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김승조,배석년,남궁성은,최은아,김재훈,서천옥,송희영,박명재 대한산부인과학회 1997 Obstetrics & Gynecology Science Vol.40 No.8
For evaluating the reproductive performances of GTD patients, we found 115 cases of GTD patients, 77 HM and 38 GTT, who became pregnant after the completion of treatments and follow-up period. Among GTD patients, them live births, premature deliveries, and stillborn deliveries were 89(77.4%), 3(2.6%), and 1(0.9%), respectively. Also, cases of spontaneous abortion, ectopic pregnancy, and congenital anomaly were 14(12.2%),1(0.9%), and 3(2.6%), respectively. However patients with repeat GTD was 5(4.3%), which is higher than the natural indence of GTD in Korea, at 0.2%. Patients who received chemotherapy for GTT showed no specific effects related to pregnancy. An especially important outcome was the ratio of congenital anomaly that did not increase in spite of teratogenic effects. In addition, 2nd pregnancies following the completion of treatments produced results that were similar to the results of the 1st pregnancies. There were also no specificity in complication of antepartum and postpartum, mode of delivery, indications of cesarean section, and distribution of neonatal sex and weight. The results of this study suggest subsequent pregnancies after the completion of treatments may promise normal reproductive outcomes regardless of the chemotherapy.
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김도강,김수평,노덕영,신진웅,장병우,변태섭,서천옥,이희중,강규섭 대한산부인과학회 1998 Obstetrics & Gynecology Science Vol.41 No.10
Objective: This report was undertaken to determine the present status of cesarean hysterectomy which was originally devised to prevent postcesarean infection and hemorrhage, and its conditions have gradually been widened to include many conditions in which removal of the uterus is necessary or desirable. Material & method: 53 cases of cesarean hysterectomy performed at Taejon St, Mary`s Hosp. from Jan. 1992 to Aug. 1997, was discussed and evaluated retrospectively. Results: There were 19, 823 deliveries during this period. Cesarean hysterectomy was performed in 53 cases of 8, 558 cesarean sections [0.56%] and 11, 265 normal spontaneous vaginal deliveries [0.04%], an total indication of 0.28%. In total subjects of 53 cases in this series, the subject were 31 cases of uterine atonic bleeding, 9 cases of adhesive placenta, 6 cases of placenta previa, 5 cases of uterine myoma with pregnancy and 2 cases of uterine rupture. All patients who had cesaren hysterectomy received transfusion from 1 pint to 40 pints. The post operative complications were atonic bladder, disseminated intrav ascular coagulopathy, febrile morbidity and wound infection. There was one maternal death due to acute, severe homorrhage and DIC. Conclusion: Postoperative complications still remain the main causes of maternal mortality. Therefore careful prenatal care, momentary judgement of right operation time, fresh blood transfusion and reduction of operation time are very important.
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