[Pre-eclampsia--the delivery and outcome for newborn infants]. / Preeklampsiia--razhdane i izkhod za novorodenite.

In the present research 50 patients have been examined having average and heavy form of preeclampsia who have entered and have been treated at the university hospital. The percentage of the Caesarean sections for the heavy forms is 72% while for the average forms it is 63%. The impression is that the heavier the preeclampsia is the more often operative delivery is practiced. On the other hand the heavier the preeclampsia is the quicker the delivery completes: approximately 50% of the heavy forms end with operative delivery up to the 32 gestational weeks while for the average forms the percentage is 6.6%. The birth information is compared to the values of Apgar score on the 1st and 5th minutes for the newborn and their outcome in the neonatal period. The general conclusion which is done concerns the optimal gestational time limit for birth in these cases in order to successful outcome for the newborn.

[The early breast feeding of newborn infants]. / Ranno zakurmiane pri novorodenite.

Breast feeding was started at the age of 2 hours after birth, immediately after mother and baby were transported to the clinic for healthy term newborns. Our aim was to investigate the influence of the early start of breast feeding on the development of the newborns and on their mothers, as well as to compare the results with those, obtained when breast feeding had begun on the 6-th hour after birth. The results from our work show that the earlier the beginning of breast feeding, the earlier and the more effective the consolidation of the process. The physiological loss of weight with these babies shows a smaller percentage. The level of blood sugar varies in the normal limits. So far as mothers are concerned, the early beginning of breast feeding has a good impact on their after-birth period and helps the earlier initiation of the secretion of breast milk.

[The diagnosis and treatment of lung barotrauma in newborn infants at risk]. / Diagnostika i lechenie na belodrobnite barotravmi pri riskovi novorodeni detsa.

Lung barotrauma (LBT) are some of the most frequent complications in the course of mechanical ventilation (MV) in risk newborn infants. The interstitial emphysema among them is the most frequent cause for development of chronic hung diseases, but the pneumothorax induces shock state, connected with high mortality. A retrospective analysis of the histories of the disease was carried out on 18 risk newborn infants with clinical and roentgenological data for pneumothorax. Blood gases and acid-base balance were examined before the incident as well as at definite intervals after drainage of extra-alveolar air. There were considerable deviations. The results indicate considerably better prognosis of the disease, when the drainage is put immediately after establishment of the clinical diagnosis. Mortality is high, when the drainage of pneumothorax is put after the first hour.