Alternative delivery (results and prospects)

Аннотация

The purpose of our study: summarizing the results of an operating delivery for last 20 years. During last 20 years in Russia the frequency of cesarean section under the perinatal indications was increased almost twice. However, analysis, conducted by us, has not revealed a correlation between frequency of an operating delivery and both levels of perinatal mortality and morbidity.

Полный текст

The purpose of our study: summarizing the results of an operating delivery for last 20 years. During last 20 years in Russia the frequency of cesarean section under the perinatal indications was increased almost twice. However, analysis, conducted by us, has not revealed a correlation between frequency of an operating delivery and both levels of perinatal mortality and morbidity. But the excessive enthusiasm by cesarean section has resulted in «rise in price» of an obstetric aid, impairment of professional skills and also considerably has increased number of the women with a uterus scar. The long-term scientific researches, conducted in our institute, have shown, that a reserve of a decrease of frequency of cesarean section without increase of perinatal mortality and morbidity is antenatal protection of a fetus and rational management during labor for the pregnant women with an obstetrics and extragenital pathology.