A C-section might cause heavy bleeding during and after delivery. After a C-section, you might be at risk of developing an infection of the lining of the uterus (endometritis). Although rare, accidental nicks to the baby's skin can occur during surgery. Babies born by scheduled C-section are more likely to develop transient tachypnea - a breathing problem marked by abnormally fast breathing during the first few days after birth. Like other types of major surgery, C-sections also carry risks. Request an Appointment at Mayo Clinic Risks If you're considering a planned C-section for your first delivery, work with your health care provider to make the best decision for you and your baby. Women who have multiple C-sections are at increased risk of placental problems as well as heavy bleeding, which might require surgical removal of the uterus (hysterectomy). However, this is discouraged if you plan on having several children. Some women request C-sections with their first babies - to avoid labor or the possible complications of vaginal birth or to take advantage of the convenience of a planned delivery. In some cases, however, your health care provider might recommend a repeat C-section.

Depending on the type of uterine incision and other factors, it's often possible to attempt a VBAC. You might need a C-section if you have a large fibroid obstructing the birth canal, a severely displaced pelvic fracture or your baby has a condition that can cause the head to be unusually large (severe hydrocephalus). A C-section is also recommended if you have an active genital herpes infection at the time of labor. A C-section might be recommended if you have a severe health problem, such as a heart or brain condition. A C-section might be recommended if a loop of umbilical cord slips through your cervix ahead of your baby. If the placenta covers the opening of your cervix (placenta previa), a C-section is recommended for delivery. A C-section might be needed if you're carrying twins and the leading baby is in an abnormal position or if you have triplets or more babies. A C-section might be the safest way to deliver the baby if his or her feet or buttocks enter the birth canal first (breech) or the baby is positioned side or shoulder first (transverse).

Your baby or babies are in an abnormal position.

If your health care provider is concerned about changes in your baby's heartbeat, a C-section might be the best option. Stalled labor might occur if your cervix isn't opening enough despite strong contractions over several hours. Stalled labor is one of the most common reasons for a C-section.

Your health care provider might recommend a C-section if:

Sometimes a C-section is safer for you or your baby than is a vaginal delivery.

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