MS-AFP level in the second trimester is still an important indicator of fetal surface malformations; however, ultrasound still outweighs as a screening method. Nevertheless, pregnant women with elevated MS-AFP values and with no sonographically detected fetal malformations should additionally receive the third trimester ultrasound examination to exclude other possible complications of pregnancy.

The purpose of this study was to analyse body size indices of newborns in Vilnius city (Lithuania) during 2005-2010 in relation with mother's education and ethnicity, and in parallel with the changes of socio-economic situation during the recent years. The present results were based on data (N = 18,084) from the Vilnius University Clinic of Obstetrics and Gynaecology. Comparison of the present Lithuanian data with other newborn studies was made. The analysis of socio-economic and demographic indicators of Lithuania, and the comparison of Gross Domestic Product of various countries was performed. The comparison of body size of newborns' data from the different countries showed that Lithuanian newborns were among the biggest babies. Some statistically significant differences in body size of newborns from different ethnic groups were established. Body length of Lithuanian newborns (M = 52.6 cm, SD = 2.5) was higher than length of Russian, Ukrainian and Romanian newborns. Body weight of Lithuanian newborns (M = 3511 g, SD = 485) was bigger than birth weight of Russian, Polish, Ukrainian and Romanian newborns. The analysis of newborns size by mother's education showed that body weight of neonates from mothers with the university education and from each other education group was bigger in comparison with the babies from respectively lower education group. The comparison of newborns weight by mother's ethnicity in relation to education level revealed nearly no discrepancies between size of newborns from mothers with the same education level at different ethnic group. The analysis of birth parameters by year has not established a statistically significant difference between the mean values for the body weight and body length of the whole investigated contingent of the full-term, single-birth newborns from Vilnius city during the 2005-2010. However, the tendency has been revealed that newborns from mothers with lower education were the most susceptible to negative economic changes after the 2008.

Background / objectiveFetal genitourinary tract anomalies are the most common anomalies diagnosed antenataly. Most fetal urinary tract abnormalities are well seen with ultrasound. Punctation and aspiration of fetal cyst are usually performed if there is a risk of damage for fetal vital organs. Biochemical analysis of cyst fluid for the detection of cyst origin is being used. In cases of isolated one kidney pathology fetal outcome is good. This clinical case demonstrates diagnostics, interventional treatment and outcome of fetal renal cyst.Key words: fetus, cyst, prenatal dignostics, interventional treatment.Vaisiaus inkstų cistiniai dariniai: prenatalinė diagnostika ir intervencinis gydymas Įvadas / tikslasVaisiaus šlapimo takų raidos ydos yra dažniausiai diagnozuojamos lyginant su kitų sistemų raidos ydomis. Pagrindinis tyrimo metodas, padedantis nustatyti vaisiaus inkstų cistas, yra vaisiaus echoskopija. Vaisiaus inkstų cistos punktuojamos, kai atsiranda kitų organų pažeidimo grėsmė. Cistos kilmei patikslinti naudojamas punktato biocheminis ištyrimas. Prognozė vaisiui būna gera, esant izoliuotai vienpusei patologijai. Šis klinikinis atvejis iliustruoja vaisiaus inkstų cistos diagnostiką, intervencinį gydymą ir baigtį.Reikšminiai žodžiai: vaisius, cistiniai dariniai, prenatalinė diagnostika, intervencinis gydymas.

No abstract

Background / objectiveFetal genitourinary tract anomalies are the most common anomalies diagnosed antenataly. Most fetal urinary tract abnormalities are well seen with ultrasound. Punctation and aspiration of fetal cyst are usually performed if there is a risk of damage for fetal vital organs. Biochemical analysis of cyst fluid for the detection of cyst origin is being used. In cases of isolated one kidney pathology fetal outcome is good. This clinical case demonstrates diagnostics, interventional treatment and outcome of fetal renal cyst.Key words: fetus, cyst, prenatal dignostics, interventional treatment.Vaisiaus inkstų cistiniai dariniai: prenatalinė diagnostika ir intervencinis gydymas Įvadas / tikslasVaisiaus šlapimo takų raidos ydos yra dažniausiai diagnozuojamos lyginant su kitų sistemų raidos ydomis. Pagrindinis tyrimo metodas, padedantis nustatyti vaisiaus inkstų cistas, yra vaisiaus echoskopija. Vaisiaus inkstų cistos punktuojamos, kai atsiranda kitų organų pažeidimo grėsmė. Cistos kilmei patikslinti naudojamas punktato biocheminis ištyrimas. Prognozė vaisiui būna gera, esant izoliuotai vienpusei patologijai. Šis klinikinis atvejis iliustruoja vaisiaus inkstų cistos diagnostiką, intervencinį gydymą ir baigtį.Reikšminiai žodžiai: vaisius, cistiniai dariniai, prenatalinė diagnostika, intervencinis gydymas.