[A simple method for management and treatment results of pregnant women with isthmo-cervical insufficiency]

A simple way of management of patients treated for isthmo-cervical insufficiency in the Department of Obstetrics and Gynaecology, Medical Academy in Bydgoszcz in the years 1980-1990 was subjected to own assessment. During this period the treatment was given to 684 pregnant patients with diagnosed isthmo-cervical insufficiency, laying a circumferential suture onto the cervix after Hervet, between 17 and 33 weeks of pregnancy. The accepted management after the procedure was limited to bed rest and administration of analgesic and spasmolytic drugs. Positive results of the established treatment were found in 95.4% of the patients with diagnosed isthmo-cervical insufficiency which made possible its routine introduction.

[Fertility of women after surgical intervention on organs of reproduction]

The research included 114 female patients treated at the Clinic of Obstetrics and Gynaecology in the years 1986-1991. Information was based on a questionnaire, with 40 (35%) answers. Basic parameters of fertility were evaluated in women, who underwent surgical intervention on reproductive organs and they were discussed in connection with other conditioning. It was ascertained that the decision concerning infertility treatment is taken up by young patients, up to 25 years of age, during the first 5 years of marriage. Duration of the treatment in the majority of patients lasts longer than 5 years. Routine surgical interventions in the area of reproductive organs do not increase significantly the possibility of conception. Whereas in this group we deal more often with ectopic pregnancy.