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белорецке","retina":false,"avatarId":"0","isMacOS":false,"brand":"alice-ru","device":{"isIOS":false,"platform":"desktop"},"expFlags":{"isFootnoteDetails":true,"isFootnoteRedesignDivided":true,"futurisMultiqueryFlag":true}},"dialogStoreProps":{"baseUrl":"","orderedPairUUID":["Question"],"requestResponsePairs":{"data":{"Question":{"userMessage":"Кесарево сечение: что это?","markdown":"**Кесарево сечение** — хирургический метод родоразрешения, при котором ребёнок появляется на свет не через родовые пути, а через разрез на животе и матке [1](https://cispb.com/articles/kesarevo-sechenie-pri-beremennosti)[3](https://gemotest.ru/info/spravochnik/telo-cheloveka/kesarevo-sechenie/). Операция может быть **плановой** (запланирована заранее) или **экстренной** (проводится в неотложных случаях) [2](https://mamadeti.ru/article/kesarevo-secheniye/).\n\n\n\n## Показания\n**Абсолютные показания** — ситуации, при которых естественные роды невозможны или несут угрозу жизни [2](https://mamadeti.ru/article/kesarevo-secheniye/). Например: \n* механические препятствия в родовых путях: узкий или деформированный таз, большие опухоли в области малого таза, сращения или рубцы на шейке матки и влагалище [2](https://mamadeti.ru/article/kesarevo-secheniye/); \n* полное предлежание плаценты — плацента полностью закрывает внутренний зев шейки матки, что делает самостоятельное прохождение плода невозможным и грозит массивным кровотечением [2](https://mamadeti.ru/article/kesarevo-secheniye/); \n* поперечное положение плода — ребёнок располагается поперёк матки, и естественные роды в таком случае невозможны [2](https://mamadeti.ru/article/kesarevo-secheniye/); \n* угроза разрыва матки — в большинстве случаев связана с наличием послеоперационных рубцов на матке [2](https://mamadeti.ru/article/kesarevo-secheniye/); \n* острая гипоксия плода — если ребёнок испытывает серьёзную нехватку кислорода, необходимо срочное оперативное вмешательство для его спасения [2](https://mamadeti.ru/article/kesarevo-secheniye/). \n\n**Относительные показания** — состояния, которые допускают естественные роды, но риски осложнений настолько велики, что врачи предпочитают кесарево сечение [2](https://mamadeti.ru/article/kesarevo-secheniye/). Например: \n* тазовое предлежание плода [2](https://mamadeti.ru/article/kesarevo-secheniye/); \n* многоплодная беременность, особенно если первый из детей находится в неправильном положении [2](https://mamadeti.ru/article/kesarevo-secheniye/); \n* гестоз (преэклампсия, эклампсия) — высокое давление, белок в моче и отёки у матери могут быть опасны для жизни как женщины, так и ребёнка [2](https://mamadeti.ru/article/kesarevo-secheniye/); \n* слабость родовой деятельности, не поддающаяся медикаментозной коррекции [2](https://mamadeti.ru/article/kesarevo-secheniye/).\n\n## Техника проведения\n**Ход операции** [1](https://cispb.com/articles/kesarevo-sechenie-pri-beremennosti): \n1. Хирург делает разрез на животе (обычно горизонтальный, чуть выше лобка) и матке [3](https://gemotest.ru/info/spravochnik/telo-cheloveka/kesarevo-sechenie/). \n2. Аккуратно извлекает ребёнка [3](https://gemotest.ru/info/spravochnik/telo-cheloveka/kesarevo-sechenie/). \n3. Перерезает пуповину и передаёт малыша неонатологу [1](https://cispb.com/articles/kesarevo-sechenie-pri-beremennosti). Если состояние позволяет, его кладут на грудь мамы [1](https://cispb.com/articles/kesarevo-sechenie-pri-beremennosti). \n4. Врач удаляет остатки околоплодных вод, осматривает матку, проверяет, нет ли кровотечения [1](https://cispb.com/articles/kesarevo-sechenie-pri-beremennosti). \n5. Послойно накладывает швы [1](https://cispb.com/articles/kesarevo-sechenie-pri-beremennosti). \n\n**Длительность** — около 30–60 минут [1](https://cispb.com/articles/kesarevo-sechenie-pri-beremennosti).