Vaginal versus caesarean delivery in fetal macrosomia-a retrospective cohort study.

Objective: The aims of this study were to determine the incidence of macrosomic births over a 5-year period and to examine the childbirth complications for both mother and newborn.

Patients And Methods: During the study period there were a total of 16,126 deliveries, of which 1905 were macrosomic fetuses (defined as those with a birthweight of 4000 g or more). Data on the course of pregnancy and childbirth were collected from existing maternal and peripartum medical records.

Sexual abuse in late postmenopausal women: Complete posterior colporrhexis with intestinal evisceration.

Genital injuries from sexual intercourse in late postmenopause (senium) are rare in clinical practice and may result from sexual abuse. I present a medically and judicially completed case as a contribution to forensic gynaecological literature where an 82-year-old women suffered extensive and life-threatening injury (complete posterior colporrhexis with intestinal evisceration) when she was raped (20 years ago) by a young perpetrator.

Home birth in Croatia - a medico-legal perspective today.

In Croatia, the model of obstetrics-midwifery management of childbirth in maternity hospitals is still in effect, and this is how > 99% of Croatian women give birth. However, in my view, midwives are still not sufficiently educated for completely independent work notwithstanding their university education. The Law on Midwifery defined the role of the midwife in home birth without, however, setting out other organisational-communication and professional provisions.

Lower Uterine Segment Corrugated Sutures in Hemorrhage during Cesarean Section because Previal and/or Placenta Accreta Spectrum: Case Reports Series and Literature Review.

Objectives: We present the original technique of compression hemostatic sutures on the lower uterine segment due to early postpartum hemorrhage during cesarean section, with a literature review.

Methods: A retrospective clinical case study was conducted at the tertiary perinatal center. Twelve patients had nine planned and three urgent cesarean sections due to antenatally verified placenta previa and/or placenta accreta spectrum and defined early postpartum hemorrhage > 1000 mL during cesarean section.

Reverse case in child sexual abuse.

Child sexual abuse is a public health and medico-legal problem in developed and developing countries. Prompted by rare presentations of cases from this issue that change the course and outcome of events, we present the completed criminal-medico-legislative procedure as a contribution to the dynamics of the investigative process from my own many years of forensic practice. Two preschool teachers of late reproductive age from a home for neglected children reported to the State Attorney's Office a former ward of the home, now an older minor, and an auxiliary employee of the same home, for having sexual relations with a two-year-old girl.

Internal manual rotation in intrapartal arrest of fetal head engagement.

Objective: The success of internal manual or digital rotation of the head in mechanical dystocia due to malpresentation, malposition or malrotation is presented in this paper on our own clinical material with reference of today's research and clinical recommendations.

Study Design: Through a retrospective bicentric clinical study, we investigated the success of internal head rotation in two University Clinics for gynecology and obstetrics from year 2017 to 2023. In 152 singleton term (37-42 weeks) in cases of persistens intrapartum arrest of the fetal head.

Women's sexual abuse: forensic-gynecologic expertise experiences.

Purpose: Women sexual violence as a gynecological, social-criminological and gynecological problem has no declining trend in developing and developed countries, including in Croatia.

Methods: From my own 23-year forensic-gynecological expertises practice, along with the results of legally completed examples of sexual abuses, as a contribution to this problem, which is also read from other works.

Results: Of the cases of sexual abuses (n = 31) with a median age of 37 years, gynecological-forensic expertise proved and confirmed 67.

Obstetrics Anamnesis of the Empress Maria Theresia.

Background: The peculiar reigning and private life of Maria Theresa in the tumultuous time of continuous wars in the then Europe was interwoven with her predominant maternal/obstetric history, as presented below.

Objective: All the sixteen pregnancies of Empress Maria Theresa ended in spontaneous vaginal deliveries at term, with no information on pregnancies ended in spontaneous abortion or preterm delivery.

Methods: Medicohystorical review of the obstetrical anamnesis of Empress Maria Theresia.

Development and validation of the food allergy severity score.

Background: The heterogeneity and lack of validation of existing severity scores for food allergic reactions limit standardization of case management and research advances. We aimed to develop and validate a severity score for food allergic reactions.

Methods: Following a multidisciplinary experts consensus, it was decided to develop a food allergy severity score (FASS) with ordinal (oFASS) and numerical (nFASS) formats.

Forensic expertise in obstetrics and gynecology - Forensic expert experience.

Objective: Obstetric-gynecologic forensic is based on the principles of the good clinical practice, analysis of clinical risk factors, organization and communication, and ethical-deontological principles.

Study Design: In retrospective study, we analyzed our own Croatian and international completed forensic cases in the field of obstetrics and gynecology collected during 2000-2020.

Results: During the study period, 322 forensic obstetric-gynecologic expertise/opinions were performed, including 283 cases from clinical obstetric-gynecologic forensics and 39 interdisciplinary criminal law cases of sexual abuse.

Resonant Dynamics of Grounded Cognition: Explanation of Behavioral and Neuroimaging Data Using the ART Neural Network.

Research on grounded cognition suggests that the processing of a word or concept reactivates the perceptual representations that are associated with the referent object. The objective of this work is to demonstrate how behavioral and functional neuroimaging data on grounded cognition can be understood as different manifestations of the same cortical circuit designed to achieve stable category learning, as proposed by the adaptive resonance theory (ART). We showed that the ART neural network provides a mechanistic explanation of why reaction times in behavioral studies depend on the expectation or attentional priming created by the word meaning (Richter and Zwaan, 2009).