[A clinical analysis of fetoplacental blood flow in prognosis of fetal emergency in pregnancies complicated by hypertension]. / Kliniczna ocena jakosci przeplywu plodowo-lozyskowego w prognozowaniu zagrozenia plodu w ciazach powiklanych nadcisnieniem tetniczym.

DESIGN: The aim of our study was a clinical analysis of fetoplacental blood flow in prevision of fetal hypoxia in pregnancy complicated by a hypertension. MATERIALS AND METHODS: Between 1995-1997 105 pregnant women delivered in 2nd Dept. Of Gynecology and Obstetrics Medical University of Gdansk. They were divided into two groups: 53 patients with hypertension and control group of 52 pregnant women. In all cases a doppler umbilical blood flow was estimated using 5 MHz Convex sounder. RESULTS: In a group of pregnant women with hypertension abnormal results of doppler fetoplacental blood flow were found. Twice more often a caesarean section was made because of fetal emergency symptoms. CONCLUSIONS: The results of fetoplacental blood flow are one of more important prognostic factors in pregnancies complicated by a hypertension.

[Management of breech delivery and its influence on the newborn]. / Sposób postepowania a stan i losy noworodków z porodów w polozeniumiednicowym plodu.

Authors analyse the newborns general well-being after the breech delivery in the two-years periods in 1983-84 and 1993-94. During this period of time the routine delivery by the caesarean section in primiparas was introduced. The statistically significant improvement in the general state on newborns measured by the Apgar score was observed in primiparas. All other data were comparatively similar.

[Forceps delivery--obstetric indications and outcome]. / Operacja kleszczowa--wskazania i wyniki poloznicze.

Authors analysed 170 forceps delivery in comparison to the control group of normal vaginal delivery. We analysed mothers age, obstetrical history, gestational age and duration of labour as well as traumatization, loss of blood and hospitalisation time. Analysed concerned as well the newborns state in the Apgar score its delivery way and newborn injuries. The most frequent indication for the forceps delivery was the imminent foetal asphyxia. The second stage of delivery lasted significantly longer, the blood lost was greater and the hospitalisation prolonged. Newborns presented poorer after-delivery condition measured in the Apgar score.