Caesarean section : guidance (CG132)

National Institute for Health and Care Excellence - NICE
Publication date:
23 November 2011


This guideline covers when to offer caesarean section, procedural aspects of the operation and care after caesarean section. It aims to improve the consistency and quality of care for women who are considering a caesarean section or have had a caesarean section in the past and are now pregnant again.

In September 2019, we replaced the recommendations on caesarean section for women with a multiple pregnancy with links to our guideline on twin and triplet pregnancy.


This guideline includes recommendations on:

Who is it for?

  • Healthcare professionals
  • Commissioners and providers
  • Public health and trust managers
  • Pregnant women, their families, birth supporters and other carers

Is this guideline up to date?

We checked this guideline in January 2017 and we are updating the recommendations on woman-centred care and procedural aspects. See the guideline in development page for progress on the update.

Guideline development process

How we develop NICE guidelines

This clinical guideline updates and replaces NICE guideline CG13 (published April 2004).