Table 2.

Validation of obstetrician responses in contrast to National Institute of Clinical Excellence (NICE) guidelines on planned caesareans

Indication of planned caesarean section mentioned by obstetricians

Contraindication of planned caesarean section mentioned in NICE guidelines

• Previous caesarean • Breech presentation irrespective of parity • Twin pregnancy irrespective of parity and presentation • Preterm birth/ Small for gestational age • Cephalopelvic Disproportion (CPD) • Short stature of mother • Obese mother • Elective caesarean: to avoid conflict  ✓ Hospital staff patients and well off family clients  ✓ Patient with gestational diabetes  ✓ Patient having bad obstetric history  ✓ Primary/ secondary infertility  ✓ Fear/can’t tolerate labour pain • Pre-eclampsia • Postdates pregnancy

• Previous caesarean • Primigravida breech without attempt of external cephalic version and breech in multiparous women • Twin pregnancy in cephalic presentation • Preterm birth/ Small for gestational age • Suspected CPD (that means short stature women could not be an indication) • Obese women even with BMI ≥ 50 • Elective caesarean (without obstetrical or medical indication) [36]