Common indications for cesarean section include obstructed labour, failure of labour to progress, placenta praevia (development of the placenta in an abnormally low position near the cervix), fetal distress, gestational diabetes mellitus, and improper positioning of the fetus for delivery.
"I spend a lot of time waiting: for patients to arrive, for mothers who want to be photographed, and for labour to progress.
The environment where women give birth plays a significant part in enabling labour to progress normally.
Husbands and TBAs felt that women tried to show braveness and strength by allowing labour to progress before informing them.
The duration of labour was also linked to the understanding that labour pains need to be productive (successful childbirth) for a labour to progress normally: Some labour pains may start with high intensity but without yielding any results.
In the urban and semi-urban blocks where the majority of births occurred in hospitals, a small number of homebirths took place either because of uncomplicated labour or, or as so often was the case, because there was no time to reach a hospital as the women had waited too long for their labour to progress in order to minimise their hospitalisation time.
Some obstetricians reported trying to avoid a performing a caesarean section on an obese woman, unless absolutely necessary and would often allow more time for labour to progress before making a decision that operative delivery was necessary.
For example, a woman may consider the risk of witchcraft causing her labour not to progress being greater than the risk of bleeding, and will keep the onset of labour secret to reduce this more significant risk [ 15].
A progressive Labour party needs to progress, but let's not forget why we are currently faced with such disastrous policies for the country.
Obstetric fistula occurs when labour is allowed to progress for a period lasting from several days to a week without quick intervention, usually a caesarean section [ 46, 47].
As indicated in our conceptual model, 'women taking control of own birth process' as the labour is expected to progress normally without problems.
