Preterm termination of pregnancy
Last reviewed: 23.04.2024
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In modern obstetrics, an important place is given to artificial rhizopoiesis. It is believed that the proportion of provoked births should not exceed 10%.
In high-risk pregnancies, midwives are forced to initiate labor activity, most often ahead of schedule, for certain indications from the mother or fetus - these are induced births. In other cases, the artificial delivery is performed on time without medical indications, when the fetus has reached full maturity, and there are no signs of spontaneous delivery. Such preventive labor excitement in normal pregnancy is called programmed delivery. Scheduled deliveries at the optimal time with a good outcome for the mother and fetus represent a new section of modern midwifery.
According to modern ideas, the most gentle way to terminate pregnancy in the late term for medical reasons is to resolve a woman through natural birthmarks through drug-induced excitation of labor, often in combination with premature opening of the fetal bladder. At the same time, it is known that one of the most important conditions, largely predetermining the effectiveness of the used rododoksuzhdeniya, is the presence in women of optimally expressed signs of readiness for childbirth. Therefore, before you assign a pregnant mother-finding therapy, you need to correctly assess her willingness to give birth.
Particularly thorough diagnosis of readiness for childbirth should be carried out with the combination of medical birth excitement together with premature amniotomy, since in women with or without a lack of signs of readiness for childbirth, the induction does not always lead to "unleashing" adequate labor activity. If childbirth in such cases does begin, they tend to acquire a protracted course. In addition, there is a danger of an excessively long anhydrous interval and infection of the birth canal with all the ensuing consequences.
Preterm termination of pregnancy is quite common in the interests of maternal health, especially with severe forms of late toxicosis, some extragenital diseases (cardiovascular pathology, diabetes, etc.). To some extent, in these cases, the interests of the fetus are also respected, since the severe pathology of the mother always provides and poses a potential threat to it.
Premature termination of pregnancy in the interest of the fetus is, in fact, a new head of obstetrics, which was granted the right to exist relatively recently. This was mainly due to two circumstances. The first concerns the current view that the interests of both the mother and the fetus must be fully taken into account in the management of pregnancy and childbirth. It should be borne in mind that the birth of not only a living, but also a healthy child. The second is due to the achievements of modern science, which allowed us to expand our capabilities, correctly assess the condition of the fetus and improve the methods of delivery.
It should be emphasized that premature termination of pregnancy involves the intervention of doctors at different stages of pregnancy, including last week before the occurrence of spontaneous labor, in order to obtain a viable child.
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