[The role of early diagnosis of gestational diabetes mellitus]. / Rola wczesnej diagnostyki cukrzycy ciezarnych.

The study aimed to assess fetal outcome in gestational diabetic women and necessity of making screening test in these cases. 94 consecutive women with gestational diabetes mellitus (GDM) made up a study group. All women had been taken care of Perinatology and Gynecology Department of Silesian Medical Academy in period 2002-2003. The study group patients were divided into subgroups. The first group (n = 32) young women, in the second group (n = 62) patients over 30 years old. The following parameters were analyzed: obesity, hypertension, glucosuria, family history of diabetes mellitus, past obstetric history (pregnancy complications, abortions, dead infants and infants over 4000 g). Early glucose tolerance screening during first clinic visit could prevent some diabetes-related complications in GDM among women with risk factors.

[Prevention of iron deficiency anemia--influence on the course of pregnancy, delivery and the infant's status]. / Wplyw profilaktyki niedokrwistosci z niedoboru zelaza na przebieg ciazy, porodu oraz stan pourodzeniowy noworodka.

BACKGROUND: Iron deficiency is probably the most common nutritional disturbance in the world. At the highest risk, irrespective of economical status, are women at the reproductive age--especially those who are pregnant. Retrospective analysis of a course of gestation, delivery and the infant's status depending on mothers' iron supplementation during pregnancy. Medical notes of healthy 860 pregnant women hospitalized at term in the Clinic of Perinatology and Gynaecology, Zabrze, Poland were analyzed. Patients were divided into two categories: Group I (n = 610) were those having iron subjunction and Group II (n = 250) those who did not. Mean gestational age at the delivery was significantly lower in those without the prophylaxis. These patients had significantly higher rate of preterm deliveries and caesarean sections. Macroscopic abnormalities of the afterbirth were commoner in this group as were bleeding during III labour stage and indications for postpartum curettage. insignificantly lower mean birth weight and 1st/5th minute Apgar scores had children born to women without supplementation. Routine iron supplementation in women with initially normal haemoglobin levels seems to be a safe strategy for preventing perinatal complications.

[Rare case of a malignant brain neoplasm in an 18-years old pregnant woman]. / Rzadki przypadek nowotworu zlosliwego mózgu u 18-letniej ciezarnej.

Authors presented rare case of anaplastic ependymoma diagnosed in the first trimester of pregnancy 18-years of age patient. Main symptoms of increased intracranial pressure and cerebral edema were vomits, severe headache and apathy. In the sixteen week of pregnancy performed craniotomy and evacuated malignant tumor of region IV ventricle trunk of the brain. Follow during pregnancy made brachytherapy (LDR). Cesarean section performed in the 30th week of pregnancy. Then indispensable radical radiotherapy was continued.