Ginekol Pol
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Pregnant women, just like the rest of the population, are at risk of the novel A/H1N1 infection. However, since they belong to a more susceptible group of patients, the risk of a severe course of the disease is significantly higher when compared to their non-pregnant counterparts. This risk is especially great when the infection is accompanied by chronic conditions such as asthma or diabetes mellitus, resulting in an increased morbidity and mortality of both the mother and the fetus. ⋯ Diagnostic and therapeutic difficulties in A/H1N1 infections in pregnant women may have their source in that fact that an unreliable stripe test alone is used (without confirmation of the infection with Real Time RT-PCR), risk factors are not taken into the account and antiviral therapy is delayed or postponed. Early antiviral therapy and delivery in case of respiratory distress syndrome improve the prognosis for both the mother and the child.
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This report presents the case of a 40-year-old woman hospitalized in the Department of Gynecology and Oncological Gynecology Military Institute of the Health Services, who was found to have had a foreign body (polyurethane foam) of significant amount for three days in her vagina. The foreign body was successfully removed during surgery and did not lead to any negative health consequences for the patient.
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Postpartum hemorrhage (PPH) is one of the leading causes of maternal death and one of the major causes of mortality in women in developing countries. According to the Central Statistical Office, in 2006, in Poland 540 maternal peripartum deaths were noted, 34.7% of which due to PPH. ⋯ In the event of unsuccessful conventional management of PPH (uterotonics, curettage, etc.) a new technique, intrauterine Bakri balloon tamponade, has been recently proposed. The current paper presents two case reports where this method has been successfully applied.