Akusherstvo i ginekologii͡a
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In the last decade delivery by continuous epidural analgesia (CEA) has become a golden standard in most modem perinatal centers. The aim of this study is to find the effect of CEA on the quality of labor, mode of delivery and the condition of mother and fetus after delivery. The study is prospective and includes 15 parturients. CEA was delivered with 0.25% solution of Marcaine. ⋯ The average age of the parthers was 23 +/- 5.05 years and their body weights 63 +/- 9.82 kg. 13 of the women were nulliparous and 2 multiparous. All were delivered vaginally normally. The average length of the first period of labor was 4 Hours (+/- 3.18 h) and of the second period 20 minutes (+/- 11.06) q which is different from data from current literature. Labor was estimated in the cases with i.v. infusion of oxytocin. Apgar scores of the newborns was 8-10 points. We can conclude that deliveries with CEA are eutocic, shorter and promote and excellent psychoemotional state of the parturients.
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Akush Ginekol (Sofiia) · Jan 1997
Comparative Study[Antibiotic prophylaxis in cesarean section with cefoxitin (Mefoxin)].
The ain of this presentation is to show the advantages and disadvantages of a single prophylactic dose of Mefoxin, in comparison to the classical antibiotic prophylaxis with penicillin and gentamicin. The authors conclude that: single dose prophylaxis with Mefoxin significantly reduces the rate of infection morbidity after caesarean section; a single application of 2 g Mefoxin after clamping of the umbilicus is enough for prophylaxis of infectious complications after caesarean section.
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Akush Ginekol (Sofiia) · Jan 1996
[The use of dihydrocodeine for postoperative analgesia in gynecological operations].
16 patients received twice daily 60-90 mg DHC-Continus. The evaluation of the pain was done with use of visual linear scale from 1-10 (Scott-Huskisson). Four complications occurred: headache, nausea, vomiting, constipation. The authors conclude that the orally administration of DHC is an effective alternative for postoperative treatment of pain in gynecological patients.
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Akush Ginekol (Sofiia) · Jan 1996
Comparative Study[The side effects of the prevention of blood loss in the placental period].
On the base of 192 retrospective and 144 prospective cases are evaluated the side of routine prophylactic of the blood loss at the third period of labor. The control group consist of 50 labouring women with expective management of placental period. ⋯ The active management of the placental period decrease the rate of instrumental revision of the uterine cavity and the supplemental administration of oxytocic in the early postpartum period. This investigation confirms and justify the routine use of oxytocic after the delivery of the head as a prophylactic of the blood loss in the placental period.