Ginekol Pol
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Acute fatty liver of pregnancy (AFLP), rare and potentially fatal disease, is considered as obstetric emergency. The perinatologist must be familiar with this complication of pregnancy because early diagnosis, prompt delivery and supportive care is the mainstay of therapy. When pregnant woman has nausea or vomiting, abdominal pain and jaundice, increased transaminase activity, coagulopathy and hypoglycemia during third trimester AFLP should be suspected. Mothers who have experienced AFLP must be informed of the possibility recurrence and undergo close surveillance in the next pregnancy.
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During the period 1990-94, in the Institute of Obstetrics and Gynecology. The Medical Academy of Gdańsk 13,079 deliveries took place including 1635 cesarean section, which makes 12.5%. ⋯ The most frequent non-obstetrical indications for the cesarean section were pregnancies complicated by: hypertension-33.75%, ophtalmological-20.57%, uterine myomas-16%, women heart diseases-10%, pelvic pathology-8.75%, neurological disorders-8.12%. The indications for cesarean section did not have influence on gestational age.
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Small cell cervical cancer is a rare, but important for its distinct biological properties and clinical behaviour, neoplasm. It is both morphologically, and clinically aggressive, in many aspects resembling small cell lung cancer. This paper discusses the present knowledge about biology and treatment of this rare malignancy.
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The paper reviews intensive, complex therapeutical procedure introduced in 19 critically ill puerperal women due to severe sepsis. In 6 cases only the generative organ was the primary source of infection. It is underlined that sepsis can predispose to various complications and multiorgan failure.