[Modern diagnosis and prognosis in isoimmunization in the Rh system]. / Savremena dijagnoza i prognoza izoimunizacije u Rh sistemu.

A total of 118 Rh isoimmunized pregnant women were discovered from 1972 to 1981. In diagnosing the disorder, the author draws attention to the examination of bilirubin in the amnionic fluid as the most reliable indicator, to which the dosing of measurable antibodies and echography are, in his opinion, a precious contribution. The administration of corticosteroids, antihistaminics, capillary protectors, and sedatives proved unreliable. A premature delivery was induced in 79 cases, after the assessment of the fetus maturity. The pregnancy was terminated vaginally in 60 and by cesarean section in 19 cases. Twenty-two near-term children ere delivered without major problems. Failure was recorded in 31 (26.3%) cases: 17 deaths in the uterus and 14 deaths of newborns immediately after birth. Out of 87 surviving children, 36 received exsanguinotransfusion 1-4 times.

[Determination of the mean pH of fetal blood during the pushing phase of labor]. / Odredivanje prostog pH fetalne krvi u porodaju u fazi istiskivanja.

The pH of the fetus and mother in the phase of pressing in 100 normal deliveries, which served as the control group, was analysed. An average decrease of the pH by 0.07 in both the fetus and the mother was recorded, starting from the full opening of the cervix until the termination of labour. This result is evaluated by the determination of the pH in 121 cases of disturbed pregnancies, singling out 9.9% of fetus in preacidosis and 11.6% of fetus in acidosis, which is significantly higher than in the control group. It is pointed out that the detection of acute fetal suffering in labour should not be limited to the time of opening only but that it should be carried out also in the phase of pressing.