Т о ч к а з р е н и я Cesarean Section in 21st B.Petrikovsky, R.Ruggiero, P.Medvedeva, I.Kozlov Century Wyckoff Heights Medical Center, New York, USA In article the Cesarean section problem in 21 century is discussed. <...> Such questions as are discussed: Why frequency of Cesarean section grows? <...> Whether Cesarean section is bound to reduction of risk of pelvic floor disorders? <...> New methods of anaesthesia of Cesarean section. <...> It will lead to augmentation of frequency of the maternal mortality caused by augmentation of such complications, as a placenta previa and placenta accreta. <...> Это приведет к увеличению частоты материнской смертности, обусловленной увеличением таких осложнений, как предлежание и приращение плаценты. <...> Поэтому необходимо стремиться к уменьшению частоты кесарева сечения. <...> Ключевые слова: кесарево сечение, частота, показания, осложнения Introduction In the United States in 2012 nearly one in three women gave birth via cesarean section (32.8%). <...> Nowadays cesarean delivery is the most common, hospitalbased operation performed in the United States, and probably in the world. <...> We will give a brief overview of the most prevalent ones; • Advanced maternal age Statistically, birth rates are declining among women in their early to mid twenties. <...> In women between the ages of forty and forty-four, the rate Contacts: Petrikovsky, Boris, Departments of Obstetrics and Gynecology of Wyckoff Heights Medical Center Brooklyn, New York, Director, Maternal Fetal Medicine Adress: 213 Madison Avenue, New York NY 10016, USA Phone: +1(212)725-0123 Статья поступила 18.01.2015 г., принята к печати 20.02.2015 г. 78 of caesarian section is over 50%, while in women under the age of twenty, the rate is below 25%. • Artificial reproductive technologies (ART) IVF and other reproductive technologies have significantly raised the rate of multiple pregnancies [1]. <...> Single embryo transfer was associated with the lowest (40.7%) rate of cesarean section [5]. • Obesity Worldwide obesity has nearly doubled since 1980. 35% of adults aged 20 and over were overweight in 2008, and 11% were morbidly <...>