The new possibilities of extraperitoneal cesarean section application

Abstract

Objective: to provide the delivery for women with severe septic complications at up to 30 weeks of gestation the extraperitoneal cesarean section was applied.

Full Text

Methods: as the base of research there were taken 22 women who had delivery by extraperitoneal cesarean section in an urgent way at 24-30 weeks of gestation. 20 of them were primipara and 2 uni para. The average age of the women was 22,3 ± 0,5. The grounds for urgent delivery by extraperitoneal cesarean section: 12 women had syndrome of systemic inflammatory reaction after ineffective attempts of pregnancy interruption and 10 women had severe purulent renal lesion with associated urological sepsis at the second term of pregnancy.

Results: in all cases the operations caused no intraoperative complications and the scope of operation was not extended despite its difficulty and the hazard of the further generalization of infection. The operation issue was successful for women. 17 fetuses were born dead with extremely little mass (up to 1000g) and 5 neonates were born with little mass (up to 1300g); one of the neonates was antenatal morbidity and 4 of the were taken to the second stage of nursing.

Conclusions: thus, extraperitoneal cesarean section can be considered the most optimum operation in case of septic complications at the different terms of pregnancy and impossibility of normal delivery by way of natural maternal passages.