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RISS 인기검색어
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- 저자 : 강병석(BS Kang) (검색결과 2 건)
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이현섭(HS Lee),김명주(MJ Kim),김경준(KJ Kim),강병석(BS Kang),정욱(W Jeong),황상의(SU Hwang) 대한산부인과학회 1985 Obstetrics & Gynecology Science Vol.28 No.6
One hundred sixteen cases by X-ray pelvimetry of cephalic presentations, Colcher- Sussman method, were retrospectively analyzed. Comparison was made on results of X-ray pelvimetry and body weight of newborn infant on each groups which were composed of normal labor course with vaginal delivery group (N=35), and abnormal labor course with vaginal delivery group (N=35), cesarean section after first stage of labor group (N=32), and cesarean section without labor group (N= 24), differences of means were analyzed for ratio of inlet and midpelvis (Mengert indices) versus body weight among each groups. The analysis revealed significant difference between normal labor course with vaginal delivery group and cesarean section groups, but there was no difference among the groups except for normal labor course with vaginal delivery group. Also we noticed that the position of sacrum against pelvic bone do not predictive tool for delivery outcome, and the most important parameter of pelvic dimensions is interspinous diameter. The data from this study suggest that there is no significant role for X-ray pelvimetry in diagnosis and management of cephalopelvic disproportion in dysfunctional labor.
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김진태(JT Kim),이현섭(HS Lee),김경준(KJ Kim),강병석(BS Kang),황상의(SU Hwang) 대한산부인과학회 1985 Obstetrics & Gynecology Science Vol.28 No.6
This study analysed 427 cases of breech presentation among the total 13613 deliveries during the period from Jan. 1977 to Dec. 1983 at St. Benedict Hospital, Department of Obstetrics and Gynecology. This data was divided into 2 groups of vaginal delivery group and cesarean section group, and then, was reviewed for mothers age, parity, birth weight, perinatal mortality and Apgar score at 5 minutes. 1. The incidence of breech presentation was 3.1%. 2. Predominant age group consisted of 25~29 age group with frequency of 52.2%. 3. As to the parity, the frequency of breech presentation was 73.9% in primipara and 52.3% in multipara (p<0.001). 4. As birth weight was increased, the frequency of cesarean section was done, 67.7% in 2500~2999gm group, 74.3% in 3000~3499gm group and 88.9% in over 4000gm group. 5. In 2500gm or more group, perinatal mortality rate was 4.6% in vaginal delivery and 0.8% in cesarean section. 6. Birty weight in breech presentation was smaller than vertex presentation. At 38 weeks, 40 weeks, 41 weeks, the difference of birth weight was meaningful (p< 0.05, p<0.01, p<0.01). 7. As to type of delivery, perinatal mortality was 5 of 5 cases in vaginal delivery and 2 of 4 cases in cesarean section at 33 weeks and 4 of 7 cases of vaginal delivery and 1 of 8 cases in cesarean section at 34 weeks therefore, cesarean section was favorable type of delivery in prematurity. 8. Perinatal mortality rate was 13.1% and most common cause of death was prematurity and most common period of death was after delivery. 9. Cesarean section rate showed a tendency to gradual increment yearly.
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