1. Maternal traumaObstetric surgeries Lecture by AndriyBerbets

2. Ruptures of perineum Rupture of perineum of the 1st degree 1 – anterior wall of the vagina 2 – posterior wall of vagina 3 – crotch 4 – skin of perineum

3. Ruptures of perineum Rupture of perineum of the 2nddegree 1 – anterior wall of the vagina 2 – upper edge of the rupture 3 – posterior wall of vagina 4 – crotch 5 – skin of perineum

4. Ruptures of perineum Rupture of perineum of the 3rddegree 1 – posterior wall of the vagina 2 – upper edge of the rupture 3 – crotch 4 – mucous tunic of rectum 5 – sphincter 6 – anus

5. Ruptures of perineum Suturing of the rupture of perineum of the 1st degree

6. Ruptures of perineum Suturing of the rupture of perineum of the 2nd degree: a - suturing the vaginal wall b - suturing the muscles c - suturing the skin of perineum

7. Ruptures of perineum Suturing of the rupture of perineum of the 3rd degree: a - suturing the rectum wall b - suturing the sphincter

8. Ruptures of perineum Correct and incorrect suturing of the perineum

9. Ruptures of cervix Rupture of the cervix of the 2nd degree

10. Ruptures of the uterus Threat of the rupture of the uterus

11. Uterus injury Inversion of uterus in case of placenta increta

12. Obstetric forceps а) introduction of the left spoon of tongs; b) introduction of right spoon; в) trial traction; г) descending of head in tongs and defense of crotch; d) removal of spoons;

13. Obstetric forceps Directions of tractions of obstetric forceps

14. Obstetric forceps Application of outlet obstetric forceps

15. Obstetric forceps Cavity forceps in right oblique dimension

16. Caesarian section Ceaserian section in the lower segment of the uterus

17. Caesarian section The delivery of fetus from the incision

18. Fetal – destroying operations Perforation of head of fetus by the method of Fenomenov

19. Fetal – destroying operations Decapitation by the Brown’s hook

20. Fetal – destroying operations Application of cranioclast

21. Fetal – destroying operations Decapitation. Applying the scissors by Fenomenov

22. Fetal – destroying operations Decapitation. The removal of trunk of fetus and the fetal head

23. Thank You!