Clinic of Patological Obstetrics and Delivery

PL - 71-242 Szczecin,
ul. Unii Lubelskiej 1
Tel/Fax: +48 9l 4253292

Head: prof. dr hab. n. med. Elzbieta Ronin-Walknowska

Teaching:

• obstetrics - 5th year (medicine)
• propaedeutics in pediatrics - 3rd year (medicine)
• postgraduate training in obstetrics and gynecology, pediatrics and neonatology
• courses for family physicians
• courses for physicians
• courses for nurses
• Students' Scientific Group

Research

Main interest

• studies on factors necessary for normal pregnancy, influencing the condition of the fetus and newborn

Current research projects

• risk factors for the fetus and newborn due to diabetes (type I and I1, diabetes of pregnancy)
• vasoactive factors in pregnancy (EPH gestosis, hypertension, diabetes)
  fetus maturity and problems in accelerating lung maturation - hypotrophy of fetus
  treatment during pregnancy and after birth
• immunological risk factors during pregnancy: habitual abortion, antiphospholipid syndrome, systemic diseases of connective tissue
• erythropoietin in umbilical blood as an index of chronic hypoxia of the fetus during high-risk pregnancy
• assessment of neurological development during the first year of life in children from high-risk pregnancies

Research methods used

• continuous monitoring of arterial blood pressure in pregnant women and newborns
• Doppler ultrasonography of blood flow in uterine and fetal vessels
• ultrasonography of the central nervous system in newborns
• amniocentesis, cordocentesis in Rh incompatibility and other pathologic conditions of pregnancy
• biochemical analysis (blood, amniotic fluid) using RIA, ELISA, chromatography, spectrophotometry, immunoelectrophoresis and immunofluorescence
• animal experimental studies (hypotrophy, hypertension, antiphospholipid syndrome models)

Future research plans

• the role of vasoactive factors: endothelin, angiotensin II, catecholamines, prostanoids, angiotensin receptors, in regulating blood pressure during pregnancy complicated by diabetes
• disorders of carbohydrate metabolism during the 3rd trimester in : the diabetic gravida and during tocolytic therapy in relation to the level of erythropoietin, fructosamine and insulin in umbilical blood and to the condition of the newborn
• antiphospholipid syndrome in obstetrics: clinical and experimental studies in animals
• cellular and humoral immunity in pregnancy and intrauterine hypotrophy
• evening primrose oil and maturation of fetus during experimental hypotrophy in the rabbit
• generation of steroids following administration of magnesium sulfate to prevent premature delivery

Medical services

• number of beds 48
• clinical specialties: pathology of pregnancy, delivery and the neonate
• diagnostic and therapeutic procedures: cordocentesis, intrauterine blood transfusion in blood group incompatibility, amniotic fluid infusion (amniotic puncture and infusion of artificial amniotic fluid), invasive diagnosis and therapy of the fetus (inborn hydronephrosis, inborn ascites)
• special laboratory and diagnostic facilities: RIA (hormones, prostanoids, special proteins, phospholipids)

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