Intrauterine hypotonia causes polyhydramnios, malpresentation
and reduced FMs leading to an increased prevalence of operative delivery.
These indication included failure to progress in labor, fetal distress, pre-eclampsia, antepartum hemorrhage (APH), malpresentation
, intrauterine growth restriction (IUGR) and twins with preterm labor.
For primary CS, fetal distress was the most frequently observed indication followed by poor progression of labor, and fetal malpresentation
Parity, ANC follow-up, interpregnancy interval, labor duration, type of onset labor, obstructed labor, and malpresentation
were associated with uterine rupture in bivariate analysis with cut point of p < 0.05.
In terms of fetal health, the highest-rated reasons given for performing a CD were an abnormal intrapartum fetal heart rate tracing (83%), malpresentation
(60%), suspected macrosomia (43%), and intrauterine growth restriction (24%) (See Table 3).
The clinical indications for prelabor cesarean delivery included malpresentation
(652.2), antepartum bleeding or placental conditions (641.x), herpes (054.x), severe hypertension (642.5,6), uterine scar other than for cesarean (654.9), multiple gestation (651.x), macrosomia (656.6), unengaged fetal head (652.5), maternal soft tissue condition (654.0, 654.1, 654.4-7), other types of hypertension (642.4), preterm gestation (644.2), and congenital fetal CNS anomaly or chromosomal abnormality (655.0,655.1).
Although the current statement supports a woman's right to make a medically informed decision, it emphasizes that any of several factors including fetal malpresentation
, multiple gestation, and prior cesarean delivery are "an absolute contraindication to planned home birth."
The exclusion criteria were premature rupture of membranes; active labor; vaginal bleeding; placenta previa; history of caesarean section; cephalopelvic disproportion; and history of asthma or glaucoma, multipara <3, and malpresentation
Most of the caesarean sections were carried out due to previous caesarean sections 207(30.9%) followed by foetal distress 102(15.2%) non-progress of labour 93(13.9%) malpresentation
44(6.57%) placental abruption 21(3.13%) and placenta previa 19(2.84%).
Dystocia in sheep can be a resultant of poor maternal conformation, oversized fetus, fetal malpresentation
, partial or complete uterine torsion, ring womb and ectopic pregnancy (Hindson and Winter, 2007).
The idea of giving trial of labour to a woman with previous caesarean section (CS) was presented by Riva and Teich in 1961.2 Woman who delivered their first child by caesarean delivery has increased risks for malpresentation
placenta previa antepartum hemorrhage placenta accrete prolong labour emergency caesarean uterine rupture preterm birth low birth weight small for gestation age and stillbirth in their second delivery.3 A caesarean section is a major surgery and there are increased risks of complications including; damage to organs near the uterus (bladder intestine and ureter) a greater blood loss (twice as much as vaginal delivery) with an increased chance for requiring blood transfusion and a greater risk of developing a post-partum infection (twice the risk of vaginal delivery).4
(iii) cephalic, breech presentation or other malpresentation