\n\n## Риски\n**Возможные осложнения у матери**: кровотечения, инфекции в области шва или матки, образование спаек в брюшной полости, осложнения при следующих беременностях [3](https://gemotest.ru/info/spravochnik/telo-cheloveka/kesarevo-sechenie/). \n\n**Для ребёнка** риски минимальны, а возможные нарушения чаще всего компенсируются в первые недели жизни малыша [3](https://gemotest.ru/info/spravochnik/telo-cheloveka/kesarevo-sechenie/).\n\n## Восстановление\n**Некоторые рекомендации по восстановлению после кесарева сечения**: \n* **Следить за состоянием шва**, избегать травмирования и носить удобную одежду, не сдавливающую живот [13](https://stolichki.ru/clubs/mother/pregnancy/vosstanovlenie-posle-kesareva-secheniya). \n* **Начинать выполнять упражнения для восстановления мышц** можно только после консультации с врачом, обычно не раньше чем через 6–8 недель после операции [13](https://stolichki.ru/clubs/mother/pregnancy/vosstanovlenie-posle-kesareva-secheniya). \n* **Поднимать тяжести, заниматься спортом и водить машину** можно только после разрешения гинеколога [13](https://stolichki.ru/clubs/mother/pregnancy/vosstanovlenie-posle-kesareva-secheniya). \n\n**Полное заживление шва** — процесс индивидуальный: внешне шов выглядит зажившим уже через 7–10 дней, но внутреннее заживление тканей занимает гораздо больше времени — до 6–8 недель [13](https://stolichki.ru/clubs/mother/pregnancy/vosstanovlenie-posle-kesareva-secheniya).","linksData":[{"sourceId":1,"url":"https://cispb.com/articles/kesarevo-sechenie-pri-beremennosti","shownUrl":"https://cispb.com/articles/kesarevo-sechenie-pri-beremennosti","title":"Кесарево сечение при беременности: виды, показания, восстановление","shortUrl":"cispb.com","isTranslated":false,"description":"","greenUrl":"cispb.com"},{"sourceId":2,"url":"https://mamadeti.ru/article/kesarevo-secheniye/","shownUrl":"https://mamadeti.ru/article/kesarevo-secheniye/","title":"Кесарево сечение: что это такое и как проходит","shortUrl":"mamadeti.ru","isTranslated":false,"description":"","greenUrl":"mamadeti.ru"},{"sourceId":3,"url":"https://gemotest.ru/info/spravochnik/telo-cheloveka/kesarevo-sechenie/","shownUrl":"https://gemotest.ru/info/spravochnik/telo-cheloveka/kesarevo-sechenie/","title":"Кесарево сечение — что это, показания, как проходит","shortUrl":"gemotest.ru","isTranslated":false,"description":"","greenUrl":"gemotest.ru"},{"sourceId":4,"url":"https://fomin-clinic.ru/blog/chto-takoe-kesarevo-sechenie-i-kogda-ego-delayut/","shownUrl":"https://fomin-clinic.ru/blog/chto-takoe-kesarevo-sechenie-i-kogda-ego-delayut/","title":"Кесарево сечение: как проходит операция, показания и сроки","shortUrl":"fomin-clinic.ru","isTranslated":false,"description":"","greenUrl":"fomin-clinic.ru"},{"sourceId":5,"url":"https://navigator.mosgorzdrav.ru/article/rodorazreshenie-putem-kesareva-secheniya/?sphrase_id=2180695","shownUrl":"https://navigator.mosgorzdrav.ru/article/rodorazreshenie-putem-kesareva-secheniya/?sphrase_id=2180695","title":"Родоразрешение путем кесарева сечения","shortUrl":"navigator.mosgorzdrav.ru","isTranslated":false,"description":"","greenUrl":"navigator.mosgorzdrav.ru"},{"sourceId":6,"url":"https://mc21.ru/articles/kesarevo-sechenie/","shownUrl":"https://mc21.ru/articles/kesarevo-sechenie/","title":"Кесарево сечение: интересные особенности операции, нюансы и важные моменты","shortUrl":"mc21.ru","isTranslated":false,"description":"","greenUrl":"mc21.ru"},{"sourceId":7,"url":"https://ru.wikipedia.org/wiki/%D0%9A%D0%B5%D1%81%D0%B0%D1%80%D0%B5%D0%B2%D0%BE_%D1%81%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D0%B5","shownUrl":"https://ru.wikipedia.org/wiki/%D0%9A%D0%B5%D1%81%D0%B0%D1%80%D0%B5%D0%B2%D0%BE_%D1%81%D0%B5%D1%87%D0%B5%D0%BD%D0%B8%D0%B5","title":"Кесарево сечение — Википедия","shortUrl":"ru.wikipedia.org","isTranslated":false,"description":"","greenUrl":"ru.wikipedia.org"},{"sourceId":8,"url":"https://ivrd1.ru/?p=1749","shownUrl":"https://ivrd1.ru/?p=1749","title":"Кесарево сечение: абсолютные и относительные показания - ОБУЗ \"Родильный дом № 1\" г. 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