Ginekol Pol
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With recent advances in prenatal care, the incidence of direct causes of maternal death has declined and indirect causes have gained significant importance. Thromboembolism, hypertension and cardiovascular diseases are the most common indirect causes of maternal death. ⋯ The issue of pregnancy of heart transplant--and Turner syndrome--patients requires extensive research. Obstetricians should possess good knowledge of cardiovascular complications of pregnancy because a high index of suspicion and early diagnosis, together with timely and appropriate interventions may save the life of the fetus and the mother.
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Pregnancy and puerperium increase the risk of venous thromboembolic disease. As it is potentially life-threatening, all patients with the suspicion of pulmonary embolism require proper diagnosis and, possibly treatment. Venous ultrasonography is usually applied. ⋯ In treatment of pulmonary embolism, low molecular weight heparins play the key role. However; in case of dramatic pulmonary embolism with shock and hypotension, thrombolytic therapy may be necessary. Low molecular weight heparins as well as oral anticoagulants can be used after the delivery.
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Vaginal birth after cesarean delivery has recently become a significant problem in obstetrics. The purpose of this paper was to present current expert knowledge about vaginal birth after cesarean delivery (VBAC), taking into account advantages and disadvantages mentioned in literature.
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The aim of this study was to assess validity and reliability of the EORTC QLQ C30 and BR23 questionnaires among patients with breast neoplasm in Poland. ⋯ Results have confirmed the validity and reliability of the EORTC QLQ C30 and BR23 tests as instruments for quality of life evaluation in Polish patients.