[The analysis of caesarean sections in women residents of Bytom and in other women]. / Analiza ciec cesarskich wykonywanych wsród pacjentek z miasta Bytomia i spoza Bytomia.

Authors analysed indications and number of caesarean sections performed in the I-st Department of Obstetrics and Gynaecology in Bytom in the years 1994-1998. In the analyse we considered place of living of pregnant women, dividing women on residents of Bytom and non-residents of Bytom. The results showed increasing number of caesarean sections. Percentage of caesarean sections in the group of non-residents of Bytom was twice higher as in the group of residents of Bytom. The most common indications were status after prior caesarean section or other uterus operation, fetal distress and fetus malposition.

[The evaluation of complications caused by insertion of Veres needle and trocars placement based on analysis of 4211 laparoscopic operations]. / Ocena powiklan spowodowanych wkluciem igly veresa i troakarów oparta na analizie 4211 operacji laparoskopowych.

The retrospective analysis of 4211 laparoscopic operations was performed. The complications caused by insertion of Veres needle and trocars placement were found in 66 cases (1.6%). There were: retropneumoperitoneum--in 33 cases (8@1000), vascular injuries--22 cases (5@1000), injuries of the gastrointestinal organs--9 cases (2@1000). In 2 cases (0.4@1000) perforation of the wall of urinary bladder occurred. The accurate preparation of patients to laparoscopy, knowledge of management with complications, ability to laying sutures through all of abdominal layers, using of Foley's catheter for haemostasis enabled to cure both the main disease and complications.

Application of planar chromatography to the determination of cotinine in urine of active and passive smoking pregnant women.

A quick and economical method for the determination of nicotine and its main metabolite-cotinine in urine from smoking and passively smoking pregnant women is proposed using TLC-densitometry. Chromatographic separations were performed on the plates coated with silica gel bound with C-18 alkyl chains. Chromatograms were developed using a mixture of acetonitrile and water (88 + 12, v/v) in a horizontal chamber. Visualization was carried out under UV illumination at lambda = 254 nm and then cotinine was quantified by the use of densitometer in reflectance mode at lambda = 260 nm. Nicotine was identified after derivatization with Dragendorff reagent under visible light. The results of nicotine and cotinine analysis were verified by questionnaires obtained from pregnant women according to their age and smoking status correlated with spontaneous abortion frequency and child death rate.

[The results of prenatal treatment of fetal hemolytic disease in clinic material]. / Wyniki opieki perinatalnej nad ciezarna z konfliktem serologicznym w materiale klinicznym.

Authors analysed results of prenatal treatment of 68 cases of fetal haemolytic disease in the Department of Obstetrics and Gynaecology in Bytom in the years 1994-1999. We evaluated a clinic value of umbilical vessels punctures and intrauterine intra-vessel transfusions as a basic methods of treatment of this disease. In the analysis we took into consideration frequency of complications, character of complications and condition of neonates. The most important in the treatment of fetal haemolytic disease are early diagnostics and treatment procedures performed in the appropriate prepared Centres.

[The estimation of L-ascorbic acid serum concentration and selected parameters of metabolism of serum lipids in pregnant women with diabetes]. / Ocena stezen kwasu L-askorbinowego oraz wybranych parametrów gospodarki lipidowej we krwi kobiet ciezarnych z cukrzyca.

Diabetes during pregnancy is a pathological state causing many metabolic disorders, not only in carbohydrate metabolism. The aim of the study was to estimate the changes of lipids metabolism and changes of L-ascorbic acid serum concentration in pregnancy complicated by diabetes. In tested groups values of lipids metabolism parameters were lower in diabetic group compared to control group. The lowest mean values of concentration of total cholesterol, LDL cholesterol and triglycerides were found in gestational diabetes group, while the lowest mean value of HDL cholesterol concentration was found in pregestational diabetic group. The L-ascorbic acid mean values correlated negatively with total cholesterol concentrations, LDL cholesterol and triglycerides levels.