GynaePulse
Modes of deliveryFree in the app

Caesarean section — categories

Urgency and decision-to-birth time.

Source: NICE NG192

Category

1Immediate threat to life of woman or fetus — within 30 min.
2Compromise not immediately life-threatening — within 75 min.
3No compromise, early birth needed.
4Planned — timed to suit woman and staff (not before 39 wk routinely).

Common indications

  • Pathological CTG / fetal compromise
  • Failure to progress / obstruction
  • Malpresentation (breech, transverse)
  • Placenta praevia
  • ≥2 previous CS; maternal request
  • Cord prolapse, abruption
Antibiotics before incision (not co-amoxiclav); oxytocin 5 IU slow IV or carbetocin 100 mcg IV; LMWH for all.
A summary for trained clinicians. Always check the full guideline, the patient in front of you and your hospital's protocol. Spotted an error? Tell us.