Ginekol Pol
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Case Reports
[Laparoscopic management of an ectopic pregnancy in a previous caesarean section scar].
Pregnancy in a caesarean section scar is the rarest form of an ectopic pregnancy English language literature up to 2007 reports only about 70 cases, including three cases treated laparoscopically. A 25-year-old woman in the sixth week of pregnancy was admitted to our hospital due to profuse vaginal bleeding. ⋯ The treatment plan included two phases. Three days after a Methotrexate injection (80mg), the pregnancy was removed laparoscopically Laparoscopy enabled a successful treatment of the unruptured ectopic pregnancy in a previous caesarean scar and made it possible to preserve the reproductive capability of the patient.
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Hypoxic-ischemic encephalopathy (ENN) concerns neonates born after 35 completed weeks of gestation. The incidence rate has been shown to be 1-6/1000 births and can lead to significant permanent neurological damage, cerebral palsy and even death. ⋯ Currently both methods--whole body hypothermia and selective brain cooling--offer a chance for a normal neurological development and a better life for children born with ENN. Both methods are accessible in a few centers in Poland.