[Dynamics in the 3d stage of labor observed by ultrasound]. / Dinamika zbivanja u trecem porodajnom dobu pracena ultrazvukom.

In two groups, with 50 pregnant women each, changes in the third stage of labour were followed up by a real-time scanner. In the experimental group the umbilical cord on the mother's side as not tied up, while in the control external uterine wall to the chorionic line in the separated placenta immediately before a cord traction intervention amounted to 5.45 cm, while in the control group, under the same conditions, it amounted to 8.61 cm and was caused by the intensified development of the retroplacental hematoma. The difference was statistically significant (P < 0.001). In the way presented, along with the shortening of the third stage of labour, the authors prevent the development of anemia in parturients.

[Our 1st experience with paracervical analgesia in cerclage of the cervix]. / Nasa prva iskustva s paracervikalnom analgezijom kod serklaze cerviksa.

Cerclage cervicis in paracervical analgesia with lidocaine and diazepam premedication has proved a very simple procedure. It can successfully be applied in pregnancy, without any harm to mother or fetoplacental unit. Out of a total of 50 cerclage cervicis in 48 women (96%) completed their pregnancy successfully. Earlier these women had had 94 pregnancies but with a successful issue only in 31 cases (32.97%). These results, supported by data on the decreased perinatal mortality from 232.5% to 40%, also fully justify the use of paracervical analgesia by lidocaine.

[A technic of cord traction in the third state of labor]. / Prilog tehnici povlacenja posteljice za pupkovinu u trecem porodajnom razdoblju.

The authors draw attention to certain complications and the retention of amnionic membranes in the uterus during the classical cord traction in delivery. They propose a modified way of the traction of the untied umbilical cord by moving the cord and the uterus to the left and right in addition to the dorsal, horizontal, and somewhat vertical cord raction, and continuing doing so until the delivery of the placenta at the vulva. The number of complications with this way of conduction delivery is significantly lower, on the P 0.001 level. No retention of amnionic membranes has been observed.