Cesarean section

Name of this operation originates from a Roman king (715-673 g to our AD) who decreed that if a pregnant woman dies, it is necessary cut her belly and get a living child.

In the 16 century, Ambroise Pare performed abdominal delivery on the living woman, but because at that time there was no method suturing the wounds of the uterus, that death occurs in virtually 100% of cases. In 1876, Gein and Porro ultimately offer to remove the uterus after izvelcheniya fetus. Mortality while decreased to 25% (now removed from the uterus Porro if there is a combination of dead fetus and inflammation in the uterus). In 1890 Kerrer imposed on the uterus in three seams series: musculo-muscular, musculo-serosal, seroserous. Mortality in such operations reached 7%. In 1920 he developed a surgical technique -- intraperitoneal caesarean section, caesarean section in the lower segment,retrovezikalnogo cesarean etc.

To reduce mortality and began to increase frequency of cesarean section. In 40-50-ies by Caesarean section rodorazreshali in 3.5 - 4% cases in the world. In the 70-80 year - 4-5%.Now the percentage is steadily increasing. In United States, he is 15-20%, in St. Petersburg 10-12%. Nevertheless caesarean section as the operation (and each operation has its own operational risk) does not reduce maternal and perinatal mortality because there many complications of the mother and fetus.


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