[Risks of surgery and anesthesia and optimization of anesthesiological maintenance of abdominal delivery]

The paper deals with abdominal labor pain relief in pregnant women at high risk for impaired development of the general adaptation syndrome: significant sympathicotonia, placental ischemia-reperfusion syndrome, and systemic inflammatory response syndrome. All these syndromes are attended by either impaired oxygen transport or a high risk for the occurrence of such at surgery. The detection and correction of these impairments in development of the general adaptation syndrome in pregnancy, which are provided by the author's modified rating scale for risks of surgery and anesthesia, contribute to the development of the body's compensated metabolic reaction to surgical injury, reducing the number of maternal, fetal, and neonatal complications.