[Caesarean section with vacuum extraction of the head].

Unlabelled: The aim of the study is to investigate the benefits and the limits in using the soft cup vacuum extractor on the fetal scalp during the caesarean section.

Material And Methods: The prospective study includes 19 cases of caesarean sections (group A), with vacuum assisted delivery using the soft cup vacuum extractor on the fetal scalp (diameter 6 cm) and 25 cases (group B) of caesarean sections with usual, manual extraction of the head assisted by fundal compression. All of the patients had undergone a planned caesarean section on term in absence of uterine activity and preserved amniotic membranes.

[Puerperal uterine involution according to the method of delivery].

Unlabelled: The aim of the study is to determine and estimate the absolute values of the distance between the symphysis pubis and the uterine fundus (S-FD) and the rate of uterine involution according to the method of delivery.

Material: 150 women included in this prospective study are divided into 3 groups of 50 women with vaginal delivery, caesarean section and re-caesarean section. The absolute values of the distance S-FD and the rate of uterine involution were determined in cm and estimated according to their parity and the gestational age.

[Repair of episiotomies with synthetic suture material].

Purpose: The aim of the current study is to investigate possibilities for episiorrhaphy with synthetic sutures and patients follow up for complains and physical status.

Materials And Methods: The present study is prospective and it includes 180 patients. We used for episiorrhaphy: synthetic sutures Polyglycolic acid (1st group), Polyglactin 910 (2nd group) and plain cat gut and silk (3rd group).

[The efficacy of the misoprostol in cases of abnormal and pathologic hypotonic hemorrhage in the early puerperium].

Unlabelled: The aim of this study is to determine the efficacy of the Misoprostol (Cytotec) in cases of abnormal and pathologic hypotonic hemorrhage in the early puerperium as a result of hypotonia of the uterus.

Material And Methods: A group of 50 women with vaginal or abdominal labor developing hypotonic abnormal/pathologic bleeding after the placental delivery were given Misoprostol (Cytotec 200-400 microgr per rectum and/or per oral every 15 min). We compared this group with a control group without having postpartum bleeding.

[Cesarean section for fetal distress--is the decision interval for delivery significant?].

Unlabelled: The recommended Interval between the decision to perform emergency cesarean section and the delivery itself is 30 minutes. There is not enough clinical evidence in maintenance of this opinion.

Aim: to study the interval from the decision of the cesarean section for fetal distress to delivery itself, as well as to analyze fetal and mother's outcome.