Here we described the way in which we do the available laparoscopy in our hospital and different good and helpful details we put to original Hasson version.Hypertensive problems related to maternity and specially preeclampsia are leading known reasons for perinatal and maternal morbidity and death. The outward symptoms of preeclampsia are happening through the second part of pregnancy, even though the pathogenic procedures begin building even in very first trimester. This refers to the looking for the most reliable markers, which could prove those pathological processes occurred and also the mix of those markers in panel for early testing in order to anticipate the increased risk for developing of preeclampsia. Among multiple studied markers the absolute most promising seam is Doppler velosimetry of uterine arteries, PIGF, sFlt-1, sEndoglin, PAPP-A, PP-13. Their combined dimension escalates the predictive price find more and decreases the untrue positive results, it is additionally financially unimportant. You can find researches with various medicines to be able to argue their preventive effect in preeclampsia developing.This overview defines the main ultrasound markers and requirements found in the sonographic analysis and differential diagnosis of extratubal plus some unusual kinds of ectopic maternity. The advances in perinatal intensive treatment have actually increased the survival price of exceedingly reduced birthweight (ELBW) and gestational age infants. One of them the possibility of building bronchopulmonary dysplasia (BPD) continues to be high. 683 VLBW infants (< 1500g) had been accepted in NICU from 2008 to 2010. 597 survived a lot more than 28 times and had been one of them research. BPD ended up being identified if supplemental O2 for the first 28 days ended up being necessary; the severity ended up being assessed because of the need of O2 and/or ventilator support at 36 gestational months (gw). 27.6% (letter = 164) infants ultrasound-guided core needle biopsy had been with supplemental O2 at 28d of life (BPD-group), 10.9% (n = 65) had been with modest, 3.9% (letter = 23) with serious BPD (FiO2 > 30% and/or ventilator support). Babies with BPD had been with significantly greater CRIB (9.9 ± 3.1) compared to those without BPD (4.0 ± 3.0), p < 0.0001. The regularity reduced progrt and CRIB. Additional danger elements are low A pgar scores, PDA and environment leak syndrome. Related comorbidities as extreme brain injury and ROP more intensify the future prognosis. General 133 expecting mothers with a mean maternal age 29.81 ± 5.56 years provided for a routine first and second trimester scan in MC “Markovs” and University medical center of Obstetrics and Gynecology “Maichin dom”, Sofia, Bulgaria. All members had uncomplicated singleton pregnancies without any fetal abnormalities. The women were expected to complete Biomass-based flocculant a questionnaire in 2 parts. Initial part assessed the individual’s understanding and information about the various imaging modalities (2D and 3D), the level of maternal-fetal attachment in addition to general objectives concerning the scan. The second area of the survey ended up being completed following the evaluation and assessed the objectives of the mode of visualization, the mental perceptions for the fetus in addition to maternal-fetal attachment. Maternal-fetal bonding increased after both the 2D and 3D/4D ultrasound assessment. However, very nearly 50 % of the pregnant women failed to understand the difference between the two imaging modalities. There was no accumulative effectation of prenatal ultrasound on maternal-fetal bonding in late pregnancy. All of the clients declared that the scan had improved their total perception associated with fetus. Maternal age, educational status and gestational age had no significant impact on understanding and enhancing womens’ emotional perceptions. The development of the fetal aorta concludes using the development for the aortic arch which normally branches into three bloodstream 1) a. brachiocephalica (a. innominata), which divides into the right subclavian artery (RSA) and the right carotid artery; 2) the left carotid artery; and 3) the left subclavian artery. Sometimes, RSA originates as a separate fourth branch of the aortic arch, passing behind the trachea with an oblique program into the right neck. This rare variant is named an aberrant right subclavian artery (ARSA) and it is noticed in approximately 2% of normal individuals. On the other hand, the reported occurrence of ARSA varies between 25 and 37% in situations with Down syndrome as well as other chromosomal abnormalities. Visualization of RSA and prenatal analysis of ARSA into the second trimester is relatively simple in experienced arms. The evaluation somewhat prolongs the fetal morphology scan. Since there is an obvious organization between ARSA and chromosomal fetal abnormalities, implementation of its sonographic analysis when you look at the protocol of fetal echocardiography within the 2nd trimester is strongly advised.Visualization of RSA and prenatal diagnosis of ARSA into the 2nd trimester is relatively easy in experienced hands. The evaluation slightly prolongs the fetal morphology scan. Since there is a clear relationship between ARSA and chromosomal fetal abnormalities, implementation of its sonographic evaluation when you look at the protocol of fetal echocardiography within the second trimester is highly recommended. Initial trimester scan at 11+0-13+6 months of pregnancy (wg.) plays a crucial role in modern perinatal treatment.