Rationalizing the use of caesarean section in Egypt through implementing 10 group Classification system

- Indication of CS

The decision to perform a cesarean section is based primarily on the question of what is best for or may save the lives of the mother and child. The indications for cesarean section can therefore be divided into absolute and relative indications where absolute indications is constitute only 10 % of the causes and the majority of CS indications are relative(15)

Absolute indications of cs include

·        Abnormal lie and presentation

·        Absolute disproportion in cases of very small pelvis

·        Chorioamnionitis (amniotic infection syndrome) without labour

·        Maternal pelvic deformity

·        Eclampsia and HELLP syndrome

·        Fetal asphyxia or fetal acidosis

·        Umbilical cord prolapse

·        Placenta previa

·       Uterine rupture

Relative indications of CS include

·       Pathological cardiotocography (CTG)

May provide indication of acute hypoxia or fetal asphyxia. If fetal acidosis occurs, the birth should be completed either as an instrumental delivery or by cesarean section.

·       Failure to progress in labor (prolonged labor, secondary arrest)

·       Previous cesarean section

·       Abruptio placentae