[Hemorrhages in early postpartum period].

The authors report three cases with postpartum hemorrhage in the immediate puerperium and their management.

[Induction of labor with misoprostol--vaginal administration].

The authors induct the labor of 88 pregnant women by Misoprostol /Cytotec/ tablette 50 mcgr accepted every four hour per vaginam. The results are the same as/or better/ than the results per os. Our results are in agreement with experimental one of R.-U. Khan et al,. 2004, fig. 1.

[Is it necessary for obstetricians to have their own opinion concerning cesarean delivery in patients with non-obstetric diseases].

The Bulgarian obstetricians always consider the recommendations of their non-obstetrician colleagues when a pregnant woman has a non-obstetrician disease. However the practice in the foreign countries is not the same. The modern obstetrician literature and our own experience tell us that the obstetrician must have his own opinion which might be different from the opinion of the "other" specialists.

[Amniotic embolism--a case in forensic medicine practice and literature review].

The author describes a case of vaginal delivery in which the mother dies. Because of a retained placenta parts in cavum uteri, the physician peroformed revisio cavi uteri instrumentalis, in which wall of the uterus is perforated, about 3 cm in length. A justice commission of seven persons associate the bleeding out of the uterus and the death of the mother with the perforation of the uterus. We consider that the death of the mother is due to amniotic embolism and not due to the perforation of the uterus. We cite contemporary scientific data.

[Prenatal fetal mortality in pregnant women before hospitalization (preliminary report)].

Retrospective research. In the period 01.01.2000 - 30.06.2004, we investigated 49 women, hospitalized in the third trimester with death fetus. We found out that for the specified period, the rate of such women had been increased two times - from 8 women for the whole year 2000 to 9 women for the first half of year 2004. We think a predominant factor for this increase is the suboptimal cares for the pregnant women out of the hospital regimen.

[The place of the planned cesarean section in women with breech presentation].

We studied retrospectively the delivery of 202 pregnant women with foetus in breech presentation. Caesarian deliveries have had 79.2% from primiparas and 31.3% from multiparas. Planned caesarian deliveries have been performed to two thirds (63.7%) from the primiparas (n = 135). In the context of cotemporary literature and practice we consider, that we do not make enough "trial of vaginal labour" for women with breech presentation of the foetus and we think, that caesarian delivery frequency in these cases is too high.

[Myopia and childbirth]. / Miopiia i razhdane.

We made a study of 106 women in childbirth from our hospital with myopia for the period from 2003 to 2003. Vaginal delivery have had 38 and Cesarean delivery 68 (64.2%). Only 18 women have had severe myopia (more than 6 d.), which is equal to 17%. We consider that the myopia is an ungrounded common indication for Caesarian section.

[A complication of amniocentesis during second trimester of pregnancy. Case report]. / Amniotsenteza vuv vtoriia trimestur na bremennostta s predstaven sluchai na uslozhnenie.

From January 2002 up to June 2003 year we performed 19 amniocentesis during second trimester of pregnancy, upon medical indications. There was only one complication--flow out of amniotic fluid after the amniocentesis. We adopted the conservative treatement--bed rest and antibiotics: the flow stopped 18 days after the amniocentesis and te pregnancy reached uncomplicated termin with a healthy newborn.

[Protrusio bulbi--staphyloma corneae et sclerae--method of childbirth (case report)]. / Protrusio bulbi--staphyloma corneae et sclerae--nachin na razhdane (casus).

The authors describe a case of traumatic disorder of the left eye during the childhood--Staphyloma corneae et sclerae (protrusio bulbi). During the present pregnancy the ophtalmologists have recommended caesarian section. The authors have prepared successfully spontaneous vaginal delivery.

[Early oral intake after cesarean section and gynecological operations]. / Ranno zakhranvane per os sled tsezarovo sechenie i ginekologichni operatsii.

The authors present a modern review on the early oral intake after cesarean section and gynecological operations and their own experience with 130 cesarean and 100 gynecological operated women. This is for the first time on our (Bulgarian) practice. Early oral intake was well tolerated by the patients, there were no more postoperative complications associated with the new method of postoperative care. The authors recommended this approach for the clinical practice.

[Large uterine myoma during pregnancy and delivery - choice of management]. / Goliama mioma na matkata prez bremennostta i razhdaneto - izbor na povedenie.

There are scanty of available data about the management of myoma of the uterus during pregnancy and birth. The authors describe two cases of such a pathology--big myoma of the uterus > 10 sm diameter (d.), who were treated conservatively and ended successfully, without serious complications. The pregnant women were done cesarean section and during the operation the myomas were excisiert. There were no complications intra- and postoperationem. The authors suggest that myectomy during pregnancy and cesarean section must not be don routinely.