Absolute indications | Relative indications |
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• Serious pelvic stenosis or abnormal pelvis • Severe antepartum bleeding, such as placental praevia and placental abruption • Abnormality of soft birth canal, such as scar tissue or pelvic tumour impeding presentation descent and diaphragm of vagina • Scar of uterus • Abnormal foetal presentations, such as mixed breech presentations • Pre-rupture of uterus • Foetal malformation, such as conjoined twins • After repair operation of reproductive organ fistula | • Relative cephalopelvic disproportion, such as poor engagement of foetal head and foetal macrosomia • Foetal distress • Pregnancy complications, such as cardiac disease, renal disease and liver disease in pregnancy • Other indications, such as uterine inertia |