In which scenario is a cesarean delivery more likely to occur?

A cesarean delivery is more likely to occur in the scenario of multiple gestations. This is primarily due to the increased risks associated with carrying more than one fetus, which can lead to complications such as preterm labor, abnormal fetal presentations, and excessive uterine stretching. In cases involving twins or higher-order multiples, the likelihood of one or more of the babies being in a breech position, or other complications arising, often necessitates a cesarean delivery to ensure the safety of both the mother and the infants.

Additionally, the challenges associated with labor in multiple gestations, including potential for uterine rupture, fetal distress, and other maternal complications, significantly raise the chances of choosing a surgical delivery over a vaginal birth. Thus, the presence of multiple gestations is a strong indicator for a higher likelihood of cesarean delivery.