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Another contraindication for abdominal delivery on the relative testimony is an infection during childbirth. At high risk for the development infectious complications include mothers who have long anhydrous period (more than 12 h), repeated vaginal examinations during labor (3 and more), prolonged childbearing (over 24 h). When temperature purulent discharge from the genital tract, changes in blood tests evidence of inflammation, childbirth is regarded as having clinically expressed by the infection during childbirth. In modern conditions favorably resolved in principle the possibility Caesarean section in infected birth. During the operation to the forefront put forward the need for adequate preventive and curative activities aimed at blocking the infectious process. These include antibacterial and detoxicate therapy; careful operational technique with a minimum of traumatism of tissues, good hemostasis, proper sutures, in cases of severe infection performed a hysterectomy.In the operation immediately after the baby can be applied large doses of intravenous broad-spectrum antibiotics (eg,klaforan 2 g). Besides,in the prevention of postoperative septic complications crucial competent management of postoperative Period: timely correction of blood loss, fluid and electrolyte imbalance, acid-base status, adequate antibiotic therapy, im munokorrektsiya etc. Thus, when ascertaining contraindication to caesarean section should be borne in mind that they have value only in cases where the operation is the relative indications. Contraindications should also be considered if cesarean delivery is the method of choice. When vital indications for caesarean section for maternal presence contra loses its meaning.
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