Indications for a c-section during labor Procedure Ready: Ob/Gyn

Nonreassuring fetal heart tracing
Category 2-remote from delivery
Minimal/absent variability is most significant predictor of fetal acidemia
Category 3 any time is emergent deliver
Failed IOL
Many different definitions: Most commonly 12-24hrs ruptured membranes on pitocin without active labor
Arrest of dilation
Can only meet criteria once in active labor 6cm or greater
Do you know if her contractions are adequate? IUPC with MVUs>200-250
If the contractions are adequate, no change over 4hrs
If contractions are inadequate or no IUPC, no change over 6hrs
Arrest of descent
Prime with epidural 3hrs
Prime without epidural-2hrs
Mutlip with epidural 2hrs
Multip without epidural 1hr
Cord prolapse
-Emergency!
Malpresentation
-Breech, transverse, compound