Hair Loss cord.
When the umbilical cord prolapse perinatal mortality exceeds 40%. This, of course, has long led obstetricians to look for methods of delivery, give greater assurance of obtaining a living and a healthy baby. In the twentieth century the works, whose authors did not recommend reduction of umbilical cord and other vaginal manipulation to delivery vaginally, which, as shown by long experience, the least contribute to the prevention of stillbirth. When turning on the leg of the fetus with subsequent extraction and high loss of children - perinatal mortality rate reaches 66%. Abdominal delivery due to its speed has an advantage compared with other methods and does not lead to compression of the umbilical cord that fell. In the case of previa cord should also make cesarean delivery, if the change does not eliminate the mothers of previa, especially if there is delay in discharge of amniotic fluid or signs of fetal hypoxia.
Only abdominal delivery is on a roll or previa cord as a whole does not increase the frequency of production of C-section, but in many cases, this complication of childbirth to avoid stillbirth.
THREATENING uterine rupture.
In previous years, threatening uterine rupture in our material as an indication for surgical delivery, occupied an important place in the case of 144-1160 cesarean deliveries - 12.4%.
The main place is occupied by obstetrical situations that ultimately are responsible for dystocia during childbirth due to mechanical inconsistencies in the woman's birth canal (94-65,3%). These are the same reasons that lead to uterine rupture. The appearance of signs of threatening uterine rupture in most cases only shows a belated diagnosis of this discrepancy. Not to mention the lateral position of the fetus when it is not difficult to guess about the impossibility of spontaneous delivery and the need to make a timely Caesarean section, if a woman was admitted to the hospital until the appearance of signs threatening uterine rupture, in other cases, clearly visible symptoms of functional mismatch undercount between the pelvis and head of the mother of the fetus.
The perversity of waiting threatening signs of uterine rupture as evidence necessary to conduct caesarean section is associated with adverse effects of this complication on the child.
Of course, if a pregnant woman arrives at hospital with signs already threatening uterine rupture, then, of course, in such cases, with a live birth and viability of the fetus through the abdominal end. But to expect these features in the management of childbirth - so very late to decide on the method of delivery, subject to excessive risk of the fetus, and sometimes the mother.