Indications for caesarean section are specified in special protocols, which are strictly observed by obstetrician-gynecologists and allow to avoid medical self-activity. They can be determined even during pregnancy by the gynecologist of a woman's consultation, then the woman prepares for the planned operation, is hospitalized in advance, examined in the maternity hospital, together with the doctors determine the date of the operation and wait for the appearance of the child to the world. But also there are indications in childbirth, when the issue of operative delivery is being decided in the maternity hospital, and often directly in the delivery room.
Indications for the planned cesarean delivery are:
- Full placenta previa;
- incomplete presentation of the placenta with marked bleeding;
- premature detachment of a normally located placenta with marked bleeding or intrauterine fetal suffering;
- inconsistency of the scar on the uterus after caesarean section or other operations on the uterus;
- more than two scars on the uterus;
- transverse position of the fetus;
- pelvic presentation of the fetus in combination with an unbent head, with a fetus weight of more than 3600 g and less than 1500 g or with anatomical changes of the pelvis;
- fused twins;
- pelvic presentation or transverse position of the first fetus in multiple pregnancies;
- Multiple fetuses (more than two fruits);
- chronic fetal hypoxia, fetal hypotrophy, unaffordable drug therapy;
- anatomically narrow pelvis of II-III degree of constriction, tumor or deformity of pelvic bones, condition after hip and pelvic operations;
- malformations of the uterus and vagina;
- Tumors of the cervix, ovaries and other organs of the pelvic cavity, blocking the birth canal;
Extragenital cancer, multiple uterine fibroids of large size;
- cicatricial narrowing of the cervix and vagina, cicatrix on the perineum after suturing the rupture of the third degree with the preceding birth;
- pronounced varicose veins in the vagina and vulva;
- exacerbation of herpesvirus infection of the genital tract;
- in vitro fertilization with complicated obstetric-gynecological history;
- The age of the primipara is over 30 years old in combination with obstetric and extragenital pathology;
- long-term infertility in the history in combination with other aggravating factors;
- hemolytic disease of the fetus when unprepared birthmarks;
- the transferred or carried pregnancy in the absence of effect from rodostimuljatsii;
- severe diseases of the cardiovascular, nervous system;
- high degree of myopia;
- severe forms of pre-eclampsia in the absence of the effect of therapy and unprepared birthmarks (this indication can be attributed to the indication in childbirth - it all depends on the gestational age in which the pregnant woman is diagnosed with this).
Indications for cesarean delivery in labor (usually emergency surgery):
- Clinically narrow pelvis;
- premature discharge of amniotic fluid and lack of rhythm stimulation;
- abnormalities of labor activity that are not medically effective;
acute fetal hypoxia;
- Detachment of a normal or low-lying placenta;
- threatening or beginning rupture of the uterus;
- presentation and prolapse of the umbilical cord loops with unprepared birthmarks;
- Incorrect insertion and presentation of the fetal head (frontal, front view of the facial, posterior view of the high direct standing of the arrow-shaped suture);
- the state of agony or sudden death of the mother in labor with a live fetus.
In addition to indications for surgery, there are also recorded conditions for carrying out cesarean section: a live fetus (in some cases, when an urgent delivery is necessary, delaying which threatens the life of the woman herself, this condition is not observed), the woman's consent to surgery (if the woman is conscious) purulent-septic complications.
It goes without saying that for the mother and the baby, natural, physiological births are more favorable. Cesarean section is, first, like any laparotomy, like any anesthesia, a huge risk for the child. Secondly, this is a longer postoperative period, including a fairly intensive therapy, a diet, problems with the intestines, postoperative suture. And, probably, the only advantage over the delivery is the painlessness of the process itself, thanks to adequate anesthetic support. But ... I must say thank you to the wise men of the past, who have seized Caesarean section, for this opportunity to give birth to a healthy and most important - a living child and at the same time to preserve one's own life. And thanks to modern obstetrician-gynecologists who refuse from cavitary forceps in favor of operative delivery, which significantly reduces the number of birth injuries in newborns.
So, as in the famous Soviet slogan "Motherland said - it is necessary, the Komsomol answered - is", if you have testimonies for caesarean section, you must agree and try to remain calm and believe that everything will pass without complications.
Successful delivery !!!