Intrauterine fetal hypoxia.
As a concomitant indication for caesarean section threatening intrauterine fetal hypoxia was allocated in the 40s of XX century and is now firmly established in obstetric practice. Until 1930, this complication of labor as an indication for abdominal delivery solution has never met. Since then, many obstetricians have stressed that the use of cesarean section in threatening fetal hypoxia prevents perinatal deaths, in all cases where the mother has an impact on the life of the unborn baby at the first sign of fetal hypoxia and the absence of conditions for rapid delivery through the natural the birth canal to produce abdominal permit delivery. Concomitant indication for caesarean section intrauterine fetal hypoxia may appear in many obstetrical situations: the slight narrowing of the pelvis, placenta previa without significant bleeding, late toxicosis, breech fetus, and so is particularly unfavorable prognostic intrauterine fetal hypoxia in the presence of the weakness of labor when the extension or pregnancy in primiparous older. In these cases, even more so the choice of method should permit families to favor cesarean section. The same applies to the umbilical cord entanglement, which is pre-diagnosed and that led to fetal hypoxia. Currently, intrauterine fetal hypoxia has a significant place among the indications for cesarean section.
The traditional trend in obstetrics - the desire to reduce perinatal loss of children - naturally led to that attitude to fetal hypoxia became more active.
The decision on the resolution of abdominal delivery in the event of signs of fetal hypoxia in any case should not be delayed, since otherwise the operation may be the last straw that led to intracranial hemorrhage in a child. Therefore, the main issue in this problem is diagnosis.
Burdened obstetrical history.
This group includes many childless women giving birth again, pregnant women who suffered infertility before long, that is, those pregnant or mothers, for whom the loss of a child with birth data is a great tragedy. Many obstetricians have long been the presence of only one stillbirth in history is very compelling additional indication for caesarean section, and habitual miscarriage and stillbirth constant in the history of color in independent reading. Resolution birth surgically produced in childbirth and at the time of pregnancy when a woman is usually intrauterine fetal death. Although in some cases, the cause of the previous stillbirth is difficult to determine the timely resolution of cesarean delivery in these women may give favorable results.