MANAGEMENT OF PHYSIOLOGICAL AND COMPLICATED LABOR


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Abstract

Principles in the management of physiological and complicated labor are presented on the basis of the data available in the Russian and foreign literature, statistic records of the obstetric facilities of the Moscow Healthcare Department and the Center of Family Planning and Reproduction. The factors presently influencing the course of pregnancy and labor are identified. The necessity to revise the concept of normal labor is substantiated. The paper presents the current tactics of a physician in frequently encountered labor complications: premature amniotic sac rupture, advanced pregnancy, breech presentation. It shows it necessary to expand, if any conditions, indications for operative vaginal delivery.

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About the authors

G. M SAVELYEVA

Russian State Medical University, Russian Agency for Health Care

Email: gms@cfp.ru

M. A KURTSER

Center of Family Planning and Reproduction, Moscow Healthcare Department

E. Ya KARAGANOVA

Russian State Medical University, Russian Agency for Health Care

L. E BREUSENKO

Russian State Medical University, Russian Agency for Health Care

M. V TRETYAKOVA

Russian State Medical University, Russian Agency for Health Care

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