Late gestosis poses a risk to mother and fetus in connection with inevitable development of chronic hypoxia, chronic violations peripheral circulation and the development of dystrophic changes in parenchymatous organs, the threat of premature detachment of normally situated placenta. Early termination of pregnancy in patients with late gestosis, with the ineffectiveness of his treatment, remains the leading component activities to combat the severe consequences of this pathology.

Lack of conditions for rapid vaginal delivery in cases where shows abortion (in severe forms of gestosis, the growth symptoms on the background of the treatment, with prolonged duration of the ineffectiveness therapy), is an indication for abdominal delivery.At the same time keep in mind that cesarean section is not an ideal method delivery of patients with late gestosis. Normal blood loss during Caesarean section of 800-1000 ml is undesirable for these patients in relation to their existing lack of circulating blood volume, hypoproteinemia, circulatory hypoxia etc. Susceptibility of pregnant women with late gestosis to the development postpartum inflammatory diseases increases after surgical delivery.

Thus, cesarean section in patients with late gestosis applied as a method of early delivery or as a component of intensive care activities in severe forms of the disease, in both cases because of hopelessness of the situation. Diseases of internal organs, surgical pathology, neuro-psychiatric diseases require termination of pregnancy if the disease course deteriorates during pregnancy and endangers the life of women. Cesarean section in these cases is superior to vaginal delivery, as can be made at any time, quickly and independently the state of the birth canal. Sometimes the choice of method of delivery has influence to make sterilization.When extragenital diseases often done little caesarean section - abdominal delivery in of pregnancy until 28 weeks when the fetus is not viable. Conclusion the time and manner of termination of pregnancy or after delivery of abdominal generated by the obstetrician in conjunction with a physician that specialty to which a given disease.

By the absolute indications for delivery by cesarean include: an isolated or predominant mitral or aortic insufficiency, especially at low rates and cardiac output of the left ventricle, mitral stenosis occurring with repeated bouts of pulmonary edema or cropped medication pulmonary edema.