Medical indications are absolute and relative to the Caesarean section: List. Emergency Caesarean section: Testings for the operation

The article lists all absolute and relative indications for the conduct of cesarean section, as well as the most common causes of operational delivery.

If for any reason vaginal birth is not recommended, doctors offer to conduct a cesarean, but in some cases the future mother can determine the way of the birth of her child. But when a cesarean section is the only safe option, a woman is not left to choose.

Indications for Kesarev can be:

• absolute - circumstances by the woman in labor or fetus, which exclude the possibility of a vaginal childbirth
• conditional - when, despite the testimony, the doctor can conduct vaginal birth at his discretion

Important: a cesarean section, like any other operation, can be carried out with the consent of the woman in labor and her relatives. In addition, prerequisites are the absence of infections in the mother, a living fetus, the presence of a doctor practicing this type of delivery and a prepared operating room.

Medical testimony absolutely to the Caesarean section: List

With absolute indications Standard birth is not carried out due to physiological features.

These include:

• narrow pelvis (2-4 degree)
• freems and injuries of the musculoskeletal system
• mechanical obstacles that will interfere with the child to be born (tumors or deformation)
• the probability of uterine rupture in the presence of a non -detrimental scar with less than 3 mm with uneven contours from recent uterus operations
• two or more previous births by cesarean section
• the thinning of the uterus due to repeated births in the past
• placenta presentation, dangerous as a high probability of occurrence
• bleeding in childbirth
• the detachment of the placenta
• multiple pregnancy (three or more children)
• macrosomy - large fruit
• anomalous development of the fetus
• HIV-positive status of mother
• the presence of herpes rashes on the labia
• multiple entangling the fetus of the umbilical cord, the entanglement around the neck may be especially dangerous

Medical indications relative to the Caesarean section: List

Relative indications Kesarev does not exclude the possibility of vaginal birth, but they are a serious reason to think about their need.

In this case, vaginal birth can be associated with the likelihood of a serious threat to the health and life of the woman in labor and her baby, but this issue should be solved individually.

Relative medical indications are considered:

• diseases and pathologies of the cardiovascular system in the mother
• kidney disease
• myopia
• diabetes
• malignant tumors
• exacerbation of any chronic diseases
• damage to the nervous system
• gestosis
• mother's age from 30 years old
• incorrect presentation
• large fruit
• enthusiasm

Important: a combination of several relative indications can be regarded as an absolute indication. In such cases, a cesarean section is performed.

Emergency Caesarean section: Testings for the operation

The decision to conduct emergency cesarean section (ex)it is accepted during childbirth, when something went wrong and the current situation poses a real threat.

This situation can be:

• the opening of the neck has stopped
• the child stopped moving down
• stimulation of fights does not bring result
• the child is in a lack of oxygen
• the heart rate of the fetus is much higher (below) of the norm
• the child is confused in the umbilical cord
• bleeding occurred
• the threat of uterine rupture

Important: the ex should be carried out on time. Untimely operational actions can lead to loss of a child and removal of the uterus.

Indications for cesarean sections on vision, due to myopia

Myopia, in other words myopia, one of the most common reasons why doctors recommend to pregnant women a delivery by caesarean section.

With myopia, eyeballs change somewhat in size, namely, increase. This entails stretching and thinning of the retina.

Such pathological changes lead to the formation of holes in the retina, the size of which increases with a deterioration in the situation. Then there comes a noticeable deterioration in vision, and in critical situations - blindness.

The risk of ruptures in the retina during childbirth the more, the higher the degree of myopia. Therefore, doctors do not recommend giving birth to pregnant women with an average and high degree of myopia in a natural way.

At the same time, the indications for Kesarev are:

• stable visual impairment
• myopia in 6 or more diopters
• serious pathological changes in the fundus
• raze rupture
• operation carried out due to retinal detachment in the past
• diabetes
• retinal dystrophy

Important: the state of the eye bottom is determining. If it is satisfactory or has minor deviations from the norm, you can give birth independently and with a high degree of myopia.

