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Fetal distress 에 대한 glucose 치료효과
김기진(KJ Kim),홍창수(CS Hong),최명학(MH Choi),유명렬(MY Yoo) 대한산부인과학회 1969 Obstetrics & Gynecology Science Vol.12 No.10
It has been reported earlier that a certain relation exists between the glycogen content of the fetal heart and survival of the fetus under anoxia. The effests of maternal glucose loading on fetal distress were studies in 40 cases of full term pregnancy. One group of 20 cases server as controls without infusion of glucose, and the other study group of 20 cases was given an infusion of 50ml of 50% glucose solution intravenously 1-2 hours before delivery. Following the infusion of glucose solution, changes of fetal heart rates, plasma glucose levels, CO2 and O2 contents in the cord blood and amniotic fluid pH were determined & compared with those of control group. The results were as follows; 1) The umvilical arterial glucose content at birth was lower than that of umbilical venous blood and both arteral & venous glucose levels of the study group were found to be higer than those of control group. 2) In the cases of glucose loaded fetus, fetal heart activity was improved and stabilized. In the bradycardia group fetal heart rate was increased through whole labor course, but in the tachyc- ardua group the rate was reduced to normal range. (The difference between the control group and study group was highly significant:P<0,001) 3) Fetall amniotic pH, was found to be lower in the control group than in those of glucose laded group both in normal & distress fetus. In the glucose loaded cases the pH was lower in fetal distress group than those of normal group. 4) O2 contents of the corb blood,doth arterial and venous, were slightly higher in the study group than in the control group. 5) CO2 contents od the cord blood, both arterial and venous, were lower in the study group than in the control group. Statistical difference of the umbilical venous blood between the two group was highly significant. It is concluded that the infusion of glucose to the mother during late labor period is beneficial for the fetus to overcome possible distress during the birth.
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최명학(MH Choi),홍창수(CS Hong),정구윤(KY Chung),유명렬(MY Yoo) 대한산부인과학회 1969 Obstetrics & Gynecology Science Vol.12 No.8
For the condyloma accuminatum, much informations has been decumented by many reportors but the huge size of condyloma accuminatum which we are going to report is uncommon. We reviewed literatures on the condyloma accuminatum.
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이경희(KH Lee),손순희(SH Sohn),강병필(BP Kang),유명렬(MY Yoo) 대한산부인과학회 1969 Obstetrics & Gynecology Science Vol.12 No.8
Deliveruy of giant baby is one of the most important subjects in Obst. & Gynec. field, since this brings quite often dystocia and other dangerous complication. Many have been reported on the delivery of giant baby with varying definitions. According to these weight of the newborn infant depends onvarious factors such as origin, climate, season, sex, gestation period, age and health of the mother, number of deliveries, state of nutrition during pregnancy, social and eco-nomical situation around parents. Among a total of 8962 new born infants in our hospital during the period from Jan. 1964 to Aug. 1968, we have conducted a series of clinical observation against 533 infants weigging more than 4.000g. Our observation and study is summaried as below; 1. Frequency of delivery of the giant baby is independent on the season of delivery. 2. More giant babies are born by multipara than primipara. 3. Giant babyis more closely associated with multipara or grandpara and extended gestation period. 4. Male infants are more in number than among female giant baby. 5. Duration of labor tends to be extended more with multipara or grandpara. 6. Most of the giant babies are delivered vaginally C-sections are performed mainly under the diagnosis of C.P.D. 7. Malpresentations amount to a 2.6% of the total of 536 babies. 8. No maternal mortality was found in connection with the delivery of giant baby. 9. There is a total of 26 cases accinoabued with bleeding more than 500cc, which is about a 5.8% 10. The death rate of giant baby is 2.25% of 536 cases.
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