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      • KCI등재

        주산기 사망 , 10년간 연구

        강미자(MJ Kang),윤석완(SW Yoon),김정자(JZ Kim),김종일(JI Kim),강신명(SM Kang) 대한산부인과학회 1981 Obstetrics & Gynecology Science Vol.24 No.4

        We have observed perinatal deaths occurring in Ewha Woman`s Hospital during a 10 year period January 1, 1969 to December 31, 1978. there were 271 stillbirths and 175 neonatal deaths among 18, 117 cases of total deliveries which included fetus weighing over 1000g. The results of the study were as follows; 1. The perinatal mortality rate during the 10 years was 24.6 per 1000 births. 2. The perinatal mortality rate was lowest in the age group 25-29, and the rate was increased after at age of 35 and over. 3. The perinatal mortality rate was increased at the second parity and over. 4. There was about 4 times higher perinatal mortality rate among pregnant women who received no antenatal care than among pregnant women who received some antenatal care. 5. There were increase possibility of life of the babies weighing 1000g over at birth 6. The most common causes of perinatal death were hemorrhage(15.5%) and were followed by malformations (14.6%) unknown(12.8%) prematurity(11.4%) infection(9.9%) hypertensive pregnancy (8.1%) etc. 7. The most frequently encountered single anomaly was anencephaly. 8. The most common neonatal death was prematurity (28%). 9. The congenital syphilis was the most common cause of infection leading to perinatal death. 10. The total number of potentially preventable perinatal death were 39 cases or 2.1 in the rate. Therefore, it has been our provision that our current series of perinatal mortality-24.6 per 1,000 live births canbe reduced to 22.5. 11. The high quality antenatal care and early hospital treatment or delivery were considered to be always important for prevention of perinatal deaths.

      • KCI등재

        난소미분화 배세포종의 1예

        윤석완(SW Yoon),강미자(MJ Kang),전선희(SH Chun),안정자(JJ Ahn) 대한산부인과학회 1981 Obstetrics & Gynecology Science Vol.24 No.11

        A case of ovarian dysgerminoma in 22 year old unmarried woman is presented and its literature are reviewed briefly.

      • KCI등재

        초음파 촬영 ( Sonography ) 의 산부인과 적용

        전선희(SH Chun),김정자(JZ Kim),강미자(MJ Kang),우복희(BH Woo),강신명(SM Kang) 대한산부인과학회 1980 Obstetrics & Gynecology Science Vol.23 No.10

        1978년 10월부터 1979년 9월까지 이화대학 산부인과에서 초음파검사를 실시한 198예에 대하여 분석 관찰하여 다음과 같은 결론을 얻었다. 1. 전자주사형 초음파진단(real time sonography)은 대단히 간편하였고 특히 태아 생존 판정에 확율이 대단히 높았다. 즉 임신 8주경에 태아의 운동이 확실히 보이고 계류유산 및 포상기태 또는 태아사망 등의 확진에 획기적이 되었다. L/S ratio 검사를 위한 양수천자는 전자주사형초음파 진단하에서 실시하는 것이 절대적으로 안전하였으며 전치태반 감별 진단의 확률도 대단히 높았다. 2. 골반종양의 진단은 주로 접촉복합주사법(B-mode contact compound scanning)을 사용하였는데 특히 난소종양이나 혹은 자궁근종의 진단은 거의 다 확진되었다 In recent years, ultrasonography has been widely used in the medical field as a diagnostic imaging technique. This paper, which was based on 198 cases of ultrasonogram performed in obstetric and gynecology department of Ewha womans University Hospital, from Oct. 1978. to Sep. 1979., we attempted to analyse and observe the application of ultrasonography in obstetrics and gynecology and its diagnostic value. The following is the result of this study: 1. In 15 out of 18 cases with amenorrhea 5 weeks-10 weeks, intrauterine early pregnancy was diagnosed correctly by ultrasonogram. 2. By ultrasonogram, at 5 weeks gestation, gestational ring was identified, at 7 weeks gestation, pulsating fetal echo within gestational sac was shown and from 8 weeks gestation, its pulsating image was visualized more clearly on the real time scanner. 3. In prediction of gestational age by measurement of fetal biparietal diameter(B.P.D.) sonographically, obtained from women in gestation 29-43 weeks, 78.9% of them delivered the full term baby with spontaneous labor within 2weeks of sonar E.D.D. In addition, birth weight was found to be more than 2.5kg in 95% of fetus, whose B.P.D. measurement was more than 8.7cm obtained within less than 48 hours before delivery. 3. Placental localization 1) Amniocentesis for L/S ratio test was performed sucessfully in 100% of 18 cases under the guidance of real time scanner. 2) The diagnostic accuracy in placenta previa by ultrasonogram was 87.5%. 4. Diagnostic accuracy of sonography in Hydatidiform mole was 87.5%. All of 9 cases of missed abortion, and 10 cases of intrauterine fetal death were correctly detected by ultrasonogram. 5. At present, it is difficult to diagnose the ectopic gestation by ultrasonogram alone. 6. Ultrasonogram is easy and valuable to differentiate among multiple pregnancies, hydamnios and giant babies. 7. All of 13 cases of ovarian tumor and 10 out of 12 cases of uterine myoma were correctly diagnosed by ultrasonogram before operation. But pelvic hematoma, abscess and tuberculos

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