Introduction: Scopolamine butylbromide or Buscopan is a drug that belongs to a group spasmolytic agents. Its clinical application it is found during childbirth, especially during the first stage of labor. It has a direct effect on the smooth muscles of the pelvis and a small cervical-uterine plexus. The study is conducted at the Clinic of Obstetrics and Gynecology of the University Clinical Centre in Sarajevo and included 100 primiparas. The respondents were divided into two groups. To the test group is administered Buscopan 40mg in 500ml of saline, during the first stage of labor and dilatation of 4-5 cm. The control group did not receive Buscopan. Results: Conducted is a comparative analysis where it was found that among the respondents of the test group, the time of active labor reduced to about 1 hour and 45 minutes. On a scale of pain intensity, decrease started after 10 minutes following the Buscopan application. Apgar score did not differ significantly. But the pain decreased in 54.54% of primiparas in the test group. On the basis of this study and according to the results we can come to the conclusion that the effectiveness of Buscopan as analgesics during childbirth in primiparas is very good. Conclusion: The clinical application of the Buscopan is justified in obstetric practice in order to reduce the pain, especially in primiparas.

ABSTRACT Introduction: The incidence of preterm delivery has been increasing even in developed countries and remains a serious problem for fetuses and neonates. Although many predictors for preterm delivery have been proposed, complete prediction and prevention have not yet been established. Aims: To examine the potential association between sonographic measurement of cervical length and threatened preterm birth (TPTB) in pregnant woman at 24-36 weeks of gestation. Materials and methods: A cross-sectional study included a total of 360 pregnant woman at 24-36 weeks of gestation categorized in two groups: TPTB group (n=160) and non TPTB group (n=200). The study was carried out at the Department of Obstetrics and Gynecology of the Clinical Center University of Sarajevo (KCUS). Sociodemographic and clinical characteristics of patients were obtained from medical records and physical examination by gynecologist. Transvaginal sonography was carried out by GE Voluson 730. Results: There was a significant association between TPTB and sonographic measurement of cervical length <25 mm (P<0.001). The logistic regression model was statistically significant, x2(7) = 281.530, P<0. 001. The model explained 72.6% of the variance in TPTB and correctly classified 88.1% of cases. Sensitivity was 83.8%, specificity was 91.5%, positive predictive value was 88.7% and negative predictive value was 87.6%. Out of the 7 predictor variables only 5 were statistically significant: cervical length, cervical consistency, rupture of membranes, uterine contractions and amine odor test. Conclusion: The findings of this study suggest association between sonographic measurement of cervical length and TPTB.

Aim: The main goal of this research is to correlate anthropometric characteristics of newborns in pregnant women who consume cigarettes during pregnancy. The study was conducted at the Obstetrics Clinic of the Clinical Center, University of Sarajevo. Methods: The retrospective study covered a period of two years. Main inclusion criteria for the study was that pregnant women consume cigarettes during pregnancy. The research included respondents who had a singleton pregnancy, without pathological conditions that can affect the outcome and duration of pregnancy. Results: At the Obstetrics Clinic, Clinical Center University of Sarajevo in the period from January 1, 2012 to December 31, 2013. In that period 393 pregnant women completed labor who in the personal history had data on smoking during pregnancy. Of the total number of subjects enrolled in this study 38.17% smoked up to 10 cigarettes a day, 33.08 % smoked up to 20 cigarettes a day, while up to 30 cigarettes per day smoked 28.75 % of respondents. Conclusion: There was a significant difference in the average values of all anthropometric parameters, in relation to the number of cigarettes consumed by the subjects during the day. We also found negative correlation in the average values of anthropometric measures and the number of cigarettes consumed (p <0.05).

Introduction: Caesarean section is obstetrical surgery by which through incision of the abdominal wall and the lower uterine segment performs extraction of the fetus in the advanced stages of pregnancy and childbirth ends by abdominal myomectomy. Because of its significance it is one of the most important surgical procedures performed in gynecology and obstetrics. Material and methods: The goal of this study is to show the incidence of cesarean section in the Public Hospital in Travnik during 2012, and the most frequent indications for surgical completion of delivery. During 2012 at the Department of Gynecology and Obstetrics of Cantonal Hospital Travnik there was 927 deliveries. Results: Of the total number of births, in 115 (12.41%) of cases a caesarean section was performed, while in 812 (87.59%) delivery was completed vaginally. Descriptive analysis reveals that 55 (5.93%) women had repeated cesarean section after a previous cesarean section, while in 60 (6.47%) cases in 2012 for the first time underwent cesarean section. As the most common indications in 7.33% of the women was reported cefalopelvinea disproportion and breech presentation. At 6.67% of the women caesarean section was performed due to asphyxia and 4% due to preeclampsia. The incidence of other indications such as abruption, placenta previa, multiple pregnancy and other was less than 3%. Conclusion: On the basis of the data we conclude that in the maternity hospital Travnik vaginal birth is most common. However, although the percentage of cesarean sections was much lower than in the regional maternity hospitals, we cannot ignore that the rate of caesarean sections is slowly increasing and requires that obstetricians in their practice make professional triage when setting indications for cesarean section so that a trend of surgically completed births should not reach epidemic proportions.

Clinic for Gynecology and Obstetrics, Clinical Center University of Sarajevo represents a tertiary level of health care with more than 3,000 births during one year. The aim of this article is to present the operation of the birth room at the Clinic for Gynecology and Obstetrics in 2012. Data were obtained on the basis of protocol of deliveries from the birth room. Material and Methods: Analyzed are the total number of births, the incidence of obstetric surgeries and other manual interventions. Results: Over the study period, there were a total of 3216 births, of which by Caesarean section was, completed 1115. The highest number of births was in September (n=305). The largest number of women who gave birth was nulliparous. Also among primiparous is performed the majority of cesarean sections (n=731). In the study period, multiple births were recorded in a total of 60 (59 twins, 1–triplets). Number of premature births was 370, and the perinatal mortality was 7.12 ‰. Number of newborn with birth weight below 2500g was 271. Among manual interventions in the delivery room mostly was used manual exploration of the uterus followed by the manual lysis of the placenta.