Preventing the first cesarean delivery: Summary of a joint eunice kennedy shriver national institute of child health and human development, society for maternal-fetal medicine, and american college of obstetricians and gynecologists workshop

摘要

Numerous obstetric, fetal, and maternal factors are indications for primary CD and include malpresentation, multiple gestation, hypertensive disorders, macrosomia, maternal request, first- or second-stage arrest, failed induction, and non-reassuring fetal heart rate (FHR). Most indications depend on the caregiver's interpretation, recommendation, or action in response to the situation. A CD that is performed without an accepted indication should be labeled as such, that is, a nonindicated CD. The term "elective CD" should be avoided.