Miscellaneous maternal indications

In cases of respiratory or cardiac insufficiency in the mother it is usually preferable to perform an assisted vaginal delivery rather than a caesarian section.

Specific indications for a caesarian section include:

Severe pregnancy-induced hypertension

• a speedy, induced labour may be attempted; however induction in a primigravida before the 34th week is unreliable
• if progress is poor then a section should be considered

Hypotension or renal disease

• section is performed in the interests of the foetus