Abstract: Summary
The incidence of breech presentation at the moment of delivery varies from 3 to 4% and is almost
five times higher among infants weighing less than 2500 g than in those at term. Delivery route
in breech presentation is one of the most controversial subjects in modern obstetrics. There is
no doubt that the perinatal mortality rate (PMR) in breech deliveries is higher than in cephalic
presenting deliveries. While there is a general agreement on this issue, the PMR varies according
to the specific types of deliveries; therefore, some thought should be given to these variations.
The aim of this study was the retrospective analysis of perinatal mortality rates, post partum
neonatal well-being and neonatal morbidity rates in breech delivery compared to cephalic
presenting deliveries. The perinatal outcome of breech-delivered newborns in our clinic leads to
a conclusion that vaginal breech delivery should be conducted in carefully selected patients and
is a safe procedure for both mother and fetus in Regional Perinatal Center, and cesarean section
is not recommended as the method of choice in all breech presentations.
Abstract: The study was aimed to assess if the prevalence of female depressive disorders after menopause depends on their hormonal status (E2, FSH, testosterone, DHEAS) or psychosocial conditions, Moreover, the influence of HRT on female mood disorders was estimated. One hundred women (44=65 ys old) were included into the study. Ali patients were complaining of hot flushes for at least 6 months. Among these women 31% had depressive disorders at baseline. The hormonal status, psychosocial conditions and mood disorders (Beck's and Haniilton's scales) were assessed at the baseline and after 12 months in 50 women on HRT and in 20 control patients. After 1 year the depressive mood disappeared in 59% and worsened in 5,9% of women taking HRT, whereas in the control group 35% of patient experienced depression. Among women on HRT the significant increase of serum DHEAS was observed in patients with improvement of mood as well as in depressed ones. Serum testosterone, 17P-estradiol and FSH levels did not differ between both groups. The higher scores of Beck's and Hamilton's scales were not associated with hormonal status but correlated with worsening of psychosocial conditions. The female depressive disorders after menopause are associated with their psychosocial conditions but not with their hormonal status.
