[The significance breast feeding on the course of the adaptation period in neonates from multiple pregnancies]. / Znaczenie karmienia naturalnego dla przebiegu okresu adaptacji noworodków pochodzacych z ciaz mnogich.

Neonates from multiple pregnancies were evaluated taking into account their condition in the 1st and 5th minutes after birth, their birth weight, time which they spent in the neonatal department and occurrence of complications during the adaptation period, such as respiratory insufficiency, intrauterine infection and hyperbilirubinaemia. On the basis of our research, we think that multiple pregnancy requires particular diagnostics and individualisation of prenatal care. We believe also that neonates from such pregnancies are particularly exposed to development of a severe form of diverse complications. In our investigations, we observed a beneficial influence of breast-feeding--from the first hours of life--on the course of adaptation of neonates. However, we think that confirmation of these findings requires more detailed investigations.

[Results of six-years-term perinatal care of diabetic woman in Silesia district]. / Wyniki szescioletniej opieki perinatalnej nad ciezarna z cukrzyca w makroregionie slaskim.

Authors had retrospectively analyzed basic exponents of perinatal care of 256 pregnant diabetic woman in years 1993-1998 hospitalized and delivered in Clinic of Obstetrics and Gynaecology in the town of Bytom. Our results were very similar to the other of Referent Centres Of Technical Methods Bank Used in Diagnostic and Therapy of Diabetes: cesarean sections percentage 51.56%, 4.7% of undelivered pregnancies, 2.34% of new-born delivered with multiple congenital defaults, 17.2% of macrosomies and 39.8% pre-term deliveries were noted. Disadvantage perinatal effects in diabetic women might be reduced by very early diagnosis of diabetic and intensive biophysical and biochemical fetal care, which is strongly suggests by the authors.

[Analysis of indications for cesarean section in pregnancy complicated by diabetes mellitus]. / Analiza wskazan do ciecia cesarskiego w ciazy powiklanej cukrzyca.

The authors analysed a way of pregnancy ending and indications to cesarean section in group 256 diabetic pregnant women. We estimated that percentage for cesarean sections was 51.56%. We noticed downward tendency of elective indications to cesarean section (the most common was gestosis) and upward tendency of intrapartum indications (the most common was fetal distress syndrome). The percentage of cesarean sections in diabetic pregnant women group in our study is similar to results from the other centres.

[Complications of the adaptation period of newborns born to diabetic mothers in years 1993-1998]. / Wystepowanie powiklan w okresie adaptacji u noworodków matek chorych na cukrzyce urodzonych w latach 1993-1998.

Diabetic fetopathy is a complex the pathophysiology of which is not all that clear and that is why all neonates whose mothers develop diabetes demand, regardless of their body weight, from the first hours of their live an intensive neonatal care. In the period from 1993 to 1998 in the Chair of Obstetrics and Gynaecology in Bytom 237 babies were born in whom, in the first day of their live, clinical and biochemical screening was carried out in order to determine degree of diabetic fetopathy progression. Summary results of six years care of newborns, born by diabetic mothers. The following parameters were measured: morphometric parameters, course and complications of adaptation processes.

[Results of five year care of newborns born from diabetic mothers]. / Wyniki piecioletniej opieki nad noworodkiem matki chorej na cukrzyce.

Diabetic fetopathy is a complex the pathophysiology of which is not all that clear and that is why all neonates whose mothers develop diabetes demand--regardless of their body weight--from the first hours of their live an intensive neonatal care. In the period from 1993 to 1997 in the Chair I of the Hospital of Obstetrics and Gynaecology in Bytom 191 babies were born in whom--in the first day of their live clinical and biochemical screening was carried out in order to determine degree of diabetic fetopathy progression. Summary results of five years care of newborn, born by diabetic mothers. The following parameter were measured: morphometric parameters, the course of adaptation processes, congenital defect occurrence, morbidity and motility in this group of newborn.