Cardiac indications for cesarean section: Aortic aneurysm or dilated aortic root ≥ 4 cm Marfans syndrome with aortic involvement Severe symptomatic aortic stenosis Acute severe congestive heart failure Recent MI Need for emergency valve replacement immediately after delievery A patient who is fully anticoagulated with warfarin at the time of labor needs to be counseled for cesarean section because the baby is also anticoagulated and vaginal delivery carries increase risk to the fetus of intracranial hemorrhage.
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