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Courtney Gatto
CPT Coding
Module 10 Assignment 4
July 18, 2016

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Caesarean section, also known as C-section and other spellings, is a surgical procedure
where one or more incisions are made through a mother's abdomen and uterus to deliver one or
more babies. C-sections are usually preformed if the babys position is breach, when the feet are
facing the vagina. They are also preformed when a vaginal birth would either threaten the mother
or childs life. Also if the mother has HIV or sexually transmitted disease, pre-eclampsia, and a
previous uterine rupture.
The global payment fee that concerns a C-section are a VBAC and attempted VBAC
deliveries. These each have separate global package codes for routine obstetric care.
Mothers who have previously had a caesarean section are more likely to have a caesarean
section for future pregnancies than mothers who have never had a caesarean section. There is
discussion about the circumstances under which women should have a vaginal birth after a
previous caesarean. According to The American Congress of Obstetricians and Gynecologists,
successful VBAC is associated with decreased maternal morbidity and a decreased risk of
complications in future pregnancies. A physician may not recommend a VBAC because it is
more likely to have complications and the mother would end up having a C-section anyhow.
There are many different factors that can lead to a C-section during labor such as a
prolonged labor or failure to progress. Hypertension in the mother or baby after the waters break
and tachycardia in the mother or baby after the water breaks. Fetal distress can also lead to an
emergency C-section. Some other reasons would be a failed induction, placenta problems, and
umbilical cord abnormalities.

Resources:
Caesarean section. (n.d.). Retrieved July 18, 2016, from
https://en.wikipedia.org/wiki/Caesarean_section