You've had a previous C-section or other surgery on the uterus.A large fibroid blocking the birth canal, a pelvic fracture or a baby who has a condition that can cause the head to be unusually large (severe hydrocephalus) might be reasons for a C-section. A C-section might be recommended for women with certain health issues, such as a heart or brain condition. ![]() ![]() A C-section might be recommended if a loop of umbilical cord slips through the cervix in front of the baby. If the placenta covers the opening of the cervix (placenta previa), a C-section is recommended for delivery. This is especially true if labor starts too early or the babies are not in a head-down position. A C-section might be needed for women carrying twins, triplets or more. A C-section is the safest way to deliver babies whose feet or buttocks enter the birth canal first (breech) or babies whose sides or shoulders come first (transverse). The baby or babies are in an unusual position.Concern about changes in a baby's heartbeat might make a C-section the safest option. ![]() Issues with labor progression include prolonged first stage (prolonged dilation or opening of the cervix) or prolonged second stage (prolonged time of pushing after complete cervical dilation). Labor that isn't progressing (labor dystocia) is one of the most common reasons for a C-section. Health care providers might recommend a C-section if:
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