[The influence of the proper preparation of the female patients with missed labor syndrome on the diminishing of the complications after its termination]. / Wplyw wlasciwego przygotowania pacjentek z zespolem ciazy obumarlej na zminimalizowanie powiklan po jej rozwiazaniu.

During the period of 6 and half years the cases of 175 patients with missed labour were analysed in Gynaecology--Obstetric Ward of the City Hospital in Tarnów. Laboratory and clinical being--well of a pregnant woman with missed labour syndrome does not exclude the possibility of complications among the patients who have not been prepared. The introduced method made it possible to eliminate such complications as deaths, hemorrhages, clotting disturbances and infections. The period of hospitalization has become evidently shorter.

[Preparation for delivery in patients with missed labor considering low-dose heparin and prostaglandins]. / Przygotowanie do rozwiazania pacjentek z zespolem obumarlej ciazy z uwzglednieniem niskoczasteczkowej heparyny i prostaglandyn.

No complications were reported in the group of 71 missed labour patients who were previously administrated Fraxiparin, antibiotic, Metronidazole and prostaglandins as delivery preparation. The following complications were reported in the control group of 72 patients: blood loss 500-600 ml without coagulopathy-2 (2.8%), shock caused by coagulopathy-2 (2.8%), outcome-1 (1.4%), pelvic inflammatory disease (PID)-2 (2,8%). After delivery hematocrit value, red blood cells count, platelets count and fibrinogen value were significantly lower, activated partial thromboplastic time (APTT) and prothrombin time (PT) were significantly longer in control patients in comparison with the group who were given prophylaxis.

[Pregnancy and labor in a pregnant woman with nephrocalcinosis complicated by renal failure]. / Ciaza i poród u ciezarnej z nefrokalcynoza powiklana niewydolnoscia nerek.

The paper presents a case of woman with nephrocalcinosis confirmed 10 years ago. During her third pregnancy a renal failure occurred with increasing urinary retention in the right kidney. Conservative treatment was applied without dialysis, despite of renal biochemical parameters, which balanced on the edge of the indication for this procedure. The pregnancy was managed by the 32-nd week and then cesarean section was performed because of increasing levels of creatinine and urea in the serum and enlargement of hydronephrosis. After the delivery a recovery of renal function was observed. Patient was discharged in good general condition on 9-th day after cesarean section and baby after 52 days of hospitalization in neonatal department when she has reached weight of 3000 g.