1) anatomically narrow pelvis I and II degrees of narrowing in combination with other unfavorable factors (breech fetus, irregular insertion head, a large fetus, prolonged pregnancy, stillbirth in history, etc.);

2) incorrect insertion of the head - the forehead, brow, front view facial insertion, high direct distance of the sagittal suture;

3) congenital dislocation of the hip, ankylosis of the hip joint;

4) scar on the uterus after cesarean section or other operations with favorable healing in the presence of additional obstetric complications;

5) started threatening or fetal hypoxia;

6) anomalies tribal forces (weak labor activity,diskoordi-nated tribal activities)not amenable to conservative therapy or combined relative to other testimony;

7) breech fetus;

8) not heavy cases of partial placenta previa in the presence of other aggravating moments;

9) late gestosis mild or moderate severity, requiring delivery in the absence of facilities for it through natural birth canal;

10) prolonged pregnancy in the absence of preparedness of the organism of a pregnant to leave or in combination with other obstetric complications;

11) the threat of Education urinary or intestinal-genital fistulas;

12) age of primipara over 30 years in combination with other adverse for a natural delivery factors;

13) weighed down with obstetric or gynecological history (dead-born incomplete pregnancy, prolonged infertility, etc.);

14) large fruit;

15) loss of the umbilical cord;

16) malformations of the uterus;

17) extragenital diseases that require rapid delivery in absence of facilities for the vaginal pugi.