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        말기임신출혈의 임상적 고찰

        장병수(BS Chang),허상(S Hur),이진호(JH Lee),이후택(FT Lee),송상환(SW Song) 대한산부인과학회 1971 Obstetrics & Gynecology Science Vol.14 No.10

        주산기사망은 전치태반에서 30.11%, 태반조기박리에서 72.41%였으며 공히 입원당시 모체의 혈색소치가 낮을수록 주산기사망율은 증가하였다. A clinical review was made of 211 cases of late antepartum hemorrhage who were admitted to the Severance Hospital during last the 11 years (January 1, 1960 - December 31, 1970). 1. Placenta previa and abruptio placentae composed 0.79% and 0.49% of the total deliveries respectively. 2. The incidence of toxemia (6.59%) was equal in placenta previa and general obstetrical patients but 69.94% of abruptio placentae cases had toxemia and 2/3 of these cases were severe. 3. The presentation of the fetus in placenta previa was abnormal in 23.08% with transverse lie in 16.4%. 4. Cesarean section rates were 75.82% in placenta previa and 17.86% in abruptio placentae. 5. Perinatal death rates were 30.11% in placenta previa, 72.41% in abruptio placentae and 22.73% in marginal sinus rupture. In general the more perinatal deaths occurred among the mothers who had lower hemoglobin level on admission.

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        거대아에 대한 임상적 고찰

        차희국(HK Cha),이진호(JH Lee),장병수(BS Chang),허상(S Hur) 대한산부인과학회 1971 Obstetrics & Gynecology Science Vol.14 No.2

        신생아 2차 성비는 여100:남203.5로 남아가 월등히 높았다. The delivery of giant babies is a big problem of obstetricians, it is not only difficult delivery but also various complications to the mothers and babies. Between January, 1, 1960, and December, 31, 1969, there were 258 giant babies among the 8703 deliveries, at the dept of Ob & Gyn. Severance Hosp. Yon sei University. The results obtained were as follows. 1) The incidence of giant babies (over 4kg) was 2.96%. 2) The incidence in multipara was higher than primipara. 3) The highest incidence was found among the women 30 to 34 year of age. 4) The incidence increased abruptly from 41 weeks of pregnancy. 5) Obstertrical complications were more common, there were, toxemia of pregnancy, shoulder dystocia, and postpartum hemorrhage. 6) Diabetes was the most common maternal complication. 7) Incidences of midforceps and c-section were higher than that of overall. 8) Perinatal mortality was higher than overall (about 2.5 times common). 9) In the sex ratio of giant babies, male was more common (female: male = 100: 203.5)

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