Indications for cesarean section with pelvic presentation

Cesarean section with a pelvic presentation of the fetus should be performed routinely in the presence of the following indications:

• narrowing of the pelvis of the I-II degree with a fetus mass exceeding 3500 g;
• primiparous over 35 years;
• burdened obstetric anamnesis (habitual miscarriage, stillbirth);
• lack of biological readiness for childbirth when treated with estrogens, spasmolytics and other drugs for 7-10 days in combination with a large fetus, long infertility;
• presentation or prolapse of the umbilical cord loops during the presentation of the fetus;
• incomplete placenta previa;
• large fetus, pregnancy overdose, toxicosis of the second half of pregnancy;
• symptoms of threatening or started asphyxia of the fetus;
• scar changes of the cervix and vagina;
• a scar on the uterus;
• some types of extragenital pathology - obesity II-III degree, congenital heart disease, high degree of narrowing of the left venous aperture, active rheumatic process, decompensated and acquired heart defects, diabetes mellitus;
• tumors of the pelvic organs;
• a truly pregnant pregnancy with symptoms of impaired fertility;
• fetal hypotrophy of different etiology;
• multiple pregnancy, with pelvic presentation of one of the fruits;
• excessive unbending of the head with pelvic presentation at a fetal mass of 2000-3500 g;
• mixed gluteal and foot presentation of the fetus (danger of prolapse of umbilical cord loops);
• prematurity (weight of the fetus is 1500-2500 g).

In childbirth indications for surgery are.

• lack of readiness of the organism of the pregnant woman for childbirth during her treatment for 6-8 hours and untimely outflow of amniotic fluid;
• absence of the effect of rodovozbuzhdeniya oxytetics for 6-10 hours anhydrous interval;
• weakness of labor activity that does not lend itself to drug therapy in primiparas for up to 10 hours and for re-births - up to 8 hours, especially in combination with untimely outflow of amniotic fluid;
• belated births with symptoms of threatening or asphyxiated fetus;
• prolapse of umbilical cord loops with opening of the uterine pharynx up to 4-5 cm and foot presentation of the fetus;
• absence of the effect of filling the umbilical cord with breech presentation; the
• weakness of labor with the location of the placenta in the bottom of the uterus;
• any deviation from the normal course of the I period of labor with a large fetus;
• absence of effect from single rhodostimulation in primiparous over 30 years, with untimely outflow of amniotic fluid, presence of concomitant extragenital pathology, toxicosis of the 2nd half of pregnancy;
• disproportion between pelvic and fetal dimensions, especially in combination with non-coordinated labor activity;
• any deviation from the normal course of the first period of labor or damage to the fetus that occurred with pelvic presentation.

[1], [2]