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Introduction

Cesarean delivery is a surgical procedure in which a fetus is delivered through an incision in the maternal abdominal wall and uterus.  It is one of the most common surgical procedures worldwide, often performed when a vaginal delivery poses a risk to the mother or fetus.

The global cesarean delivery rate varies widely, ranging from <10% in resource-limited settings to >30% in resource-rich settings.  Although these are often life-saving procedures, unnecessary cesarean deliveries can lead to maternal and neonatal complications and have implications for future reproductive health and planning.

Indications

A cesarean delivery is performed when it is medically/obstetrically indicated for the well being of mother and/or fetus, or upon patient request.

Maternal indications
  • Prior classical cesarean or extensive transmyometrial uterine surgery (due to risk for uterine rupture).

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