baby).

when you don't go into labour, and they can't induce.

Everyone goes into labour. Some people don't before 42 weeks - but that's failure to wait not failure to go into labour.
Not labouring by 42 weeks is not an indication for a caesarean (or an induction for that matter) if the baby and mother are otherwise ok. The fact that they can't induce (presumably because cervix is unfavourable) would further support the basic premise that you just aren't ready to labour yet.