Akusherstvo i ginekologii͡a
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Akush Ginekol (Sofiia) · Jan 2002
[Significance of the basic oncological principles for the gynecological practice].
The conducted analysis for the place and the role of the oncological principles in the gynecological practice shows, that the implementation of the united oncological doctrine has as a task to provide the necessary quality of diagnostics, treatment and follow-up for these localisations. This doctrine is necessary to be valid for the all levels of health system, while the precondition for her realization appears the standards for the good medical practice and the fulfillment of the requirements of the National health insurance company for the relevant clinical pathways.
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Akush Ginekol (Sofiia) · Jan 2000
Comparative Study[Elective cesarean section during delivery and emergency. Interrelations among different indicators].
The authors made a retrospective research over 466 Cesarean sections for a 4 year period. The cases were divided into three groups: 1. Elective Cesarean section 2. ⋯ We found that: 1. The best results we found in the first group 2. Similar results may be achieved in the other groups, if continuous monitoring of the labor, and if there are possibilities for an emergency operative treatment.
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Akush Ginekol (Sofiia) · Jan 2000
[Cesarean section in modern obstetrics and methods of prophylaxis of postoperative sepsis].
The author discusses the problem Caesarean section in present day obstetrics and points out that the percentage of Caesarean births has been unnecessarily increased. This justifies the term "Caesarean epidemy". In spite of discussions and recommendations it turns out impossible to cope with this problem, i.e. reducing the rate to 15% in these countries where it is higher. ⋯ PIAL should be applied in very high risk cases, e.g. severe chorionamnionitis or vulvovaginitis combined with PAP and IAL. The use of these methods renders hysterectomy as ultra ratio prophylactic measure unnecessary. It is explicitly stressed that there is no prophylactic method to compensate defective surgical skills or flaws in aseptics and antiseptics.