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신재준 ( Jae Jun Shin ),최지영 ( Ji Young Choe ),김선민 ( Sun Min Kim ),이승미 ( Seung Mi Lee ),오경준 ( Kyung Joon Oh ),박찬욱 ( Chan Wook Park ),박중신 ( Joong Shin Park ),전종관 ( Jong Kwan Jun ),박성혜 ( Sung Hye Park ),신희철 대한산부인과학회 2010 Obstetrics & Gynecology Science Vol.53 No.3
Listeriosis is an infectious disease caused by Listeria monocytogenes, a gram positive, facultatively anaerobic bacterium. Listeriosis occurs primarily in newborn infants, elderly patients, immunocompromised patients and pregnant women. One third of the patients are pregnant women, and complications of this disease include miscarriage, stillbirth and preterm labor. We experienced a case of listeriosis in a singleton pregnancy at 23rd week of gestation that presented with fever, chill, lower abdominal pain, backache, and eventually resulted in fetal death in utero. Autopsy results of the stillborn baby, as well as blood and amniotic fluid culture of the mother confirmed Listeria monocytogenes infection. Proper antibiotics therapy thereafter led to clear recovery of the infected mother. We report this case with a brief review of literature.
우리나라 쌍태아의 성별, 출생순위별 출생체중 불일치 수준에 관한 연구 2008-2013
박상화 ( Sang Hwa Park ),신재준 ( Jae Jun Shin ),김훈 ( Hoon Kim ),임달오 ( Dar Oh Lim ) 대한주산의학회 2015 Perinatology Vol.26 No.3
Purpose: To investigate the incidence of intra-twin birth weight discordance and its association with infantile gender and birth order. Methods: We used the data of birth from 2008 to 2013 of Korea Statistics (38,140 pairs of twins). Adjusted logistic regression analyses were performed to describe the birth weight discordance (≥25%) according to infantile gender and birth order (twin A: 1st, twin B: 2nd). Birth weight discordance was calculated as 100 x (birth weight difference/birth weight of the heavier twin). Results: Twin A (mean 2.431 kg) was heavier than twin B (mean 2.359 kg), and the weight difference was 0.281 kg on average. Overall incidence of birth weight discordance was 8.3 percent. The incidence of discordance was 8.8 percent among unlike-sexed pairs and 8.0 percent among like-sexed pairs. Twins with birth weight A≥B (10.2 percent) showed higher incidence of discordance than twins with birth weight A<B (5.4 percent), with an odds ratio (OR) of 1.870 (95% confidence interval (CI): 1.7192.034). Unlikesexed twins were associated with higher probability of discordance compared to likesexed twins (OR 1.456, 95% CI: 13.101.619). Odds ratio of discordance was 2.918 (2.5023.403) in unlikesexed twins (malefemale) with birth weight (A≥B) as compared to like-sexed twins (female-female) with birth weight (A<B). Conclusion: Birth weight discordance was associated with unlike-sexed twin pairs and difference of inter-twin birth weight by birth order. However, close attention should be paid to the discordance of twin body weight to reduce the risk of adverse outcome.
산통 (분만 진통) 중 자궁경부 부종으로 인한 3기 골반장기탈출
한경희 ( Kyung Hee Han ),신재준 ( Jae Jun Shin ),신미선 ( Mi Sun Shin ),김병재 ( Byoung Jae Kim ),황규리 ( Kyu Ri Hwang ),전혜원 ( Hye Won Jun ),배광범 ( Kwang Bum Bae ) 대한산부인과학회 2010 Obstetrics & Gynecology Science Vol.53 No.8
Pelvic organ prolapse complicating pregnancy is a rare clinical condition and its incidence is one in 10,000~15,000 deliveries. It is associated with multiparity, low socioeconomic status, inadequate perinatal care, maternal malnutrition, previous abdominal surgery, and weakness of pelvic muscular and connective tissue. It can cause cervical dystocia, which leads to cervical laceration, uterine rupture, maternal and fetal death. We experienced a case, first in Korea, of cervical swelling that developed during labor, prolapsed beyond the vaginal introitus and thus obstructed the birth canal. The patient underwent cesarean section and subsequently received MgSO4 topical therapy and resulted in complete resolution. We report this case with a brief review of literature.