INDICATIONS cesarean section

Caesarean section may be planned and emergency. All indications considered depending on this. We must seek to increase number of elective caesarean section, at the expense of an emergency.

There are absolute and relative indications for cesarean section.

RELATIVE INDICATIONS.

Removing the fetus through the vaginal can be done, but with significantly higher risk for the mother or fetus.

1. Bleeding in connection with praevia and placental abruption - 21.6% Caesarean sections account for this indication.

2. Pathology of the pelvis: anatomical and clinical narrow pelvis - 20.4%.

3. repeat cesarean section in connection with the insolvency of the scar on the uterus - 20%.

4. Associated testimony -10.9%.

5. transverse and oblique fetal position by 6.1%.

6.incorrect insertion head: frontal, high standing swept seam and others - 4%.

7. Distotsiya (rigidity) of the cervix. It is connected weakness generic activity - 3.6%.

8. extragenital pathology - 3.6%.

9. Confluence cord - 2.4%.

10. Late toxicosis - 1.4%.

11.Breech delivery 1.2%.

12. Menacing intrauterine fetal hypoxia - 0.5%.

Absolute indications.

Such clinical situations in which extraction of the fetus through the natural birth canal is impossible for the mother or the fetus (severe preeclampsia,

Kotra is not curable within 48 hours, narrow pelvis, brow presentation etc.)


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