faults in the birth canal
Last reviewed 04/2021
Cephalopelvic disproportion
- this is a clear indication in cases of gross pelvic contraction
- it is borderline cases where good judgement is required
- if a trial labour, with some hours of cautious oxytocic augmentation of uterine contraction, does not result in cervical dilatation then one should proceed to section without delay
Pelvic tumour
- impaction of an ovarian cyst or fibroid in the pelvis is a rare indication for section
Cervical or Vaginal stenosis
Double uterus
- the non-impregnated horn may lie below the presenting part of the foetus