Akusherstvo i ginekologii͡a
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Akush Ginekol (Sofiia) · Jan 2006
Clinical Trial[The efficacy of the misoprostol in cases of abnormal and pathologic hypotonic hemorrhage in the early puerperium].
The aim of this study is to determine the efficacy of the Misoprostol (Cytotec) in cases of abnormal and pathologic hypotonic hemorrhage in the early puerperium as a result of hypotonia of the uterus. ⋯ Misoprostol decreases the hypotonic uterine bleedings in the placental and early puerperal period. The significance of the Misoprostol in the group of therapeutic events is determined by its fast therapeutic effect, its convenient application and its good tolerance.
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Akush Ginekol (Sofiia) · Jan 2006
[The incidence of foetal macrosomia and method of delivery for a two-year period in the University Hospital of Obstetrics and Gynecology Maichin Dom--Sofia].
The authors carried out a retrospective study on the incidence of foetal macrosomia and the method of delivery on the 6157 consecutive births for a two-year period in the University Hospital of Obstetrics and Gynecology "Maichin Dom"- Sofia, Bulgaria. The incidence of foetal macrosomia (birth weight > 4000 g) among these births was 4,45% (274/6157 births). ⋯ In this group 136 patients (86,33%) had normal vaginal delivery and 21 (13,37%) had operative vaginal delivery. (vacuum extractor, forceps, manual removal of the placenta). The authors found that the highest incidence of birth trauma was found in the cases where operative vaginal delivery was undertaken.
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Akush Ginekol (Sofiia) · Jan 2005
[French-Bulgarian program "Resuscitation of the newborn in a delivery room"--results and perspectives].
Since the year 2000 in Republic Bulgaria was started the French Bulgarian Program "Resuscitation of the Newborn in Delivery Room" (DR). The main goal was to reduce the neonatal mortality rate due to perinatal and intrapartal asphyxia and their consequences. This was achieved by providing the Delivery rooms in the City hospitals with resuscitation equipment and improving the qualification of the personal. ⋯ The first positive results of this program are: reduced neonatal mortality rate from 7.8% in 2001 to 6.8% in 2003 (P < 0.05). Asphyxia as a mean cause for death in the neonatal period was 9% in 2001 and dropped to 8% in 2003. To keep on improving this results is necessary to continue improving the qualification of personal working in DR--neonatologists, obstetricians and midwifes and be sure that resuscitation equipment is always ready for action.
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Akush Ginekol (Sofiia) · Jan 2005
Clinical Trial[Administration of Perfalgan (paracetamol) for postoperative analgesia in obstetrics and gynaecology].
The aim of our study is to determine the quality of postoperative analgesia by using of Perfalgan (injectable paracetamol)--alone or in combination with other analgesics for different operations in obstetric and gynecology. We have evaluated 60 women, divided into four groups each one of 15 according to the kind of surgical intervention: section cesarean, laparoscopy, laparohysterectomy or cystectomy. ⋯ As a component of multimodal analgesic combination it gives a good quality of postoperative pain relief in condition of laparohysterectomy or cystectomy. It is very important that this is without any adverse effects.
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Akush Ginekol (Sofiia) · Jan 2005
[Cesarean section for fetal distress--is the decision interval for delivery significant?].
The recommended Interval between the decision to perform emergency cesarean section and the delivery itself is 30 minutes. There is not enough clinical evidence in maintenance of this opinion. ⋯ Positive results are found in the 1st category when the C-section is performed in 30 minutes. There are significant differences between the three Categories--the percentage of fetal distress is growing up comparable to prolongation of the time interval. Prolongation of the time interval for more than 60 minutes lead to poor fetal outcome.