Which is the most common INDICATION for primary cesarean section in modern obstetric practice?
- A Arrest of labor or failure of progress ✓
- B Previous cesarean section
- C Nonreassuring fetal heart rate pattern
- D Malpresentation such as breech
Correct answer: A. Arrest of labor or failure of progress
Explanation
Among primary cesareans, arrest of dilatation or descent accounts for the largest share, followed by nonreassuring fetal status, abnormal lie or malpresentation, and multiple gestation. Previous cesarean is the single most common indication overall, but it is by definition not a primary indication, which makes option B the trap here. Recognizing this distinction between overall and primary indication lists is repeatedly tested in Indian entrance examinations.
Reference: Williams Obstetrics, 26th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.