Publications by authors named "Zeljka Kuljak"
Introduction: It can be said that midwifery is as old as humankind because there has always been someone who accompanied women in childbirth. The purpose of this article is to present the history of midwifery on the present-day territory of the Republic of Croatia, from prehistoric ages to the present.
Method: Historical methodologies were used for the study.
The aim is to present the 60-year experience in modified Ritgen maneuver according to perineal injuries. This retrospective clinical observational study (1950-2010) analyzed the impact of modified Ritgen maneuver delivery technique (controlled fetal head deflexion with left hand and synchronous reduction of perineal strain with extended right hand thumb along the right side of the vulva and perineum without pushing) on peripartum perineal tears at the Maternity Ward, Bjelovar General Hospital in Bjelovar, Croatia, divided into five-year intervals. The rate of perineal tear in general was less than 5% until 2000.
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- A case study describes an unusual incident where a woman's bladder ruptured on its own after a normal vaginal delivery, with no uterus rupture involved.
- The diagnosis included serious symptoms like sudden kidney failure, the accumulation of fluid in the abdomen, bowel blockage, and a urinary tract infection.
- The treatment involved surgery to repair the bladder using an omentum patch, and the patient experienced no negative outcomes from the procedure.