How do I know if a caesarean section (C-section) is necessary?

Whether or not to perform a C-section can be a tricky call. A doctor needs to determine whether there's some kind of problem that's stopping the child from making it down the birth canal, or whether the child is in such distress that he needs to be pulled from Mom pronto - both judgment calls that need to be made under pressure. Sometimes doctors know ahead of time if a C-section is likely - factors like being an older mother, having diabetes, having a larger baby, having multiples, having placenta problems, and having a breech baby make it more likely that a C-section will be performed.

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