[Analysis of breech deliveries from the Clinic of Obstetrics and Gynecology, National Institute for Mother and Child in a 12 month period]. / Analiza porodów miednicowych odbytych w klinice poloznictwa i ginekologii instytutu matki i dziecka w okresie 12 miesiecy.

An analysis of 130 breech deliveries was carried out. The material was divided into two groups: vaginal delivery and delivery by cesarean section. In both groups maternal age, parity, weeks of pregnancy, newborn weight. Apgar score in the 1st and the 5th minute and perinatal mortality rate of newborns were compared. Frequency of breech presentation in our material was about 4.1%. Cesarean section was performed in 66.2% of cases being 22.7% of all cesarean sections performed in this period. In primiparae (58.5% of breech presentation) cesarean sections were performed in 75% and in 93.3% of the primiparae in their 30-ties. Perinatal mortality rate of the newborns in all breech deliveries was 15.4%, in vaginal delivery group--22.7% and in cesarean section group--11.8%. Total perinatal mortality rate in this period was 10.4% of totally 3424 deliveries. We have not found any fetal injuries caused by the mode of delivery.

[Uterine wall perforation as a complication of the intrauterine Spiran contraceptive device]. / Przebicie sciany macicy jako powiklanie stosowania wewnatrzmacicznej wkladki antykoncepcyjnej typu "Spiran".

A case of asymptomatic perforation of uterine wall as a complication of polish IUD " Spiran " application was demonstrated. Underlying rareness of this complication hypothesis of its mechanism in this case are discussed.