In which condition is a woman likely to experience a high risk of cesarean delivery?

Breech presentation of the fetus is associated with a higher likelihood of cesarean delivery due to the position of the fetus during labor. In a breech presentation, the baby is positioned feet or buttocks first, which can complicate the vaginal delivery process. This position can make it challenging for the baby to navigate through the birth canal, potentially leading to risks such as cord prolapse or fetal distress. As a result, many healthcare providers recommend cesarean delivery for breech presentations to ensure a safer delivery for both the mother and the baby.

In contrast, cephalic presentation, where the baby is positioned head down, typically allows for a smoother and safer vaginal delivery. Multiple gestation can also lead to cesarean delivery, especially in cases of twins if they are not positioned favorably. However, the context of the question focuses on the individual presentation of the fetus. Advanced maternal age is considered a risk factor for various complications but does not directly correlate with a high likelihood of cesarean delivery solely based on age, making breech presentation the most acute risk in terms of delivery approach.