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A wise obstetrician was quoted as saying "I'm very worried about the Caesarean section rate. I just don't know whether it is too high or too low." There is no correct Caesarean section rate. My overall Caesarean section rate is 26%. Of these, 63% are elective procedures (women not in labour). My emergency Caesarean section rate (that is for women who go into labour) is 12%. By comparison, the overall rate for Victoria is over 30%.

The most common indication for Caesarean section is in women who have had a previous Caesarean section and either would prefer to have an elective Caesarean section, or who have a contraindication to vaginal birth after Caesarean section (VBAC). Other reasons I might suggest elective Caesarean section include breech presentation or if the placenta is covering the cervix (placenta praevia ). The major indications for emergency Caesarean section (Caesarean section in labour) are lack of progress in labour and concerns about fetal wellbeing – “fetal distress”.