What is the indication for elective caesarean

It should be noted that the caesarean section is considered planned when it is installed directly during pregnancy. In this case, the woman in advance lays down in the pathology department in order to prepare for operative delivery, which includes a detailed examination of the pregnant woman, as well as an assessment of the fetus. In addition, a mandatory meeting will be held with the anesthesiologist to discuss the type of anesthesia that will be used during the operation.

What are the indications for cesarean section?


Allocate evidence, in the presence of which the birth is carried out by cesarean section.
Violation of the placenta - placenta previa, characterized by severe bleeding; premature separation of a normally located placenta.
Pathology of the uterus wall - failure of the scar on the uterus with a thickness of less than three millimeters due to transferred cesarean section, removal of the rudimentary horn, myomectomy according to ultrasound data; a history of two or more caesarean sections; multiple uterine fibroids with the presence of large nodes.
Abnormal previa and position of the infant - pelvic presentation of the fetus, extension of the head, based on ultrasound data; in case of multiple pregnancy, the presence of pelvic presentation of the first infant with double, accrete twins; cross-stable position of the fetus.
An obstacle to a newborn baby is a narrow pelvis, tumors of the uterus and pelvic organs, deformity of the pelvic bones; large fruit size; congenital abnormalities and ankylosis of the hip joints; cicatricial narrowing of the vagina and cervix; crotch rupture; discrepancy of pubic bones.
Extragenital diseases of the nervous and cardiovascular systems, lungs; myopia, danger of retinal detachment; kidney transplantation in the history of the disease; cervical and ovarian cancer; deterioration of the pregnant woman; genital herpes in the acute stage; the presence of an artificial heart valve.
Chronic hypoxia and delayed growth; malformations of the baby, such as the coccyx teratoma, gastroschisis, omphalocele; infant mortality associated directly with complications during previous delivery.
In vitro fertilization in the past - especially repeated with the presence of additional complications.

What are the consequences of cesarean section?


The most common complications arising in the postoperative period include: endometritis, characterized by inflammation of the uterus; the formation of adhesions between the intestinal loops due to the violation of the integrity of the peritoneum; subinvolution of the uterus, including a violation of the process of its reduction and reduction in size after childbirth, which contributes to the delay in the uterus of blood clots. In addition, the prescribed postoperative bed rest can cause hospital pneumonia.
There is also a risk of developing anemia and pulmonary embolism. These complications are quite dangerous for the health and life of the mother.In addition, after a cesarean section, a scar is formed on the uterus, which reduces its strength and elasticity, making it functionally inferior. Consequently, when carrying the next pregnancy, such a suture poses a serious threat due to a possible rupture of the uterus.


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