[Correlation between oncologically suspicious cytologic smears and colposcopic images of the uterine cervix and results of histopathologic examination taken from material provided by the Gynecology Department of the Pruszkow Municipal Hospital from 1995 to 1997]. / Korelacja podejrzanych onkologicznie wymazów cytologicznych i obrazów kolposkopowych szyjki macicy z wynikami badan histopatologicznych w materiale oddzialu ginekologiczno-polozniczego szpitala miejskiego w pruszkowie w latach 1995-1997.

The objective of the paper was an evaluation of relationship between oncologically suspicious cytologic smear and colposcopic images, and the results of histopathological examination of samples collected from the vaginal portion of uterine cervix and from cervical canal scrapings. The material consisted of 60 patients with cytologic group 3 and 13 patients with group 4 and 5 according to Papanicolaou, who had been selected during a two-year preventive examination period. Cytologic group 3 patients (group 1) were subjected to cytological assessment and colposcopic examination again in order to determine further diagnostic indications. Cytologic group 4 and 5 women (group 2) were collected samples from the vaginal portion of uterine cervix under colposcopic supervision, without waiting for the result of cytologic re-assessment. All these patients were also collected samples from the vaginal portion of uterine cervix. In patients of cytologic group 3 the cytologic and colposcopic examination results were found to be compatible with histopathologic examination results in 53.3% cases. In patients of cytologic group 4 or 5 this factor was established at 92.3%.

[Diagnostic methods for finding causes of infertility, results of HSG examination and laparoscopy in infertile women examined at the gynecologic ward of the city hospital]. / Metody diagnostyczne w dochodzeniu do przyczyn nieplodnosci, wyniki badan HSG i laparoskopii u nieplodnych pacjentek badanych w oddziale ginekologicznym szpitala miejskiego.

The paper presents diagnostic methods employed at the Gynaecological Ward of the City Hospital in Pruszków and the results of HSG and laparoscopy examination, with special attention being drawn to the usefulness of these methods in finding out the causes of infertility. 51 patients with primary and second infertility were examined. HSG and laparoscopy make it possible to diagnose correctly the cause of infertility. They also enable adequate and early classification of patients for further diagnosis and treatment at highly specialized centres dealing with the problems of infertility.

[Problems with pregnancy, delivery and puerperium in teenage girls hospitalized in a city hospital]. / Problemy ciazy, porodu i pologu u mlodocianych pacjentek hospitalizowanych w szpitalu miejskim.

At the paper the problems of girls hospitalized at the Gynaecological and Obstetrician ward of the hospital situated on the border of city agglomeration were described. The data regards as pregnancy, delivery and puerperium and they were collected in last two years.

PIP: In the gynecological-obstetrical municipal hospital of Pruszkowie, there were a total of 38 pregnant women admitted under the age of 17 from January, 1990, to June, 1992, for abortion, pregnancy complications, and delivery. The deliveries to those under 17 represented 1.2% of the total of 2693 births during 1990-92. The youngest was 15 years old. 60% were students, and the rest did not work or study. 63% were not married. 74% were supported by their parents. 32 patients were admitted for delivery, 4 for abortion, and 2 for pregnancy complications. 28 had their first pregnancy, 2 had induced abortion, and 2 were multiparous. The following pregnancy complications appeared: in 13.17%, anemia (treated with drugs and in one case with blood transfusions; in 10.5%, infection of urinary tract; in 3%, gestosis in the preliminary stage; in 3%, insufficiency of the cervical canal; in 16%, premature birth (60% of which was caused by the premature rupture of amniotic fluid, with 40% having contractions that could not be halted by tocolytic drugs). Two patients were hospitalized in the pathology department on account of threatening premature birth and anemia. They were treated and released home with recommended further out-patient care. In 88% of women giving birth at term genuine contractions appeared, and in the rest of the cases birth was induced by oxytocin infusion. The average duration of birth was 5 hours and 48 minutes. The longest labor lasted 10 hours and 40 minutes, the shortest one 3 hours and 5 minutes. In 9.3% of deliveries, cesarean section was performed because of threat of miscarriage in one case and the position of the pelvis in two cases. During puerperium in 15.6% of patients, slow inversion of the uterus was observed, which necessitated the administration of spasmolytic drugs. In one case there was an inflammation of the uterine muscle. The 80% rate of premature births among those not having received prenatal care had to do with their low socioeconomic status in an urban environment and consequent inferior public health care.