The combination of pregnancy and uterine fibroids occur in less than 1% of cases, but complications during pregnancy and childbirth is observed around 60%.The presence of uterine fibroids is often combined with complications, at which it may required abdominal delivery:

transverse and oblique position of the fetus, placenta previa, the weakness of the tribal activities, etc. In addition, adverse (cervico-Peresh-echnoe) location of nodes creates an insurmountable obstacle to the disclosure of the neck promoting fruit. Abdominal delivery may be necessary in due to complications of fibroids (malnutrition or necrosis node),as well as other indications requiring surgical treatment of fibroids. Thus,tactics of births to mothers with uterine myoma depends on the one hand, from size, topography, number and status of myoma nodes, on the other -- features of the flow from the act of birth.

Anomalies of patrimonial activity are frequent complications in childbirth act.Common knowledge of their adverse effects on the fetus. Therefore solution to the problem of abdominal delivery with the ineffectiveness conservative therapy, weak or diskoordinirovannoy generic activity is not should be delayed as late elective delivery dramatically increases frequency of neonatal asphyxia. When ineffectiveness rodrstimuliruyuschey therapy the role of caesarean section increased significantly due to the fact that in recent years in order to protect the fetus does not use vacuum extraction and extraction of the fetus fetus for pelvic end.The weakness of labor activity is frequent and essential component in the indications for combined cesarean section at relative degrees of narrowing of the pelvis, in primiparous older with breech fetus, perenashivanii, fetal hypoxia, as background occipital insertion of the head, etc.