[Cesarean section and postoperative infectious-inflammatory complications. II. A comparative evaluation of 2 methods for antibiotic prophylaxis in cesarean section]. / Sectio caesarea i sledoperativni infektsiozno-vuzpalitelni uslozhneniia. II. Sravnitelna otsenka na dva metoda na antibiotichna profilaktika [correction of diagnostika] pri sectio caesarea.

The authors compare two methods for antibiotic prophylaxis of infectious-inflammatory complications in cesarean section: 1. Widely distributed mass prophylaxis with penicillin and gentamicin and 2. selective prophylaxis with Azlocillin, performed after determination, of the degree of the risk. 233 cesarean section were included in the study, 122 of which were treated by the first method. 59 out of 11 cesarean sections were evaluated as such with high risk and respectively treated with Azlocillin, but 52 of the women with low risk were not treated with antibiotic. The results show the advantages and economic benefits of the selective antibiotic prophylaxis in cesarean section.

[The importance of the prophylactic use of antibiotics with women undergoing elective cesarean section]. / Za smisula ot profilaktichnoto prilozhenie na antibiotitsi pri zheni, ponesli elektivno tsezarevo sechenie.

Postoperative infectious morbidity was described in two groups of low risk cesarean sections (CS). The frequency of postoperative infectious complications was 6.89% of women, who received penicillin for a period of 3 to 5 days, but 5.67% of women, who did not received antibiotics prophylactically. Data were presented, which showed also the economic insignificance of antibiotic prophylaxis (AP) in women with low risk CS. On the basis of the indicated data an inference was made that AP was of no clinical efficiency in women with low risk cesarean sections. The authors recommend restraint in AP of such women, in whom postoperative infectious inflammatory complications are anyway very rare.

[Cesarean section and postoperative infectious-inflammatory complications. I. A new method for assessing the degree of risk of infectious-inflammatory complications]. / Sectio caesarea i sledoperativni infektsiozno-vuzpalitelni uslozhneniia. I. Nov metod za pretsenka stepenta na riska ot infektsiozno-vuzpalitelni uslozhneniia.

After analysing the present practice and describing their experience in 111 caesarean sections, the authors present a new scoring test for evaluation of the degree of the risk from infectious inflammatory complications after caesarean section and implementation of selective antibiotic prophylaxis in accordance with the evaluation. An attempt is made to classify separate factors according to their significance for development of inflammatory complications during the post partial period. The results, schematized on table 1 and figure 1 in the article, illustrate the practical benefit from the test in the prophylaxis of infectious inflammatory complications after caesarean section.

[The results of ultrasonic study of hemorrhages in the 2d half of pregnancy]. / Rezultati pri ultrazvukovite izsledvaniia pri kruvotecheniia vuv vtorata polovina na bremennostta.

The authors discuss ultrasound studies on bleedings during second half of pregnancy. 92 cases with bleeding during the second half of pregnancy were discovered among 3175 deliveries for the period of 1986-1987 (= 2.9% of successive consecutive deliveries at the obstetric ward of the municipal hospital in the town of Blagoevgrad). The cases are described in accordance with the number of preceding abortions, in accordance with the amount of the bleeding and in accordance with localization of placental site made by ultrasound. The authors make an inference that the formed in our country organization and abundance of ultrasound apparatuses creates conditions for early discovery and hospitalization of women with anomalies of placental site and this is important task for every prenatal clinic.