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M Iankov

Publications and source records attributed to M Iankov.

At least 19 recordsLinked to original sources

[The place of the planned cesarean section in women with breech presentation].

We studied retrospectively the delivery of 202 pregnant women with foetus in breech presentation. Caesarian deliveries have had 79.2% from primiparas and 31.3% from multiparas. Planned caesarian deliveries have been performed to two thirds (63.7%) from the primiparas (n = 135). In the context of cotemporary literature and practice we consider, that we do not make enough "trial of vaginal labour" for women with breech presentation of the foetus and we think, that caesarian delivery frequency in these cases is too high.

Breech Presentation↗

[Induction of labor with misoprostol--vaginal administration].

The authors induct the labor of 88 pregnant women by Misoprostol /Cytotec/ tablette 50 mcgr accepted every four hour per vaginam. The results are the same as/or better/ than the results per os. Our results are in agreement with experimental one of R.-U. Khan et al,. 2004, fig. 1.

Administration, Intravaginal↗

[Is it necessary for obstetricians to have their own opinion concerning cesarean delivery in patients with non-obstetric diseases].

The Bulgarian obstetricians always consider the recommendations of their non-obstetrician colleagues when a pregnant woman has a non-obstetrician disease. However the practice in the foreign countries is not the same. The modern obstetrician literature and our own experience tell us that the obstetrician must have his own opinion which might be different from the opinion of the "other" specialists.

Cesarean Section↗

[Prenatal fetal mortality in pregnant women before hospitalization (preliminary report)].

Retrospective research. In the period 01.01.2000 - 30.06.2004, we investigated 49 women, hospitalized in the third trimester with death fetus. We found out that for the specified period, the rate of such women had been increased two times - from 8 women for the whole year 2000 to 9 women for the first half of year 2004. We think a predominant factor for this increase is the suboptimal cares for the pregnant women out of the hospital regimen.

Bulgaria↗

[Myopia and childbirth].

We made a study of 106 women in childbirth from our hospital with myopia for the period from 2003 to 2003. Vaginal delivery have had 38 and Cesarean delivery 68 (64.2%). Only 18 women have had severe myopia (more than 6 d.), which is equal to 17%. We consider that the myopia is an ungrounded common indication for Caesarian section.

Adult↗

[Early oral intake after cesarean section and gynecological operations].

The authors present a modern review on the early oral intake after cesarean section and gynecological operations and their own experience with 130 cesarean and 100 gynecological operated women. This is for the first time on our (Bulgarian) practice. Early oral intake was well tolerated by the patients, there were no more postoperative complications associated with the new method of postoperative care. The authors recommended this approach for the clinical practice.

Cesarean Section↗

[Large uterine myoma during pregnancy and delivery - choice of management].

There are scanty of available data about the management of myoma of the uterus during pregnancy and birth. The authors describe two cases of such a pathology--big myoma of the uterus > 10 sm diameter (d.), who were treated conservatively and ended successfully, without serious complications. The pregnant women were done cesarean section and during the operation the myomas were excisiert. There were no complications intra- and postoperationem. The authors suggest that myectomy during pregnancy and cesarean section must not be don routinely.

Adult↗

[The Joel-Cohen (Misgav Ladach) method--a new surgical technic for cesarean section and gynecological laparotomy].

The authors make a review on this problem for first time in Bulgarian literature and for the first time by us operated with the Misgav Ladach method--cesarean section. The authors describe 50 cases wit Ladach method and as control 20 with Pfannenstiel. The authors establish shorter duration of the operation-Si] and 56.3 min. respective in benefit for Misgav method; the babies were extracted at 5.5 and 12.3 min. respect. The mothers with Misgav had better prognosis at the time of dehospitalization.

Cesarean Section↗

[Delivery after previous cesarean sections].

UNLABELLED: The author studies the method of delivery among 450 impregnant women after one or more cesarean section (c.s.) in First Obstetric gynecologic hospital in Sofia. He finds a high incidence of secondary c.s.--about 80%, and elective c.s.--70%. Vaginally were delivered 97 = 21.5%. Trial of labor was accomplished in 29.5% (133,450). The incidence of scar dehiscence of the uterus was 1.1%--5/450. CONCLUSION: It is necessary to be done more frequently a trial of labor in pregnant women after c.s.

Adult↗

[Single-layer or double-layer suturing of the uterine incision in cesarean section?].

UNLABELLED: The aim of the study is to compare the early complications after '/' cesarean section due to the way of closure of a low transverse uterine incision--single layer or two layers. MATERIAL AND METHODS: We investigated retrospectively in the clinical data (history of birth) 450 women with cesarean section: 300 with single layer and 150--with two layers> The hysterotomy was closed by suture with cat-gut plain No. 2 or chromic No. 1 or No. 2. Results showed single layer repair of the uterus is connected with better postoperative prognosis: low rates of febrile morbidity and wound infection, shorter hospitalization time, better involution of the uterus, p < 0.05. We had no dehiscence and secondary bleeding in both ways of repair, so relaparotomy wasn't needed. CONCLUSION: Single-layer closure has advantages compared to two-layers closure that is why it is recommended for wider application.

Cesarean Section↗

[Myopia and labor].

The authors describe 7 cases of pregnant women with high myopia to 15 diopters, who have been delivered vaginally without worsening of the vision and especially of the myopia. That's why the authors practice and recommend a vaginal delivery to women with a myopia, including high-degree myopia.

Adult↗