Excrete absolute and relative indications for cesarean section. First in history of abdominal delivery any absolute evidence which such obstetrical situations where the fetus through the extract vaginal impossible even in a reduced form (ie, after plodoraz-depleting operation). In modern obstetrics to include the absolute as evidence in which the other mode of delivery through the natural birth canal is more dangerous for the mother than the production of caesarean section, not only for life, but also in terms of disability. So way, among the absolute indications can be distinguished by those that exclude vaginal delivery, and those in which the Caesarean section is method of choice. The presence of absolute indications requires the undisputed performance

Caesarean section, the relative indications need to be compelling reasons therefor.

The group of relative indications include diseases and obstetric situations, which adversely affect the status of the mother and fetus, if elective delivery is carried out through the vaginal route.

Classification of indications for cesarean section A. Absolute indications:

Pathology, excluding vaginal delivery:

1) narrowing of the pelvis III and IV degrees, when the true obstetric conjugate is 7,5-8,0 cm or less;

2) a basin with a sharply reduced in size and changed shape due fractures or other causes (kososmeschenie, assimilation, spondilolisteticheskie factors and others);

3) a basin with a pronounced osteomyelitic changes;

4) Bladder stones blocking the small pelvis;

5) tumors of the pelvis, cervical fibroids, ovarian tumors, bladder, blocking the birth canal;

6) expressed cicatricial narrowing of the cervix and vagina;

7) complete placenta previa.

Pathology II, where the caesarean section is the method of choice:

1) partial placenta previa in the presence of bleeding;

2), premature detachment of normally situated placenta in the absence of conditions for immediate delivery through the vaginal;

3) transverse and oblique sustained fetal position;

4) inadequacy scar on the uterus (a scar on the uterus after korporal-tion Caesarean section, complicated the postoperative period, fresh or very old scar, signs of thinning of the scar on the basis of ultrasound);

5) urinary and intestinal-genital fistulas in the past and present;

6) clinical discrepancy fetal head size and pelvic mother;

7) eclampsia (with the impossibility of vaginal delivery in the next 2-3 h);

8) a pronounced varicose veins of the vagina and external genital bodies;

9) threatening uterine rupture;

10) carcinoma of the cervix, vagina, external genitalia, rectum, bladder;

11) the state of agony or death of the mother when the living and viable fetus.