Deliveries in breech fetus are pathological. Even absence of most of the complications inherent in these genera, in the period of exile fetus always threatens intrapartum hypoxia and death due to (the pressure of umbilical cord and violations of utero-placental circulation.On the favorable outcome of labor can hope only for the most optimum conditions of flow childbirth (average size of the fetus, the normal size of the pelvis, timely outpouring amniotic fluid, a good tribal activities). Combination pelvic previa with other adverse factors (narrowing of the pelvis. 11.1 degrees, senior primipara age, a large fetus, prolonged pregnancy, preterm water, weak labor activity, praevia and loss umbilical cord, the presence of late gestosis, partial placenta previa, etc.) elective delivery when vaginal birth does not guarantee living a healthy child, breech presentation is one of the most important components combined indications for cesarean section.

Currently, fetal hypoxia is one of the leading places among indications for cesarean section. Fetal hypoxia may be the main, the only indication for abdominal rodorazre-vis or be one of combined testimony.In all cases where the mother has a disease effects on the fetus, when the first signs of fetal hypoxia and no facilities for immediate delivery through the vaginal necessary to abdominal delivery. Concomitant indication for cesarean section fetal hypoxia may appear in many obstetric situations: restrictions for small pelvis, late gestosis, breech fetus, and so d. Especially unfavorable prognostic for fetal hypoxia in weakness of labor activity, perenashivanii pregnancy in primiparous older. In these cases, even greater choice of method delivery should weigh in favor kesereva section. Addressing on abdominal delivery when the signs of fetal hypoxia is not should be delayed, so essential in this problem is

Timely diagnosis of fetal status. In the management of maternal high-risk groups need to undertake a comprehensive assessment of fetal using cardiotocography, amni-emasculated, determining the nature of tribal activities (outdoor or vnug-rennyaya hysterography) definition of CBS fetal and childbirth, studies the pH of amniotic fluid.