Indirect indications for caesarean section are the active phase of rheumatism and bacterial endocarditis. Contraindications to abdominal delivery are heart defects, accompanied by pulmonary hypertension III degree, cardiomegaly, atrial fibrillation, and tricuspid disease, with there are unfavorable outcome of cesarean section.

In the presence of hypertension in pregnancy or childbirth elective delivery by Caesarean section applies only when the cerebral symptoms (cerebrovascular accident) and the significant lack of conditions for immediate delivery through the vaginal route.

Abdominal delivery is shown in pneumonia with the presence of pulmonary heart, as is characteristic of the disease increased circulating blood further increases with each bout by flow of blood from the uterus that can lead to acute pravozhelu-dochkovoy insufficiency. The use of caesarean section can get at delivery of women undergoing surgery on the lungs, removing the of lung tissue. However, in most cases, pregnancy and childbirth in

Women who underwent lobectomy and pn-monektomiyu,proceed smoothly.

Delivery of pregnant women with diabetes is usually conducted early in of pregnancy 35-37 weeks,when the fetus is viable enough and still marginally been toxic effects of acidosis. When presence of diabetic retinopathy, late toxicosis, large fruit, fetal hypoxia, stillbirths in history, there is no effect of treatment diabetes, in primiparous, especially older ones, delivery carried out by caesarean section.

In the case of sudden death of a woman during labor the fetus can be extracted alive in the next 10-20 minutes after the death of his mother. The operation is performed only in cases when the fetus is viable. It runs corporal Caesarean section in compliance with the rules of asepsis.

Contraindications to cesarean with e h e n i S. Currently most Caesarean sections performed on the totality of the relative indications, among which the leading role are testimony to the interest of preserving life child.In this regard, in many cases a contraindication to caesarean section is an adverse condition of the fetus: ante-and intrapartum fetal death, severe prematurity, fetal malformation, expressed or prolonged fetal hypoxia, in which we can not exclude stillbirths or postnatal death.