Professor Ellis Downes, Consultant Obstetrician at The Portland Hospital
Q. What Factors during Pregnancy and Labour might lead to Caesarean Section delivery?
A.This is not an easy question to answer as there are many factors that can influence whether a caesarean section delivery is needed as opposed to a vaginal delivery.
Generally speaking, if there is a low lying placenta, baby is in a breech presentation or a multiple birth an obstetrician may recommend a delivery by planned caesarean section. This is more likely to also be recommended if you needed a caesarean section in your first pregnancy.
All mums-to-be are closely monitored during labour to check that labour is progressing smoothly and the baby is comfortable and safe. If there is any concern about the wellbeing of the baby, by checking the baby’s heart rate tracing (CTG), then caesarean section is usually performed particularly if the cervix is not fully dilated. Sometimes labour progresses very slowly and the cervix is very slow to dilate. It can often be improved and speeded up by a hormone drip containing syntocinon – a synthetic hormone similar to the body’s own oxytocin. If, having had a hormone drip, the cervix is still not progressing or the baby is felt to be clinically too big to allow easy vaginal delivery then your obstetrician may recommend delivery by caesarean section.
For further information or to book an appointment please contact Professor Downes’ secretary:
Telephone: 020 7935 7341 or 01707 873 122
Fax: 020 7935 7342 or 01707 870 825