[The condition of premature newborns of patients hospitalized due to premature rupture of fetal membranes (PROM)]. / Stan urodzeniowy noworodków urodzonych przedwczesnie przez pacjentki hospitalizowane z powodu przedwczesnego pekniecie pecherza plodowego (PROM).

OBJECTIVES OF THE STUDY: The aim of the study was to compare the premature newborns' condition of patients hospitalized due to PROM with the group of premature newborns of patients with amniorrhexis at the time of labor. MATERIAL AND METHODS: The studied group consisted of 74 newborns of 70 gravidas hospitalized in the Department of Pathological Pregnancy and the control group of 77 newborns of 70 patients. On analysing the investigated materials special attention was paid to: the time of PROM, the time and the way of pregnancy, the age of the, obstetrical history, the symptoms of intrauterine infection. In assessment of the newborns' condition the following factors were taken into consideration: characteristics of infection, Apgar scores, birth weight, respiratory disorders and other newborns' diseases. RESULTS: Theoretic risk of sepsis was higher in study than in control group (p = 0.00). The sepsis occurrence was comparable in both groups (7 vs 8). The infection occurred more frequently in study group. CONCLUSIONS: 1. The newborn condition depends on the week of pregnancy termination, with better prognosis for longer pregnancies and with no differences between both groups 2. In spite of statistically important risk of sepsis occurrence in study group, the real occurrence was comparable in both groups 3. There is a statistically important difference between CRP and 5' Apgar score in study group. 4. Percentiles of birthweight and birthlength appropriate for gestational age were comparable between both groups.

[Analysis of pregnancy course and delivery in girls below 19 years of age]. / Analiza przebiegu ciazy i sposobu ukonczenia porodu u dziewczat ponizej 19. roku zycia.

Courses of pregnancy and ways of delivery in 216 girls below 19 years of age, who delivered between 1991-1997 were analyzed. Control group consisted 216 women aged 22-28, who delivered in the same period. Among the women delivering below 19 years of age, complications of pregnancy appeared more rarely than in control group. In comparison to older patients the preterm delivery was more often in study group.

[Analysis of pregnancy and delivery ways in nulliparous women over 30 years old]. / Analiza przebiegu ciazy i sposobu ukonczenia porodu u pierworódek powyzej 30. roku zycia.

Courses of pregnancy and ways of delivery of 274 nulliparous women aged over 30, who delivered between 1992 and 1998 were analyzed. Control group consisted of 274 nulliparous women aged 22-27, who delivered in the same period. Among the women delivering over 30, premature labours, medical disorders during pregnancy and deliveries by cesarean sections were noticeable more frequent.

[Ways of delivery after cesarean section]. / Sposób ukonczenia ciazy i porodu po przebytym cieciu cesarskim.

OBJECTIVE: To analyse deliveries after a previous cesarean section. STUDY DESIGN: The way of birth of 262 patients between 1993-1995 in the Ist Department of Obstetrics and Gynaecology of Warsaw University Hospital was analysed. Material was divided into two groups: an elective cesarean section operation was performed on 117 women, while 145 women underwent a trial of labour. RESULTS: The most common indications for an elective cesarean section were fetal distress and maternal diseases. A trial of vaginal delivery was successful in 55.2%. The repeated operation was performed on 44.8% of women. The most frequent indication for a cesarean section during a trial of labour was failure to progress. CONCLUSIONS: Women after a previous cesarean section, who underwent a trial of labour delivered vaginally in 55.2%-30.5% of all the patients in the analysed material. The indications for the repeated operation were the same as for the first one in 27% of the cases.

[Evaluation of the value of cytological examination of group III, IV or V by comparison of histological examination results]. / Ocena wartosci badania cytologicznego grupy III, IV i V przez porównanie z wynikami badania histologicznego.

The agreement was studied of cytological examination of group III, IV, and V with the results of histopathological examination. The material consisted of 289 female patients who were referred to the department with the results of examinations carried out in cytological counselling centres outside the department. The attention was paid to age and obstetric history of the patients. The agreement of results was found in half the total number of cases. In 43.5% cytological evaluation was falsely positive, and in 7% falsely negative. The greatest variety of disease progression was found in the III cytological group.

[Simultaneous ectopic and intrauterine pregnancy]. / Ciaza wewnatrzmaciczna wspólistniejaca z ektopowa.

The case simultaneous intrauterine and ectopic pregnancy was presented. The patient was admitted to the clinic, because of abdominal pain and vaginal bleeding. The curettage was performed and the trophoblastic tissue was removed. Five days later she was operated because of the rupture of the tube caused by ectopic pregnancy. The diagnosis was confirmed by histopathological examination.