Overview of Cesarean Birth

In Cesarean births, babies are delivered through a surgical incision in the mother’s abdominal wall. Cesareans are performed only when vaginal delivery is not possible, or when there is a concern for the well-being of the mother and/or the baby. No one usually desires to deliver this way, but the flexibility factor comes into play. Expect the unexpected at times, and remember that this is still a birth. As long as the baby is fine and you are fine, that is all that matters.

There are many indications as to why a Cesarean would need to be performed. The following will help you to better understand the reasons.

Cephalopelvic Disproportion or CPD

Cephalopelvic disproportion is when the baby’s head or body may be too large for the mother’s pelvis. It could also be that mother’s pelvis is too small to accommodate the normal size baby. Either way, it could be harmful to the mother or the baby if a vaginal delivery is attempted.

Fetal Distress

When information from the fetal monitoring suggests the baby is not tolerating labor or the intrauterine environment satisfactorily, the healthcare provider may recommend that a Cesarean is needed for the safety of the baby. If the distress is severe, it may be frightening for everyone involved. Things can happen very quickly and you may be back in the operating room with little time to think or talk about it. Your healthcare provider will fill you in on the problem as much as time and circumstances allow.

Abnormal Presentation

Malpresentation of the head can include a face or brow presentation where the actual face or forehead (rather than the back portion of the head) delivers first. There are some women who can deliver a baby in these positions because of their pelvic outlet size or shape, but for the most of us, this situation presents a problem. Your healthcare provider will decide which is the safest route of delivery for you and your baby.