Which indication might suggest a woman needs a cesarean section?

Prolonged labor with limited progress is a significant indication for a cesarean section. When a woman experiences prolonged labor, it means that the labor is not progressing as expected despite adequate contractions. This can lead to various complications, including fetal distress, infection, and maternal exhaustion. If after a certain duration there is little or no cervical dilation, the chances of successful vaginal delivery may significantly decrease, prompting the need for a cesarean section to ensure the safety of both the mother and the baby.

The other scenarios, while concerning, may not be immediate indicators for cesarean delivery. For example, contradictory fetal heart rate monitoring could be addressed with closer monitoring or intervention. Increased fetal size detected on ultrasound does warrant consideration of a cesarean section, but it would typically be assessed alongside other clinical factors rather than being an outright indication. A lack of maternal dilation may be concerning, but if the contractions are adequate, healthcare providers often allow for additional time before deciding on a cesarean section.