Problems of delivery after cesarean section

The end of the 20th century was marked by innovative technologies for assessing the fetal condition (cardiotocography, ultrasound, Doppler ultrasonography). These technologies led to a false-positive overdiagnosis of fetal intrapartum suffering. Thus, achievements in obstetrics and perinatology provoked a profound increase in the number of cesarean sections (CS). In 1986 the joint Plenary meeting of the All-Union and All-Russian Scientific Medical Societies of Obstetricians and Gynecologists examined the problems connected with the CS in modern obstetrics, its optimal frequency and technique. Indications for abdominal delivery were determined and sufficiently revised. Every fifth child in Russia is born by CS, in other words 300,000 out of 1.5 million newborns. Due to liberal attitude of doctors to CS, its frequency is increasing very quickly. However, after CS, mothers die 3 times more often than in case of vaginal delivery; peritonitis and sepsis develop 5-6 times more often than after natural birth...