Common Signs That You May Need a C-Section

BySamradni Pradhan
Updated: 28 Nov 2025, 9:30 am

Every pregnancy journey and the birth experience are unique. You may plan for a normal delivery, but it can change to a C-section due to certain conditions. It can catch you off guard, but it may be a safer option for you and your baby. But how do doctors decide that you need a C-section? Well, some signs indicate that a surgical delivery method is your best option.

Pregatips
You can never predict how your birthing experience will go. You may prepare yourself for a natural birth, but changes in your body and baby in the last trimester of pregnancy may clearly indicate you need a C-section. There is nothing wrong with it because it means your doctor is taking measures to deliver the baby safely. You can approach it with confidence if you know what signs to watch out for.
In this article:


What Is a C-Section and Why Might You Need One?


A C-section requires you to deliver the baby through an incision made in your abdomen and uterus. It may be planned when a vaginal delivery could pose risks to either you or your baby, or your doctor may suggest it due to complications in the labour.

Some common reasons include the following:

  • Baby’s position (like breech or transverse)
  • Problems with the placenta or umbilical cord
  • Carrying multiples (twins, triplets)
  • Labour is not progressing normally
  • Health issues like high blood pressure or diabetes


Is Your Baby’s Position Making Delivery Difficult?


Your baby’s position decides how smoothly the labour will progress. The ideal birth position for a baby is head-down (cephalic), but they may settle into other positions.

  • Breech – baby’s bottom or feet face down
  • Transverse lie – baby is lying sideways
Doctors wait for the baby to change their position in the final weeks. If there is no change, vaginal delivery can be risky. You may require a C-section in such cases to avoid stress or injury to your baby.


What If Your Labour Isn’t Progressing?


Labour can slow down or stop suddenly, a condition called prolonged labour. The following are the reasons for it:

  • The cervix is not dilating enough
  • Contractions are not strong or regular
  • The baby’s head is too large to pass through the birth canal
Your doctor may suggest a C-section if the labour goes on for more than 20 hours for the first pregnancy or 14 hours for subsequent ones to prevent distress.


Could Your Baby Be in Distress?


Doctors monitor your baby’s heart rate continuously during labour. The signs of distress often appear as irregular heartbeats or a lack of oxygen, making your doctor act quickly. The following are the reasons for distress:

  • Umbilical cord compression
  • Low oxygen supply
  • Placental problems
A C-section in such times can prevent complications and help you deliver the baby safely.


Are There Problems With the Placenta or Umbilical Cord?


Vaginal birth can be risky under the two circumstances:

  • Placenta previa is a condition in which the placenta covers the cervix, so your baby cannot get out on their own
  • Placental abruption means the placenta detaches from the uterine wall before birth
They are life-threatening conditions for both mother and baby, as they cause severe bleeding. A C-section is the safest way to deliver in such situations.


How Do Maternal Health Conditions Affect the Need for a C-Section?


Your doctor may recommend a planned C-section if you also have chronic health conditions.

  • High blood pressure or preeclampsia
  • Gestational diabetes (which can lead to larger babies)
  • Heart conditions
  • Infections like HIV or active herpes
The goal is to reduce complications so that you and your baby remain safe.


What If You’re Carrying More Than One Baby?


A C-section is more likely in cases when twins share a placenta, or one of them is not in the head-down position.

Multiple pregnancies may lead to early labour or challenges with the baby's position, so that doctors may suggest a C-section.


How Do Past Surgeries or Previous C-Sections Influence This Decision?


Your doctor will review your medical history to check whether you have had a previous C-section or other uterine surgery. Although a vaginal birth after C-section (VBAC) is possible, it is avoided in case there is a risk of uterine rupture.


What Are Some Warning Signs That May Require an Emergency C-Section?


Observe the following signs, as medical help is urgent in such situations:

  • Heavy vaginal bleeding
  • Severe abdominal pain
  • Sudden drop in your baby’s movement
  • Sharp changes in blood pressure or vision (possible preeclampsia)
  • Infection or fever during labour


What Can You Expect Emotionally and Physically After a C-Section?


Healing from any surgery takes time. You may also need more time compared to those who delivered vaginally. You can support your body by eating healthy foods on time, drinking water, and engaging in gentle movement.

In terms of emotions, you may have many, but remind yourself that the safety of your baby and your life is above all else. Take support from your partner, family, or friends. A positive mindset can make recovery smoother.


Checklist: What to Do If a C-Section Might Be Needed?


  • Discuss your birth plan and all the possibilities with your doctor
  • Ask questions about anaesthesia and recovery
  • Pack comfortable clothing and essentials for your hospital stay
  • Ask for help and emotional support after delivery at home
  • Attend all the prenatal check-ups to detect complications early
A C-section may not be in your birth plan, but it can be the best option for you and your baby’s health. You may feel a lot better after speaking with your doctor openly about the reason you need a C-section. Remember, giving birth to a healthy baby is essential, no matter the delivery method.

Whether you’re pregnant, a new mom, or navigating postpartum, you don’t have to do it alone. Join our support group to connect, share, and support one another.

FAQs on Common Signs That You May Need a C-Section

  1. Can I choose to have a C-section even if there are no complications?
    Yes, you can opt for a surgical delivery, also called an elective C-section, but most doctors recommend them for medical reasons.
  2. How long does it take to recover from a C-section?
    The scar from a C-section may heal within 6 weeks, but you need to rest, eat well and strictly follow your doctor’s advice.
  3. Can I have a normal delivery after a C-section?
    Yes, it is called a VBAC (Vaginal Birth After Cesarean), but your doctor will assess your health conditions and previous surgery details before going ahead with it.
Disclaimer: Medically approved by Dr Shweta Mendiratta, Associate Clinical Director – Obstetrics & Gynaecology, Marengo Asia Hospitals Faridabad

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