A suspicion of fetal distress, two or more previous caesarean delivery sections, malposition of the fetus, placenta previa. When you have to resort to a cesarean section? When it is not necessary? Respond gynecologist Stefano Bianchi.Stefano Bianchi, Director of Obstetrics and Gynaecology of the Hospital San Giuseppe di Milano and associate professor at the University of Milan, answers to common questions about cesarean delivery and when it is practiced.
We resort to caesarean section if there is a suspicion of fetal distress during labor; if there were already two or more previous cesarean sections or major interventions were made on the uterus (eg. For the removal of a fibroid large); in case of malposition of the fetus: The most frequent case is that of breech presentation; when the placenta is over, that is placed between the child and the uterine orifice, thus prevent the passage of the fetus; if there is a prolapse of the umbilical cord, which could block the flow of blood to the baby during labor; When the mother’s pelvis is too small, or rather there is a real disproportion between the size of the baby and the mother’s pelvis; if they are two twins and at least one is in the breech position or not cephalic. It goes without saying that in the event of a multiple birth, cesarean section is a must.
It does not constitute instead an indication for elective cesarean: a disease such as myopia, a herniated disc, or hemorrhoids. “In cases not strictly pertaining to midwifery, the situation must be evaluated by a specialist reference in collaboration with the obstetrician, to assess whether the conditions that make it inevitable cesarean” warns gynecologist. Similarly, it is not correct to opt for a C-section since the early months of pregnancy if there are no valid medical indications.