[The status of the newborns from mothers in a risk group for fetal distress depending on the method of delivery].

Use of an algorithm for assessment of the severity of antenatal fetal distress and prediction of intranatal complications helped choose the optimal mode of delivery individually for each parturient and develop the strategy of rational management of spontaneous labor, which was confirmed by measurements of hydrocortisone levels in umbilical blood during delivery by different modes. Rational management of labor and optimization of delivery were conducive to a reduction of the incidence of grave distress in the newborns.