[Neonatal birth trauma in relation to the means of delivery]. / Rodov travmatizum na novorodenoto v zavisimost ot nachina na rodorazreshenie.

The frequency of birth trauma has fallen considerably in recent years. This decline reflects in particular a greater tendency to perform a caesarean section when difficulties of delivery would appear. Birth trauma often causes not only early, but late and continuous illness in neonates. For this reason it is an important problem in neonatal practice. 1791 newborn have been investigated: 1515 (84.5%) by vaginal delivery, 177 (9.8%) by caesarean section, 38 (2.1%) by forceps, 18 (1.01%) by vacuum extraction and 43 (2.4%) by pelvic presentation. The results show the frequency of birth trauma (5.5%) and asphyxia (5.9%) by vaginal delivery and by operative methods (19.8%--S.C., 60.5%--F., 88.8%--V.E.) and their dependence on some factors: induction or stimulation of labor, meconium stained amniotic fluid, prolonged or extremely rapid labor.

[The biochemical changes in overweight pregnant women during the pregnancy]. / Biokhimichni promeni pri bremenni s nadnormeno teglo po vreme na bremennostta.

The degree of weight gain during pregnancy as a risk factor for a mother and her newborn is a disputable problem. Most of the studies have shown, that maternal overweight gain has a bad effect on labor delivery outcome. The present study included 108 pregnant women, subdivided into three groups, according to weight gain during pregnancy: Group I(32) - < 12 kg, Group II(42) - 12 < - < 20 kg. Group III(34) - > 20 kg. The patients were estimated according to their age, parity, pregnancy induced hypertension and mode of delivery. The authors investigated biochemical indicators of protein, lipid and electrolyte balance. The results illustrate the influence of prenatal overweight gain on the pregnancy complication, mode of delivery and some biochemical changes.