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- 저자 : 김부철(Boo Cheol Kim) (검색결과 2 건)
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유현(Hyun Yoo),김부철(Boo Cheol Kim),김형선(Hyeong Seon Kim),이금노(Keum Nho Lee) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.1
N/A Objective: To evaluate the effect of Mcdonald's cerclage and postoperative care on perinatal outcome in patient with incompetent cervix and bulging fetal membranes. Methods: In the descriptive study, the charts of 78 patients admitted from 1993 to 1997 with a diagnosis of incompetent cervix and cervical dilatation (3cm) were reviewed, Mcdonald's cerclage rate, predisposing factor, fetal salvage by time, factors of falled operation, delivery type were analyzed. Results: The results of the study were as follows; The incidence of II OC was 0.4% of 18702 case, the mean age was 31.9 years old, the average number of gravida was 2.9, the fetal salvage rate was 83.3%, the predisposing factor was previous history of midtrimester termination(56.4%), dilation and curettage(19.2%), unknown(14.1%) etc, the fetal salvage by time was the highest success rate(88.9%) revealed with period from 14th to 16th weeks of gestation, the factors of falled operation were preterm labor(76.9%), PROM(15.4%), infection(7.7%), and delivery type was vaginal delivery in 36 case(55.4%), cesarean section in 29 case(44.6%). Conclusion: We concluded that fetal salvage rate was greatly increased when Mcdonald operation was done from 14th to 16th week of gestation if midtrimester abortion and dilatation and curettage were experienced, Even though we have not compared experimental group with control group, upper part of Mcdonald cerclage, no exposure of suture material, benzol conium dressing, bed rest were increased to fetal salvage rate.
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박창수(Chang Su Park),김형선(Hyeong Seon Kim),권미숙(Mi Suk Kwon),김부철(Boo Cheol Kim),이금노(Keum Nho Lee),이영호(Young Ho Lee) 대한산부인과학회 1999 Obstetrics & Gynecology Science Vol.42 No.8
목적: 최근 현대사회에 들어서면서 노령초산모 여성이 증가함에 따라서 연령이 임신과 출산에 미치는 영향을 임상통계학적 고찰을 통하여 살펴봄으로써 향후 이들의 관리에 도움이 되고자하였다. 연구방법: 1995년부터 1998년까지 4년간 전주예수병원 산부인과에서 분만한 산모중 35세 이상 노령초산모 73명을 대상군으로 하고 동기간동안 분만한 35세이하 젊은 초산모 73명을 대조군으로 하여 임상적고찰을 하였다. 결과: 35세 노령초산모가 젊은 초산모에 비해서 불임 및 자연유산의 과거력, 산전합병증, 제왕절개술에 있어서 비교적 높은 빈도를 보였고 신생아상태에서 저체중아, 조산아가 비교적 높게 나타났으나 통계학적 의의는 없었다. 기형아는 젊은 초산모에서만 2예 있었다. 결론: 노령초산모와 젊은초산모의 비교를 통하여 나이자체가 산전합병증 및 분만방법의 결정, 신생아상태에서 좋지않은 영향을 미치게 되나 철저한 산전관리를 통하여서 비교적 양호한 결과를 얻을 수 있다. 그리고 노령임신과 선천성기형과의 연관성에 대해서는 더 많은 연구가 필요하리라고 사료된다. Objective: Recently, the incidence of elderly primipara is increasing. Thus, impact of old age on pregnancy outcomes became important. Our purpose was to assess the effect of maternal age on pregnancy outcomes. Methods: 73 cases of the elderly primipara over 35 years at the department of obstetrics and gynecology, Chon-ju presbyterian medical center, from Jan. 1, 1995 to Dec. 31, 1998, were compared with 73 cases randomly chosen young primiparas during same period. Results: Elderly primipara had higher rate of infertility and spontaneous abortion history, antenatal complications, cesarean section, poorer neonatal outcome than young primipara. Conclusion: The pregnancy outcome of elderly primipara is considered to be less favorable than those of young primipara. Careful antenatal and intrapartal care should be performed for the elderly primipara. We think that many clinical study of congenital anomaly in elderly primipara will be necessary.
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