Conditions in which a pregnant woman can be given independently, regardless of the presence of her myopia:

• lack of deviations on the fundus
• improving the state of retina
• healing of the gap

Important: women with myopia during a natural birth are mandatory episiotomy.

Indications for cesarean section by age

Usually, doctors recommend to primary women 30 - 35 years to spend a cesarean. In natural births, women often occur in women of this age category, and in newborns - perinatal pathologies.

However, if the state of health of the future mother allows you to give birth independently, this chance should be used.

Important: age itself is not an indication for Caesarev. A planned operation should be carried out if there are related circumstances that can interfere with the normal course of childbirth: a narrow pelvis, an immature neck after 40 weeks, etc.

If complications occurred during vaginal births, for example, weakening of labor, an emergency cesarean section is carried out to eliminate the risk of further complications and deterioration of the fetus.

Indications for cesarean section due to hemorrhoids, varicose veins

Natural birth with hemorrhoids Dangerous due to the risk of breaking the outer nodes. This can happen with attempts when blood overflows cones and tears them under strong pressure. Strong bleeding occurs, inner cones fall out.

If the obstetrician does not have time to adjust the internal nodes before compressing the anus, they will get ready, which is fraught with the transition of the disease to an acute form. At the same time, the woman experiences severe pain.

To prevent such a situation, doctors can recommend a cesarean section for hemorrhoids. However, a natural birth is possible even with chronic hemorrhoids.

Important: if it is decided to give birth vaginally, a woman should prepare for a rather painful and prolonged process in time.

A similar situation with the choice of the method of childbirth varicose veins. If during pregnancy a woman took measures to prevent thrombosis, and the doctor did not notice deteriorations, probably a natural birth.

Immediately in front of the birth, a woman bandages her legs with an elastic bandage. This helps to avoid throwing blood in moments of the greatest pressure - with attempts.

A few hours before the proposed birth, the woman in labor is administered special drugs that will help to avoid varicose complications.

Important: varicose veins itself is not an absolute indication for Caesarev. However, in women suffering from varicose veins, there are frequent cases of premature pouring of amniotic fluid, detachment of placenta and bleeding in childbirth or after them.

Then the cesarean section is the safest for both the mother and the child. Given these factors and the condition of the woman, the doctor makes a decision and chooses the method of childbirth.

Indications for cesarean section due to a large fetus

"Large fruit" - The concept is individual for each pregnant woman. If the expectant mother is a miniature thin, small woman with a narrow pelvis, even a child of 3 kg can be large for her. Then the doctor will recommend her birth by cesarean section.

However, for a woman of any complexion, there is a danger of “feeding” the child in the womb, which will deprive her of the opportunity to give birth on his own.

Development MacroSomium Perhaps for the following reasons:

• the future mother moves little
• the pregnant woman receives improper high -carb diet and quickly plays weight
• the second and subsequent pregnancy - often each child is born larger than the previous
• mom diabetes, leading to a child to receive a large amount of glucose
• taking drugs to improve placental blood flow
• reinforced feeding of the fruit through a thickened placenta
• crossed fruit

Important: if the doctor discovers signs of macro -somnation development at any time, first of all, he tries to find out the causes of this phenomenon and normalize the situation. If this succeeds and the weight of the fetus returns to normal, the cesarean section is not prescribed.

To normalize the weight of the fetus of a pregnant woman, you need:

• go through the recommended examinations
• consult an endocrinologist
• give blood to glucose
• physical education every day
• stop eating sweet, flour, fat and fried

Indications for cesarean section due to a narrow pelvis

Each woman, her figure and body are unique, so it is difficult to answer the question of whether a pregnant woman with certain parameters can give birth normally a natural way.

