Troubles with the Placenta: Placenta Previa, Placental Abruption, Placenta Accreta

Chronic health conditions of the mother: Pre-eclampsia, Gestational diabetes, High Blood Pressure.

Older First-Time Mother Maternal age can sometimes contribute to a complicated pregnancy and labor.

Very big baby Occasionally the baby can genuinely be too large to be delivered but more frequently it is poorly alligned fetal positioning or rapid decent of a large baby which causes the complications.

Small Pelvis: Cephalopelvic disproportion (CPD) is a pretty rare condition in the USA.

Infections in the Mother: HIV, genital herpes etc.

History of Loss: Miscarriage, Stillbirth.

Previous C-section: Or any other surgery on the Uterus which may have left scars (ie cyst or fibroid removal etc.)

Congenital defects of the baby: Heart defects, Fluid in the Brain etc.

Position of the Baby: Breech, Transverse etc.

Multiple babies: Twins, Triplets etc.

Trouble with the umbilical cord: Cord prolapse, wrapped around the babies neck or foot, crushed in the birth canal, too short, tied in knots etc.

Fetal Distress: Sudden or repeated heart rate deceleration or acceleration, meconium staining in the amniotic fluid.

Failure to progress: Stalled labor during either dilation or pushing stage, labor has “gone on too long”.

Maternal hemorrhage Uncontrolled bleeding and significant loss of blood.