RUDN Journal of MedicineRUDN Journal of MedicineВестник Российского университета дружбы народов. Серия: Медицина2313-02452313-0261Peoples’ Friendship University of Russia named after Patrice Lumumba (RUDN University)3343ArticlesСтатьиReview ArticleCaesarean section. Unresolved questionsКесарево сечение. Нерешенные вопросыMarkarianN MМаркарянНара Мхитаровнаnaramm@mail.ruGolikovaT PГоликоваТатьяна Павловнаnaramm@mail.ruEsipovaL NЕсиповаЛариса Николаевнаo-roudneva@yandex.ruPeoples' Friendship University of RussiaРоссийский университет дружбы народовClinical Hospital № 29Городская клиническая больница № 29150220162NO2 (2016)№2 (2016)14314907092016Copyright ©; 2016, Маркарян Н.М., Голикова Т.П., Есипова Л.Н.2016Маркарян Н.М., Голикова Т.П., Есипова Л.Н.http://creativecommons.org/licenses/by/4.0https://journals.rudn.ru/medicine/article/view/3343This article deals with the problem of choosing the optimal technique of caesarean section, which effects on early and late postoperative complications and uterine scar in the future. The frequency of complications in reoperation far exceeds the risks of the first caesarean section. On the formation of a full scar is influenced by many factors, including the method of performing a caesarean section. The solution to the problem of repeated cesarean section can serve not only the frequency of the first caesarean section, but the possibility of delivery in women with scar (if opulence on the uterus through the birth canal.Данная статья посвящена проблеме выбора оптимальной методики кесарева сечения, с позиции ранних и поздних послеоперационных осложнений и влияния методики на формирование рубца на матке. Актуальность проблемы обусловлена структурой показаний к абдоминальному родоразрешению, в которой первое место занимает рубец на матке. Частота осложнений при повторной операции намного превышает риски первого кесарева сечения. На формирование полноценного рубца влияет множество факторов, в число которых входит методика выполнения кесарева сечения. Решением проблемы повторного кесарева сечения может послужить не только снижение частоты первого кесарева сечения, но возможность ведения родов у женщин с рубцом (при его состоятельности) на матке через естественные родовые пути.cesarean sectiontechniquecomplicationsscar on the uterusкесарево сечениетехникаосложнениярубец на матке1.Aaron B.C. Vaginal Birth after Cesarean Delivery Chief Editor: Carl V. Smith. 2013.2.Aaron B.C. ACOG Updates Recommendations on Vaginal Birth after Previous Cesarean Delivery. Am FAM Physician. 2011. Vol. 83. No. 2. P. 215-217.3.ACOG Antimicrobial Prophylaxis for cesarean delivery: Timing of administration. Соmmittee opinion. 2010. Vol. 116. No. 3. P. 791-792.4.Obstetrics: National guide. 2nd edition revised and enlarged. Ed. by G.M. Savelieva, G.T. Sukhikh, V.N. Serov, V.E. Radzinsky. GEOTAR-Media, 2015.5.Alfirevic Z., Milan S.J., Livio S. Caesarean section versus vaginal delivery for preterm birth in singletons. 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