Assigning a cesarean due to a narrow pelvis, doctors focus not only on standard tabular indicators, but also on such an important factor as the size of the child’s head.

If the child has a large skull, he will not be able to go along the birth canal naturally, even if the neck is well prepared for childbirth, and the fights will intensify. At the same time, if the pelvis of the woman in labor is narrow, but the child corresponds to the size of the pelvis, the natural birth will pass quite successfully.

Important: a pathologically narrow pelvis, not intended for natural birth, is found only in 5-7% of women. In other cases, the definition of the “narrow pelvis” implies the inconsistency of its size of the size of the skull of the fetus.

In any case, when the pregnant woman is registered, the pelvis will be measured. The data obtained will predict the likelihood of complications.

Important: even a slight narrowing of the pelvis often leads to the fact that the child occupies an incorrect position - oblique or transverse. This position of the child in itself is an indication for the conduct of Caesarean.

Also, an absolute indication for surgical intervention is the totality of a narrow pelvis with:

• fetal transmission
• hypoxia
• a scar on the uterus
• age older than 30 years
• pathologies of the pelvic organs

Indications for cesarean section due to gestosis

Early and late gestosis are a complication of pregnancy. But if early gestosis is almost harmless and do not lead to pathological changes in the body of a pregnant woman, later the later can lead to serious consequences and even the death of the mother.

IMPORTANT: Early gestosis They are manifested by nausea and vomiting in the early stages, the later ones can be recognized by severe edema, increased pressure and the appearance of protein in urine analysis.

Superiority late gestosis It consists in the unpredictability of the development of the disease. They can be successfully suspended, and can lead to serious complications, such as:

• disruption of the kidneys
• vision of vision
• hemorrhage in the brain
• deterioration of blood coagulation
• ecpoplamsia

Important: they treat gestosis in a hospital, where a woman is under the supervision of medical personnel around the clock.

Caesarean section recommended by the doctor at severe late gestosis, can save the life of a woman in labor and a child. At light and medium gestosis Natural birth is not prohibited and pass quite successfully.

Indications for cesarean section of the pelvic presentation

Pelvic presentation - unfavorable for natural delivery of the pose that the child in the womb occupied. In the images of ultrasound, you can notice that the child, as it were, sits with lifted or pressed legs, instead of lying down the head.

Up to 33 weeks All the fruit coups inside the mother’s abdomen are quite natural and do not cause concern. However after 33 weeks The kid should roll over. If this does not happen and even before the very birth sits on the pope, the doctor may decide on the delivery of Caesarean section.

The way several factors will be affected in this situation: several factors are affected:

• mom's age
• the weight of the child
• the gender of the child is if a boy, then only a cesarean, so as not to damage the male genital organs
• the type of presentation is the most dangerous - the foot, since there is a real danger of limb loss in the time of childbirth naturally
• pelvis - if narrow, then cesarean

Can you ask a cesarean section without evidence?

Caesarean section is carried out According to medical reasons. But if the expectant mother has no desire to give birth on her own, she is only configured for the operation, in the hospital, most likely, they will go to her meeting.

Psychological readiness It is one of the important factors that determine the method of childbirth. Having a negative experience of natural genera in the past, a woman may be so afraid of repeating the experienced that she will lose control of herself and her actions at the most inopportune moment. In such cases, the cesarean section will be the safest for mom and child option of delivery.

Important: if a woman, despite the lack of evidence, intends to give birth only by cesarean section, you need to inform the doctor in advance. Then the woman in labor will have time to prepare for childbirth, and doctors will have the opportunity to carry out a planned rather than emergency operation.

The expectant mothers who have a cesarean section should not be afraid.

Modern technologies allow you not to immerse the woman in labor in sleep, but to apply spinal anesthesia and conduct childbirth in its presence, and a good postpartum care and painkillers will help to survive the first few difficult days after surgery.

Video: C-section. Operation Caesarean section. Indications for Caesarev section