[Short-term and long-term fetal heart rate variability after amnioinfusion treatment of oligohydramnios complicated pregnancy]. / Zmiennosc krótkoterminowa i dlugoterminowa czestosci akcji serca plodu po leczeniu amnioinfuzja ciazy powiklanej malowodziem.

Results of computerised analysis of cardiotocograms obtained in the group of 21 pregnancies complicated by idiopathic oligohydramnios are presented in the study. Amnioinfusion procedures were administered serially in local anesthesia with ultrasound and colour Doppler control on the base of oligohydramnios criteria by Phelan. The analysis was based on KOMPOR software created by ITAM Zabrze based on PC computer connected to Hewlett-Packard Series 50A cardiotocograph. Significant short-term variability increase just after amnioinfusion procedure from 5.55 ms to 8.24 ms and after 24 hours up to 7.25 ms was found, while significant long-term variability values changes were not observed.

[Continuous amnioinfusion in premature rupture of membranes]. / Zastosowanie amnioinfuzji ciaglej po przedwczesnym odplynieciu plynu owodniowego.

Results of premature rupture of membranes treatment including administration of continuous amnioinfusion procedure using amniotal catheter in 18 pregnancies between 23 and 28 weeks of gestation are presented in the study. Only a few early treatment complications and high rate of clinical success in the aspect of fetal surveillance were found. Clinical evidence of intra-amniotal infection after 2-6 weeks of therapy had become cesarean section cause in most cases of the study group. Authors have observed 17 live birth (one case of placental ablation excluded) with birth weight in the range of 950-2210 g (1540 +/- 230 g) with Apgar score 5-7. In the early neonatal period 7 cases of intensive care and 2 neonatal deaths were found.

[Usefulness of the pulse oximetry in diagnosis of fetal distress during labor]. / Przydatnosc pulsoksymetrii plodowej w diagnostyce niedotlenienia plodu.

We report the computer control system of simultaneous monitoring of cardiotocography and pulse oximetry during labour. Five of twenty five patients have abnormal CTG results with oxygen saturation over 30%. In the three subjects severe late decelerations were related with decrease of saturation to 20%. Mean SaO2 measurements ranged from 62% at the early stage of labour to 45% in the second stage. We conclude that fetal pulse oximetry plays important complementary role among methods of intrapartum monitoring and it will be used in every case with suspicious or pathological CTGm.