[Change in indications for cesarean section].

The drastic decrease in the maternal lethality risk has influenced the indication for caesarean section. As the overall difference in mortality and morbidity between elective caesarean section and attempted vaginal delivery decreases, the consequence is a more liberal indication for caesarean section in order to avoid pain, damage to the pelvic structures and to protect the fetus. Maternal autonomy has to be respected by the obstetrician.

[Benign increase of tumor marker Ca 12-5 in pelvic peritonitis with ascites].

Two patients suffering from pelveoperitonitis had ascites and elevated CA 12-5 serum level mimicking epithelial ovarian cancer. Both were treated successfully with antibiotics, after laparoscopic confirmation.

[Fetomaternal macrotransfusion--a cause for decreased fetal movements. 2 cases].

Two cases of fetomaternal macrotransfusion in otherwise normal pregnancies are reported. In both cases the main symptoms observed by the patients were decreasing fetal movements. Cardiotocography revealed a highly pathologic pattern an immediate cesarean section was performed.

[Detection of fibronectin for confirming the diagnosis of premature rupture of fetal membranes].

Diagnosis of premature rupture of membranes (PROM) usually leads to severe clinical consequences. Diagnostic tests for confirmation of suspected rupture of membranes are either unreliable or can adversely affect the pregnancy. Foetal fibronectin is synthesised by the foetoplacental membranes especially in the anchoring villus.