[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.

[Reference values range of the fetal oxygen saturation and its dispersal during labor without cardiotocographic evidence for fetal distress].

Unlabelled: The objective of this study is to establish the reference values range of the fetal oxygen saturation during the first and the second period of labor and their dispersal according to the extent of cervical dillatation in cases with normal FHR--absence of fetal hypoxia and asphyxia of the newborn.

Material And Methods: This is a prospective study which involves 94 women with normal FHR. All of the newborns are with umbilical artery pH values greater than 7.

[Intrapartum oxygen saturation in fetus with symptoms of distress shown during fetal cardiotocograph monitoring].

The aim of the study is to establish the mean values of SpO2, during labour with symptoms of fetal distress and to find out when fetal hypoxia is expected to develop as well as unsatisfactory clinical status of the newborn. The study includes 62 women on labour at term with pathological decelerations from the fetal heart rate (FHR). SpO2 is monitored by means of fetal pulse oxymeter Nellcor N 400.

[Shoulder dystocia--risk factors and fetal outcome].

The purpose of this retrospective study is to evaluate the perinatal outcome in cases with birth injuries, suggesting shoulder dystocia. This survey involves 92 cases of live newborns (gestational age between 37 and 42 weeks) with shoulder injuries. Another control group of 120 cases of live mature newborns without any shoulder injuries is studied for comparison.

[Study of women preference regarding mode of delivery].

The aim of this inquiry study is to assess the women's preference for abdominal or vaginal delivery in 113 women, divided in tree subgroups: 38 nonpregnant, 38 pregnant with one more births and 37 puerperas. All women are with high education and 49.6% of them had past at least one university exam of obstetrics and gynecology.

[Study of the effect of Propess for ripening of the unfavorable cervix for the induction of labor due to medical indications].

The purpose of this study is to proceed and estimate the effect of Propess for cervical ripening for induction of labor due to medical indications. Seventy pregnant women are included divided in two groups-36 of them with vaginally applicated Propess and the other 34 are at the control group. Changes in the cervix, induction of uterine activity, labor, status of the fetus and the side effects are proceeded.

[Lipid metabolism and its changes in pregnancy].

A survey is made on physiology of lipid metabolism and its variations during pregnancy. The mechanisms leading to an increase in triglycerides and cholesterol during pregnancy are explained. These changes induce increased aterogenic risk, higher risk for developing pathologic 1 changes in blood vessels on microcirculation level on the basis of endothelial disfunction.

[Supplemental multivitamin and multimineral preparations during normal pregnancy--effect on a fetus and delivery].

Unlabelled: The aim of this prospective study is to assess the effect of non indicated supplementation with Materna during normal pregnancy on some parameters of the neonate and the process of delivery. The material includes 98 women who had been taking Materna during the pregnancy and 27 cases without any medications. The criteria for inclusion are: normally progressing clinically and paraclinically pregnancy and delivery after completing 37th w.

[Analysis of indications for a repeat Caesarean section].

The aim of the study is to establish the indications for a Resectio Caesarean (RS) and to compare them with those of the first Caesarean section (CS). The Study is retrospective and covers the period from 1.1.

[The overall and step-by-step duration of cesarean section].

The purpose of this study is to define the time for different steps of Caesarean section from the moment the women lays on the operating table to the last stitch on the skin. The study is prospective and include 82 elective and emergent CS. The traditional surgical technique is used without omitting any step.

[The active management of the placental period with Remestyp].

The aim of this prospective study is to asses, the possibility to use Remestyp after the delivery of the head as a prophylaxis of blood lost during the third stage of labor. The material includes 209 cases: 82 with bolus dose of 0.2 mg Methergin, 54 cases with 10 ME Oxytocin, 32 parturition with 200 mg Remestyp, and 41 controls without any uterostonics during the placental period.

[The diagnosis and management in suspected retained placenta in the late puerperal period].

The aim of this retrospective study is to find out the reasons for RICU in late postpartum period and the reliability of methods for diagnosis of retained placental pieces. We investigated the medical records of all cases with RICU from 24th ours postpartum up to 2 weeks after it. The rate is 0.

[The impact of premature rupture of the amniotic sac on uterine involution in the early puerperium].

Unlabelled: The object investigation is determination premature rupture velamentorum ovi relation with uterus involution in early puerperium (1st-5th day). The object of study are 86 young mothers 17-34 years old after normal delivery divided into four groups 1st group (control)-56 young mothers with rupture velamentorum ovi up to 6 hours before delivery; 2nd-15 young mothers with rupture velamentorum ovi from 6 to 12 hours before delivery 3rd-12 young mothers with premature rupture velamentorum ovi 12-24 hours before delivery and 4th group-3 young mothers with premature rupture velamentorum ovi over 72 hours before delivery.

Results: It was found significance steady uterus involution in 4th group (p < 0.

[Cell proliferation kinetics in sarcoma 37. I. The changes in the size of the cell and the nucleus over the generative cycle].

Using morhometric autoradiographic and cytophotometric methods, the author examined the changes in the size of the nucleus, and of the cell as well as of the ratio: surface of the nucleus (surface of the cytoplasma in sarcoma-37 ascitic variant in accordance with their position in the generative cycle. The cells with small sizes of the nucleus 30 microns 2 were not labelled with 3H-thymidine and were found mainly in Gi-phase of the cycle. The labelled cells with nuclear sizes of 40-60 microns 2 were at the S-phase of the cycle.