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( Min Young Park ),( Sun Hwa Lim ),( Mi Na Byon ),( Hye Young Han ),( Mi Young Kim ),( Jin Hwa Jung ),( Sang Hun Lee ),( Dong Ho Kim ),( Hyoung Moo Park ),( Gwang Jun Kim ) 대한산부인과학회 2012 대한산부인과학회 학술대회 Vol.99 No.-
To determine obstetric outcomes after external cephalic version (ECV) performed at term. In a retrospective study of ECV among term breech presentation singleton pregnant women at Chung-Ang Univerisity Hospial between November 2009 and July 2013, we evaluate the mode of delivery after ECV procedure and analyze factors influencing success and complication using for Mann-Whitney test. All contraindication of ECV ( placenta previa, uterine malformation, intrauterine growth retardation with pathologic Doppler and Multiples) Among 96 EVC attempts, 67.4% of women had cephalic presentation (n=64) and 32.6% (n = 31) remained breech presentation. Vaginal delivery was observed by 40 out of 64 (62.5%) among successful ECV , whereas 11 (17.2%) had in-labour Caserean sections. After unsuccessful ECV 31 patients had elective Caserean sections. When comparing the successful and unsuccessful ECV groups, there is a statistical significant difference in position (p=0.013), count of attemps (p=0.001), use of Yutopar (p=0.001). These groups did not show a significant difference in parity, AFI, BMI, newborn weight and newborn gender. In successful ECV group, there is statistical significant difference between vaginal delivery and Caserean sections of parity, engagement. On the same day after the ECV procedure two patients, who had unsuccessful ECVs, had Caesarean sections. One was due to pathological cardiotocogram with no clinical correlation. The other Caesarean section was due to progressed labor. No harm to fetal or maternal health resulted from ECV. ECV was found to be a safe procedure at term. The rate of surgical delivery after successful ECV was low. A trial of ECV at term and beyond is feasible.
OB-21 : Frontal lobe and cerebellar differences in IUGR and AGA fetuses
( Min Young Park ),( Kyung Won Shim ),( Ju Won Baek ),( Hyun Ji Kim ),( Sun Hwa Im ),( Mi Young Kim ),( Mi Na Byon ),( Eun Ju Lee,),( Seung Su Han ),( Sang Hoon Lee ),( Dong Ho Kim ),( Hyoung Moo Park 대한산부인과학회 2014 대한산부인과학회 학술대회 Vol.100 No.-
목적: Children with history of intrauterine growth restriction (IUGR) have shown abnormal neurological tests or cognitive functions. The pathophysiologic event in utero is not known. Uneven preferential intracranial blood supply can be related. We tried to find the causative phenomenon in fetal brain of severe IUGR. 방법: A prospective ultrasound evaluation of 100 pregnant women was conducted between 18 to 38weeks` gestation between 25 April 2013 and 1 July 2013 in Chung-Ang University Hospital. A group of 7 severe IUGR (defined as an estimated fetal weight <3th centile) , 6 IUGR (estimated fetal weight <10th centile) and 87 AGA fetuses by gestational age were studied. Ultrasound examination for fetal standard fetal biometry, including biparietal diameter (BPD), head circumference(HC), abdominal circumference (AC), femur length, the frontal lobe distance (posterior cavum septum pellucidum to the inner calvarium) and transcerebellar diameter (TCD) were measured in patients. All pregnancies had certain dates. Ratio between frontal lobe distance and TCD were calculated. Differences in ratios between IUGR and AGA fetuses were analyzed Student T-test. 결과: Significant differences (p<0.03) were found in the frontal lobe diameter/ TCD ratio between severe IUGR (0.54) and AGA fetuses (0.62). According to severity of IUGR, frontal lobe diameter showed significant differences (p<0.05). Severe IUGR fetuses (1.4cm) had smaller frontal lobe diameter than IUGR fetuses (1.7cm). However, statistically significant differences of TCD could not found among three groups . 결론: This study shown that in early onset IUGR fetuses, frontal lobe diameter was reduced, but cerebellar diameter was preserved. Under restricted blood supply such as in severe IUGR, growth of frontal lobe is sacrificed first than cerebellar growth. Sonographic measurement of frontal lobe and cerebellar diameter of IUGR fetuses might be useful tool to screen out future neurologic development after birth.