At the paper the problems of girls hospitalized at the Gynaecological and Obstetrician ward of the hospital situated on the border of city agglomeration were described. The data regards as pregnancy, delivery and puerperium and they were collected in last two years.
PIP: In the gynecological-obstetrical municipal hospital of Pruszkowie, there were a total of 38 pregnant women admitted under the age of 17 from January, 1990, to June, 1992, for abortion, pregnancy complications, and delivery. The deliveries to those under 17 represented 1.2% of the total of 2693 births during 1990-92. The youngest was 15 years old. 60% were students, and the rest did not work or study. 63% were not married. 74% were supported by their parents. 32 patients were admitted for delivery, 4 for abortion, and 2 for pregnancy complications. 28 had their first pregnancy, 2 had induced abortion, and 2 were multiparous. The following pregnancy complications appeared: in 13.17%, anemia (treated with drugs and in one case with blood transfusions; in 10.5%, infection of urinary tract; in 3%, gestosis in the preliminary stage; in 3%, insufficiency of the cervical canal; in 16%, premature birth (60% of which was caused by the premature rupture of amniotic fluid, with 40% having contractions that could not be halted by tocolytic drugs). Two patients were hospitalized in the pathology department on account of threatening premature birth and anemia. They were treated and released home with recommended further out-patient care. In 88% of women giving birth at term genuine contractions appeared, and in the rest of the cases birth was induced by oxytocin infusion. The average duration of birth was 5 hours and 48 minutes. The longest labor lasted 10 hours and 40 minutes, the shortest one 3 hours and 5 minutes. In 9.3% of deliveries, cesarean section was performed because of threat of miscarriage in one case and the position of the pelvis in two cases. During puerperium in 15.6% of patients, slow inversion of the uterus was observed, which necessitated the administration of spasmolytic drugs. In one case there was an inflammation of the uterine muscle. The 80% rate of premature births among those not having received prenatal care had to do with their low socioeconomic status in an urban environment and consequent inferior public health care.