In what cases during sorts operative intervention is required

The primary number of sorts proceeds normally, without special complications, during physiological sorts the doctor supervises, directs and facilitates patrimonial activity. It is connected by that 95 % of newborns at sorts occupy position optimum for the patrimonial certificate, i.e. they are born головкой downwards, the doctor in that case speaks about sorts in head prelying. To оперативным to measures the doctor resorts in the event that during sorts is found out, that the life of the child is in danger. First of all about imminent danger learn on change of frequency of palpitation of the child. At decision-making on necessity of operative intervention it is considered, at what stage находятся childbirth. An operation main objective — probably fast end of the patrimonial certificate.
The most widespread reasons for operative intervention in время sorts:
Acceleration or delay of palpitation of a fruit;
Umbilical cord loss;
Painted околоплодные waters;
The childbirth, which duration exceeds 12 ч;
The period of exile of the fruit, 30 mines lasting more;
Illness or breakdown at mother;
Stop of patrimonial activity;
Bleedings on closing dates of pregnancy or during sorts;
Impossibility родоразрепгения physiological by (a narrow basin, cross-section position of a fruit etc.);
Uterus rupture.
More often operation vacuum-ekstraktsii of a fruit (earlier — imposing акушерских nippers) is made.
Operations vacuum-ekstraktsii or imposings акушерских nippers can be made only in that case when маточный the pharynx is widely enough open and in depth the fruit head is visible. If it does not occur, the child is taken with the help кесарева sections.
Many future mothers are interested, whether operation vacuum-ekstraktsii of a fruit harms to the child.
The special device — vacuum-ex-tractor is applied in акушерской to practice since 1954 when Swede T.Malmstrem has designed it, and has practically superseded акушерские nippers. Now from 100 sorts 10 are accepted by means of a vacuum-ex-tractor. The most frequent basis for carrying out of such operation is menacing pre-natal асфиксия a fruit which is diagnosed on the speeded up or slowed down palpitation of a fruit in its exile i.e. when маточный the pharynx is widely enough open. Vacuum-ex-tractor it has replaced акушерские nippers first of all in most cases more safely for the child, however sometimes application of nippers предпочтительнее.
Many mothers are afraid, that in a course vacuum-ekstraktsii their child will receive damages. These fears are vain. On a nape of the child where the vacuum-ex-tractor is attached, at the expense of depression of air which is created by a special syringe or электроотсосом, there is a patrimonial tumour — a liquid congestion in a skin of a head and under it. The similar congestion of a liquid occurs and at usual physiological sorts, especially in the event that маточный a pharynx reveal slowly. This patrimonial tumour is absolutely harmless and disappears in itself after some hours after a birth. Less often at vacuum-ekstraktsii there is a hemorrhage under a head skin — a hematoma. It resolves for some недель, no harmful consequences for health of the child thus are present. Повреждения is much more rare, than at imposing акушерских nippers. Now in heavy cases родоразрешения prefer to apply operation кесарева sections.

Cesarean section
Still hundred years ago the Cesarean section was mother extremely dangerous to a life операцией, now it is usual for the gynecologic branch, consequences dangerous to mother managed to be reduced to 1 %. During former times for this operation dared only when as a result of the complicated sorts the life матери appeared in danger, for example at a narrow basin of mother, at cross-section position of a fruit or at the dangerous long bleedings arising owing to a wrong attachment последа. In the present время to operation кесарева sections resort is more often to rescue the child in угрожающих danger situations. If the patrimonial certificate has not reached that period when childbirth can be finished vacuum-ekstraktsiej of a fruit or imposing акушерских nippers operation кесарева sections is applied.
The way of carrying out кесарева sections depends on fruit prelying (поперечного or longitudinal position). Longitudinal buttock prelying of a fruit meets in 3 — 4 cases from 100, cross-section — in 1 — 2. Such positions плода as a whole are rare enough. The risk for a life of the child in cross-section position or buttock prelying increases four times in comparison with ребенкор being in head prelying.

Widespread opinion, that the following after кесарева сеченя childbirth necessarily comes to an end with the same, proves to be true only in some cases, for example at a narrow basin of mother. In all other cases accoucheurs at first check, whether childbirth will proceed usual physiological by However the women who have transferred a Cesarean section, at the subsequent pregnancy should visit especially punctually the doctor and carry out its instructions. At the second or third operation кесарева degree of danger to mother is no more section, than at the first operation. However the majority of doctors-accoucheurs hold the opinion, that more than three operations кесарева sections to the woman to do it is impossible. At will of the woman and her husband after the third operation кесарева sections to it can tie up яйцеводы (маточные pipes) that again there has not come pregnancy. Neither moral, nor legislative grounds to justify such sterilisation because of the third кесарева sections, no.