Principles of management of complicated labor
The article deals with disputable issues referring to management of labor in prematurity, postmaturity, gestosis (eclampsia), premature rupture of the membranes in full-term pregnancy. The short-term and long-term outcomes of more than 1000 premature labors depending on the term of gestation and method of delivery are presented. Indications to cesarean section (CS) have been specified, advantages of patient-controlled epidural anesthesia have been demonstrated, the scope of infusion therapy in labor has been substantiated. The expediency of using mechanical tools (Foley catheter or laminaria sticks) for preparation of the uterine cervix for labor in primiparas with full-term pregnancy complicated by premature rupture of the membranes and an immature uterine cervix has been shown.