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Delivery
by the Rational Cesarean Section |
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E.
C. Tartarashvili, A. P. Chkheidze, T. O. Tchitchinadze, M. Z. Nanikashvili, |
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Key words: Cesarean section - Stark modification -
perinatology Timely and promptly performed operation permits to lower fetal perinatal
mortality and should always be considered during the labor management.
Delivery by surgery is preferable in the perinatal asphyxia if there are
appropriate conditions. Therefore a quest during the labor for the
rational and efficient delivery management, such as the Cesarean section,
is the most promising for mother as well as for fetus. Modern methods of epidemiological and clinical
investigation were used. Expenditure of anesthetic and narcosis medicines in
Stark modification was reduced up to 50% and the expenditure of suture
material was reduced up to 80%. Clinical evaluation of the operation in the postoperative period showed
that the Cesarean section by Stark is characterized by the low indices of
pioseptic, hemotransfusive and fever complications and is widely
recommended for the implementation in obstetrics. Rating showed that the newborns delivered by Stark
modification of Cesarean section had the Apgar score of 8-10 and were not
depressed by narcosis, whereas the newborns delivered by traditional
Cesarean section had the Apgar score of 7-8 and were depressed by
medicines. In
extreme cases when Cesarean section constitutes the only possibility,
preference should be given to Stark modification of Cesarean section which
can be characterized as prompt, less traumatic, economic and leading to
relatively physiological postoperative course of the postpartum period.
Taking into account vital interests of the fetus we consider Stark
operation the only correct method of delivery management in case of the
aggravation of the fetus distress and the peril of the fetal asphyxia.
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