[A single dose of antibiotic--as a prophylaxis during cesarean section]. / Pojedyncza dawka antybiotyku--jako profilaktyka przy cieciu cesarskim.

The are shown the expediency of prophylactic antibiotics administration during cesarean section. The investigations contained 32 pregnant women who were given intravenously augmentin in dose of 1.2 g. The control group was made from 31 pregnant women who do not received antibiotic. In both group cesarean section was performed after the rupture of membrane. It was confirmed that the body temperature over 38 degrees C appear in 6.2% among pregnant women who received antibiotic but in control group in 22.6%, the endometritis appeared in 12.9% in control group, urinary tract infection in both group appear in two causes. The second healing of the abdominal wound in control group was 3.2%. The hospitalization of patients with antibiotic therapy was shorten over two days in comparison with control group. The new born condition after delivery is evaluated according to Apgar score-in both group was similar.

[The effect of meteorologic conditions on uterine contraction activity in patients with full-term pregnancy]. / Wplyw warunków meteorologicznych na czynnosc skurczowa macicy u pacjentek z ciaza donoszona.

In 2892 cases with full-term pregnancy the influence of atmospheric conditions, such as pressure, temperature, speed of wind, humidity, circadian rise of pressure and temperature were analysed. During acute changes of temperature, pressure and humidity the beginning of delivery might be expected in 2 to 6 days.

[Pregnancy and labor in multiparae]. / Ciaza i poród u licznej wieloródki.

The course of pregnancy, labour and puerperium was analysed in 53 women in labour for the fifth time or more. It was found that many multiparae came from the lowest socioeconomic class and only rarely visited maternity clinics, as compared to the control group of 96 primigravidae and primiparae. They had more frequently earlier termination of pregnancy, premature rupture of membranes, and after labour incomplete placental expulsion and urinary tract infections were more frequent in them. The newborns in this group were more often stillborn or had low Apgar score.

[Liver function disorders and blood coagulation disorders in the course of EPH gestosis]. / Zaburzenia czynnosci watroby i ukladu krzepniecia krwi w przebiegu gestozy EPH.

Three cases of EPH-gestosis complicated with liver function and blood coagulation disorders (HELLP syndrome) are presented. The most frequent diagnostic errors and subsequent risk for both mother and fetus have also been discussed. Basing on the available literature, the safest management of pregnancy and delivery is critically assessed.

[Pregnancy and labor after artificial abortion]. / Ciaza i poród po przebytym poronieniu sztucznym.

The course of pregnancy, labour and puerperium was analysed in 170 women in labour after previous artificially interrupted pregnancy. They were compared with a group of 96 women in first labour. The women in labour after artificial abortion were older, had during pregnancy more frequently bleeding, gestosis, urinary tract infection. Labour, especially the stages of fetus expulsion and placenta expulsion lasted longer, and blood loss was greater. Postnatal complications were more frequent. No significant differences in the condition of the newborn were noted.

[Neonatal blood aldosterone]. / Aldosteronemia noworodka.

Postnatal aldosterone levels have been studied in 13 newborns from birth to the end of the 3rd day of life. The examinations were performed in children in whom blood samples were collected frequently for the clinical reasons (mostly because of suspected serologic incompatibility). Aldosterone level was measured by radioimmunoassay in the mixed cord blood and then at 2, 6, 12, 48, 72 hours after birth. Aldosterone concentration in the cord blood was 0.35 ng/dl and rapidly increased to 0.79 ng/dl during the first two hours after birth. The same value was obtained at the 6th hour of life. The mean aldosterone concentrations were 0.85 ng/dl at the 12th hour, 0.89 ng/dl at the 24th and 48th and 0.85 at the 72nd hour of life. Postnatal variation of aldosterone levels differs from previously investigated variations of glucocorticoids levels.

Congenital malformations and the environment.

The aim of the work was to search for the correlation between the environmental pollution and the ratio of congenital malformations found in the population of 54,493 newborn infants of three Silesian towns: Bielsko-Biala (situated in the mountains, close to a recreation part of the country), Bytom (situated in the center of an old industrial district, where industry is responsible for very high environmental pollution), and Tarnowskie Góry (situated close to vast woodlands, where very high environmental concentration of heavy metals is caused by an outdated, big zinc plant). In spite of big differences of environmental pollution indices between the three towns, the percentage of major congenital malformations diagnosed within the first three days of extrauterine life was almost identical (1.12% in Bielsko-Biala, 1.3% in Bytom, and 1.1% in Tarnowskie Góry).

[Pregnancy and labor after spontaneous and induced abortion]. / Ciaza i poród po przebytym poronieniu samoistnym i sztucznym.

The course of pregnancy, delivery and puerperium has been analysed in 91 women after spontaneous abortion in the past, 170 women after artificial abortion and in 91 women during the first pregnancy. The women after abortion were characterized by the advanced age the more frequent hemorrhage during the pregnancy, the renal failures, the preterm deliveries and the gestoses. After the artificial abortions the deliveries were longer and the blood loss greater. If compare women with the first pregnancy the women after abortion were characterized by more frequent complications during the puerperium. The clinical state of neonates from the group compared showed no significant differences.

PIP: The course of pregnancy, delivery, puerperium and neonatal state was analyzed in 91 women (Group I) after spontaneous abortion of first gravidity of 5-16 weeks duration (concluded by curettage); in 170 women (Group II) after induced abortion of a 5-12 week old pregnancy and in a control group of 96 women (Group III) who had neither induced nor spontaneous abortion. The women in the abortion groups were older: 35.1% and 29.4% were over 25 vs. 19.7% in the control group. hemorrhage during pregnancy was more frequent (17.5% and 20.5% vs. 6.2% in controls) as well as renal disorders (14.2% and 24.4% vs. 2.3% in controls), preterm deliveries (10.9% and 17% vs. 5.2% in controls), and gestoses (18.6% and 30% vs. 8.2% in controls). In the induced abortion group, 15.3% of women had 35-37 week long pregnancies vs. 5.2% in controls. Most terms lasted 38-41 weeks (75.8% and 82.9% in the abortion groups vs. 87.5% in controls). The normal release of amniotic fluid was 14.2% and 24.7% in the abortion groups vs. 22.9% in controls. the deliveries were longer after induced abortions and the blood loss greater (26.9% and 56.4$ lost 251-500 ml blood in the first 2 groups vs. 23.95 of controls, furthermore 18.2% of the induced abortion group lost over 501 ml vs. 2% of controls). When comparing the women's first pregnancy the abortion groups also had more frequent complications during the puerperium (19.7% in Group I had high temperature vs. 7.2% in controls). T clinical state of neonates of the 3 groups compared showed no significant differences.

Antenatal glucocorticoid administration and neonatal glycemia.

In the group of preterm newborns born after a single dose of Celestone chronodose given to the mothers (in order to avoid RDS syndrome) mean glycemia values at the 4th and the 12th hour after birth were not very different from the values observed in preterm newborns whose mothers were not treated with any glucocorticoid. Mean glycemia levels were significantly higher in those newborns who were fed early (within 4 h after birth) and intensively as compared with the babies traditionally not fed within the first 12 h after birth. The suggestions may be drawn out that: (1) A single dose of Celestone chronodose given to the mother 12 h prior to parturition does not influence the glycemia in the newborns. (2) The early introduction of intensive feeding (e.g. according to the scheme proposed by Boehm and Beyreiss) seems to be a good possibility for diminishing the risk of the incidence of hypoglycemia in the newborns.