Most common indication was cephalo-pelvic disproportion
The workshop presenter noted this occurs probably once in every five hundred breech births when cephalo-pelvic disproportion
has been excluded (Menticoglou, 2006).
There is increased incidence of cephalo-pelvic disproportion
resulting in instrumental delivery or cesarean section, shoulder dystocia, clavicle injuries, and brachial palsy.
Any patient with cardiovascular, pulmonary, renal or liver disease, twin pregnancy, breech presentation or cephalo-pelvic disproportion
was not included.
Early marriage arising out of illiteracy contributes further owing to poor development of body structure causing cephalo-pelvic disproportion
leading to obstructed labour.
Our local cesarean support group liked the video a lot, but thought the way the possible causes for a cesarean were listed during the operation at the end without saying that many of these causes were preventable and advising the mothers to ask for a second opinion only served to reinforce the doctor's judgement that a cesarean was necessary (lack or progress and cephalo-pelvic disproportion
can be valid causes, but only a small percentage of the time they are cited as reasons why a cesarean was necessary).
A non-recurrent indication for previous CS such as breech presentation or foetal distress is associated with high successful VBAC rate than recurrent indications such as cephalo-pelvic disproportion
(Brill Y and Windrim R.