[The role of physiotherapy in selected gynecological disorders]. / Znaczenie zabiegów z zakresu fizjoterapii w wybranych schorzeniach ginekologicznych.

Physical training is a method supporting pharmacological and surgical treatment by shortening the time of recovery and effectiveness of the entire treatment. Many kinds of such methods, despite their availability remain unpopular and unused. The aim of the following study was to present possibilities of aiding the processes of curing by means of new physical methods. Guidelines for the treatment of adnexitis and rehabilitation after operative treatment were presented.

[Increase of body mass and risk of hypertension in pregnancy]. / Przyrost masy ciala a zagroienie wystapieniem nadcisnienia w ciazy.

UNLABELLED: Hypertension in pregnancy is one of the reasons of high rate of perinatal risk. In case of women with high BMI, the rate of hypertension is higher than in pregnant women with normal BMI. The etiology and the role of the environmental factors remain unknown. AIM: The main aim of the study was to assess the influence of high BMI before pregnancy on the risk of hypertension in pregnancy and body mass gain in pregnancy and the frequency of hypertension. MATERIAL AND METHODS: The study was conducted in 2005-2007 in 126 women treated in High Risk Pregnancy Medical University Lodz. The study group consisted of 33 pregnant women with hypertension and normal weight and 35 hypertensive obese women. Control groups constituted 27 pregnant normal weight and normotensive women and 31 obese normotensive pregnant women. Pregnancy body mass index, body mass gain in pregnancy and frequency of hypertension were estimated. RESULTS: Mean value of BMI before pregnancy and in III trimester of pregnancy in pregnant women with normal BMI did not differ in study and control group. In pregnant obese women the rate of hypertension was higher in case of higher BMI. The body mass gain during pregnancy in normal weight women is higher in the group where hypertension occurs, if compared with normotensive women. CONCLUSION: The risk factor of hypertension for normal weight women is a high body mass gain during pregnancy. In obese women the risk of hypertension in pregnancy is high but not correlated with body mass gain during pregnancy.

[Chlamydia trachomatis infection and bacterial analysis in pregnant women in II and III trimester of pregnancy]. / Ocena obecnosci zakazenia Chlamydia trachomatis oraz ocena flory bakteryjnej u kobiet ciezarnych w II i III trymestrze ciazy.

UNLABELLED: Chlamydia trachomatis (CT) infection during pregnancy might be the reason of an increased risk of preterm delivery and premature rupture of membranes. CT could also be responsible for the presence of intrauterine growth restriction, chorionamnionitis and post partum endometritis. It is the most common sexually transmitted disease. The infection may be the reason for PID and consequently even sterility. CT infection could be asymptomatic and the most frequently seen symptom is cervicitis in Pap smears. AIM: The main aim of the study was to estimate the frequency of CT infection in pregnant women, the presence of inflammatory symptoms in Pap-smears, abnormal bacterial status of the vagina and the risk of preterm delivery. MATERIAL AND METHODS: The study was conducted between the years 2005 and 2007 on hospitalized women in The Clinic of High Risk Pregnancy. The first group consisted of 200 pregnant women in II trimester and the second of 200 pregnant women in III trimester of pregnancy. In case of each patient the indication for hospitalization was as increased risk of preterm delivery. The Pap-smears, bacterial smear and immunochromatographic test for CT were done on the first day of the treatment from the border line of the cervical epithelium. The immunochromatographic method, despite its low specificity, lower than PCR (polymerase chain reaction), is useful because of low costs, simplicity of the method and ease of the diagnosis. In case of positive immunochromatographic Ct test, PCR CT analysis should be conducted to make sure the diagnosis is correct. The Pap-smear result suggesting inflammatory process of dysplastic changes was the reason for local antibacterial treatment after which a control smear was done. Bacterial analysis done from external ostium showed patogenic and cohabitants bacteria and resistance to antibiotics. The written consent for the study was obtained. RESULTS: In the group of pregnant women there were no pathological-alert bacteria smears. In the second group the alert bacteria was found in 3 cases (1.5). In 32% of the first group in 27% of cases inflammatory changes in Pap-smears were found. No positive result of CT was found in either of the groups. The symptoms of preterm delivery were found in 78% members of the first group and in 84% cases of the second group. Preterm delivery occurred in 4 cases in the first group (2%) and 6 cases in the second group (3%). CONCLUSIONS: 1. In analyzed groups of pregnant women the CT infection was excluded. 2. The inflammatory symptoms on uterine cervix were not connected with CT infection.

[Cervical dysplasia and cervical carcinoma in pregnant women]. / Dysplazja i rak szyjki macicy u ci zarnych z kliniki patologii ciazy i katedry ginekologii i poloznictwa uniwersytetu medycznego w lodzi.

UNLABELLED: Cytological and histopathological examinations performed in pregnant women allow quick for diagnosis of these pathological states. MATERIAL AND METHODS: 35 pregnant women with cervical dysplasia or carcinoma treated in Department of High Risk Pregnancy from 1996 to 2001 were included in the study. Diagnosis was based on the cytological and histological tests. RESULTS: We observed 10 cases of low-grade dysplasia and 8 cases of medium grade dysplasia. Both groups were qualified for vaginal delivery and treatment was started after delivery. In 12 pregnant women high-grade dysplasia was diagnosed (in 6 of them cervical conization between 16 and 26 week of pregnancy was performed). In 5 women cervical carcinoma in pregnancy was diagnosed. In 3 of them we performed cesarean section with radical operation between 34 and 40 week of gestation. CONCLUSION: Cytological and histological examination in pregnant women with cervical abnormalities should be obligatory because of high rate of dysplasia and cancer in pregnant women.