Ceská gynekologie / Ceská lékarská spolecnost J. Ev. Purkyne
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To determine the possibilities of ST analysis of fetal ECG (STAN) in premature deliveries between 30th to 36th week of pregnancy. To compare the results of a group of premature deliveries monitored by ST analysis with a control group of premature deliveries monitored by means of cardiotocography (CTG) and intrapartum fetal pulse oxymetry (IFPO). ⋯ It has become obvious that the ST analysis of fetal ECG in premature deliveries between 30th and 36th week of pregnancy provides the same results as the so far used monitoring by CTG and IFPO. In the group of premature deliveries monitored by the ST analysis, there were significantly less frequent neurological disturbances.
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To ascertain how the Burch colposuspension affects the value and position of MUCP in women without any previous uro-gynaecological operation. If possible, also to determine how the values of these parameters differ between groups of women who are free from problems after the operation, women who suffer urgency, and women who continue to suffer from stress incontinence. Furthermore, to ascertain whether the pre-operation values of MUCP and VLPP have any predictive value in determining the success rate of the Burch colposuspension. In addition, to ascertain whether in ultrasound examination we can observe any differences in urethra mobility between subgroups of women with various operation results. ⋯ The results of our study imply that Burch colposuspension, if properly placed and not tight, does not change MUCP either at rest or at Valsalva. The distance of the point of MUCP from the inner urethral orifice was significantly shorter only for bladder volume of 300 ml during Valsalva. No statistically significant differences in these parameters were observed between subgroups A, B, C. From the ultrasound parameters we can conclude that the operation changed the position of UVJ and the middle of the urethra forward at rest and restricted the mobility of the urethra during Valsalva maneuver. There is a slight paradoxical diminishing of the gamma angle during the Valsalva maneuver in the subgroups of patients with de novo urgency or where the urgency symptoms were worse (B), implying different movement of the urethra. Pre-operation values of MUCP and VLPP cannot be used to predict the effect of the operation, though we are aware of the fact that our results were ascertained on a rather small number of patients in the groups of patients with complications.