After opening the abdominal cavity can see the uterus, which is always rotated to the right. The bladder is down, he put aside the mirror. Reveal plica vesico-uterina and stupidly detach it down. In the area of greatest circumference incision and injected into the wound with your fingers and pushing her. The hand is introduced for head, assistant while pressing on the bottom of the uterus, are distilling head, then release zone, and then the whole child. Between the two cross clamps umbilical cord and give the child pediatrician. Hand remove the last. If there is a delay in the uterus membranes then take curette and scrape plost uterus.

The third stage produces suturing the wounds of the uterus in two rows ketgutovyh Islands. Can stitches continuously, we can Small - first row - mucous - muscle), and two rows of individual stitches.

Continuous sutures are dangerous because if the gut somewhere will resolve before of schedule, you may start bleeding.

The fourth stage producing peritonizatsiyu due to vesico-uterine fold the peritoneum (the seams are imposed on the visceral and parietal peritoneum is not same as formed duplikatura peritoneum, thus formation of adhesions is reduced to a minimum).

Then, a test of hemostasis, being toilet abdominal cavity. Bill napkins. Layerwise stitching abdomen tight. If you need drain the abdominal cavity.