[Post-operative complications following elective and emergency caesarean delivery].

Aim Of The Study: 1) To analyze the frequency of complications after elective/planned [PCS] and emergency Cesarean section [ECS]; 2) To compare the types of complications in the two evaluated groups; 3) To analyze the possible risk factors for complications after elective and emergency procedures.

Methods: The study was retrospective, hospital-based one. Data regarding complications following Cesarean section [CS] that demanded transfer of the patients to The Clinic of High Infectious Risk, State University Hospital "Maichin Dom", Sofia and prolonged hospital stay (more than 7 days after the operation) were analyzed.

[Difficulties in the obstetrical management of the delivery of twins].

Authors points at that very often it is not possible to follow the routine scheme of medical behaviour in twins delivery. Every such case must be resolved individually according to concrete circumstances.

[Septic metrothrombophlebitis and acute kidney failure following a spontaneous abortion].

Author describes one case of septic metrothrombophlebitis and acute renal failure in pregnant woman as a result of spontaneous abortion. He discusses some clinical criteria of developing complications and proposes adequate therapeutic line of behaviour.

[The management of severe pelvioperitonitis of an inflammatory genital origin].

A description of clinical approach to heavy pelvioperitonitis from genital inflammatory origin. Author emphasizes that early and precise assessment of clinical and laboratory parameters as well as the adequate treatment are of great importance for saving patient's life.

[Septic (endotoxic) shock in parturients--its management during labor and in the puerperium].

Author provides a description of septic shock in a parturient. He analyses the clinical cause and proposes a therapeutic behaviour during labour and puerperium.

[Pregnancy in a rudimentary horn of the uterus].

The cases of pregnancy in the rudimentary horn are probably the rarest Mullerian anomalies. More often the pregnancy ends with an abortion in the first or the end of the second trimester. Extremely rarely (1% of the cases) end with a live birth.

[The current clinical approach in puerperal endometritis].

The authors report a study on clinical and microbiological aspects of endometritis in 50 parturients. The analysis of results shows that major risk factors for the development of puerperal endometritis are urgent Caesarean section, premature rupture of membranes for more than 15 hours and surgical vaginal delivery. In conclusion the authors propose their actual clinical view on diagnosis and treatment of puerperal endometritis.

[The therapeutic potentials of the drug Hevizos in genital herpes simplex viral infection].

The author assessed the effect of a new medicine called Hevizos on patients with herpes simplex genital infection. He proved good therapeutic results in both pregnant and non-pregnant women as well as in parturients. Parturients needed longer period of treatment with Hevizos than pregnant and non-pregnant women.

[The diagnostic difficulties in a case of tubal pregnancy and hemoperitoneum].

The author describes a clinical case of a woman with tubal pregnancy and acute intraabdominal haemorrhage to emphasize the diagnostical and therapeutical problems. The initial diagnosis of the patient was intrauterine pregnancy and spontaneous abortion, proved by ultrasound examination. Due to the high qualifications and long clinical experience of the physician the exact diagnosis was made and the life of the woman was saved.

[The current clinical approach in puerperal infections].

Although the progress of the obstetrics and the availability of powerful antibiotics, the puerperal infections are main reason for the mother's morbidity and mortality. In connection with this problems are analysed the practical problems of puerperal infections in clinical therapeutical aspect.

[The use of Solcoderm in acute condylomas of the vulva (preliminary report)].

A preliminary study was carried out on women with acute condylomas, treated with the preparation solkoderm. Preliminary data from the clinical trial show that the preparation should be used in some women with acute condylomas of the vulva after available clinical evaluation.

[The treatment of pulmonary thromboembolism in puerperae with pelvic thrombophlebitis].

The possibilities of current conservative treatment were studied on parturients with pelvic thrombophlebitis and lung thromboembolism. It was established that performance of total hysterectomy or usage of vena cava filter in parturients with pelvic thrombophlebitis and lung thromboembolism should be made after careful evaluation and after trials of current conservative treatment (venous application of antibiotics from the sixth generation, metronidazol preparations and heparin).

[Our experience in using nolitsin in puerperal infections (preliminary report)].

The therapeutic possibilities of the chemotherapeutic preparation Nolicine were studied. Clinical and laboratory parameters were followed in dynamics as well as microbiological examination of lochial and wounded secretion in dynamics. The results from the study showed that the applied preparation, when its usage is contemplated with the isolated bacterial flora, is suitable for treatment of some postpartal infections especially in women, who are allergic to antibiotics.