Akusherstvo i ginekologii͡a
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A survey of cesarean sections performed between 1984 and 1987 has demonstrated a changing pattern of indications for abdominal delivery. An expanded range of indications for cesarean section in cases of breech presentation and maternal gestosis has been shown to reduce significantly perinatal losses. It is demonstrated that indications for vaginal delivery in patients with a uterine scar should be expanded through further search for new methods for the assessment of the scar as well as the improvement of the available ones. Intraoperative administration of antibiotics is a method of choice in preventive antibiotic treatment.
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Akush Ginekol (Mosk) · Mar 1989
Historical Article[Evolution of surgical delivery during the past 35 years according to the data of the All-Union Research Center for Maternal and Child Health of the Ministry of Public Health of the USSR].
A distinct evolution of surgical delivery has been demonstrated over the past 35 years. In the past decade, the proportion of surgical deliveries has grown considerably owing to the increasing rate of cesarean sections. ⋯ Perinatal parameters have improved while there has been no clear-cut correlation between the increasing rate of cesarean section and declining perinatal mortality. Further development of rational labor management principles is necessary.