In preparation for a planned pregnancy and caesarean section, a thorough examination, including a study biochemical parameters of blood, ECG, blood grouping and Rh factor, the study of smears for the presence of gonococci, the definition of degree purity of the vaginal examination and the testimony of a therapist - check other experts, the day before the operation and inspection of the anesthesiologist is required.

In addition, in preparation for a planned caesarean sections are necessarily conducted a comprehensive assessment of the fetus (ultrasonography, amnioscopy, cardiotocography). In many cases, before the operation required reorganization of the vagina. In the case of an emergency operation should collect detailed medical history, including allergic and transfusion, conduct an objective examination of a pregnant or nursing mothers and to evaluate the fetus.

It should be remembered that in all cases where caesarean section is performed on relative indications, one of the basic conditions for its implementation is alive and quite full-term fetus.Another condition is determining the optimal time of operation, when surgical elective delivery will not be too hasty intervention or, conversely, late. To perform the Caesarean section should also be mother's consent for an operation.

Before surgery is carried out complex hygienic measures: shaves pubic and abdomen, the pregnant woman in labor, or washed in the shower, emptied bowel and bladder. Preoperative medication training is provided in the following order: 1) achievement of mental peace and elimination of fear (Barbie-Turati, Seduxen, Relanium), 2) prevention of side effects of drugs and anesthetics means the removal of unwanted neyrovege-cy reactions (atropine, metacin);3) prevention and treatment of certain complications of pregnancy and childbirth (late gestosis, clotting disorder, bleeding, etc.) 4) prevention and treatment of fetal hypoxia.

In support of the operation involved surgical team (operator and 2 assistants) operating nurse, anesthesiologist, nurse-aneste-zistka, midwife, Neonatologist.

On the operating table to release the urine catheter, whichever was confident that the bladder is empty. You can also enter into a bubble Permanent rubber catheter.Abdominal wall at a sufficient area treated with alcohol, then twice 5% solution of iodine. Good results gives the three-time processing of the abdominal wall with modern antiseptics - 0,5% solution rokkala or degmitsida, iodopirona etc.

Appliances caesarean section.Currently, the method of choice is mushroom cesarean section with a transverse incision in the lower segment of the uterus. This technique provides a relatively small Trauma myometrium and good peritonitis - ganization wounds, which creates favorable conditions for healing and the formation of full rumen.