| Placenta previa |
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Placenta previa in the current frequency among the indications for caesarean section is I-2 nd place. Absolute indication is the full placenta previa, in which other ways rodoraz solutions are impossible. Partial placenta previa less dangerous, and with it, in many cases elective delivery may be vaginal. Determining the choice method of delivery of incomplete placenta previa is the degree and intensity of bleeding. When the bleeding (blood loss more 250 ml), regardless of fetal Caesarian operation becomes choice.Such previously applied operations with incomplete placenta previa, as podalic of incomplete disclosure of uterine os by Breck-moan GIAC, hystereurysis, skin-head pliers,completely lost their meaning in modern obstetrics. The advantages of caesarean section before vaginal mode of delivery in placenta previa include: 1) the ability to perform during pregnancy, and regardless of the period childbirth; 2) cesarean section is more aseptic method of delivery; 3) a great opportunity not only to save the full-term, but premature, but viable children; 4) placenta previa can be combined with the increment of its true that requires an expansion of surgical treatment until hysterectomy. Premature detachment of normally situated placenta requires immediate delivery.In the absence of conditions for such a vaginal shown caesarean section, regardless of of the fetus. Delays in diagnosis and delayed operative intervention lead to life-threatening maternal complications: utero-placental apoplexy (uterus Kuvelera) and koagulopaticheskomu bleeding, which are major causes of maternal mortality. The presence of scar on the uterus after prior cesarean, rupture or perforation of the uterus, surgery for malformations of the uterus is often indication for abdominal delivery. At the same time, the scar on the uterus principle does not exclude the possibility of delivery through the natural the birth canal. Repeat caesarean section is shown in the following cases: 1) preserved evidence, which have caused previous caesarean section; 2) the interval between caesarean section and this pregnancy less than 1 year (unfavorable to the state of the scar is also a long break of more than 4 years);3) there were complications of postoperative impair healing scar on the uterus.
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