Umbilical cord presentation

The main problems of providing emergency care during pregnancy at the stage of umbilical cord presentation.

It is the high risk of developing intrapartum complications and deaths in newborns with umbilical cord presentation that is explained by the difficulties of providing medical care in the maternity hospital, primarily with pathology of the attachment of the membranes. At this time in Russia, the same type of approach to solving this problem is very widespread, regardless of the clinical features of the formation of the pathology. If the fetus begins to turn over and a narrowing of the diagonal area of ​​the pelvis occurs, it is necessary to interrupt the labor and transfer the patient to a surgical hospital, where both removal of the presentation and correction of the shape of the uterus can be performed. The complexity of this situation is also evidenced by the fact that domestic obstetric manuals lack fundamental approaches to pelvic embryotomy. In high-risk women, this intervention is never performed, even with good preparation and cooperation with the woman in labor. It should be added to this that a woman in labor in such conditions develops an extremely aggressive attitude towards childbirth. The solution to this problem looks very difficult. Undoubtedly, the simplest and most logical seems to be the search for new approaches to pain relief in labor, precisely through this, reducing the threshold of fetal injury and maternal risk, while significantly increasing the level of surgical intervention aimed at correcting the pathology of the urinary tract. Advances in regional anesthesia for childbirth are certainly noteworthy, but they can only be successful if they