Final answer:
Indications for cesarean in multiple gestations include previous cesarean delivery, breech presentation, and cephalopelvic disproportion.
Step-by-step explanation:
Indications for cesarean in multiple gestations include:
- Previous cesarean delivery: If a woman has had a previous cesarean delivery, it may increase the likelihood of requiring another cesarean in subsequent pregnancies.
- Breech presentation: If the baby is in a breech position (buttocks down), a cesarean section is often recommended as it can be difficult and risky to attempt a vaginal delivery.
- Cephalopelvic disproportion: This occurs when the baby's head is too large to pass safely through the mother's pelvis. In multiple gestations, this risk may be higher, leading to the need for a cesarean section.