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RISS 인기검색어
- 검색키워드
- 저자 : 정연정(YJ Chung) (검색결과 1 건)
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정연정(YJ Chung),이모혜(MH Lee),이규현(KH Lee),배정민(JM Pae),조태호(TH Cho) 대한산부인과학회 1972 Obstetrics & Gynecology Science Vol.15 No.9
1966.1.부터 1970.12.31까지 5년간에 걸쳐 이화여자대학교 의과대학 산부인과에 입원한 총 9032명중 출생시 체중 400gm이상의 거대아 362명에 대한 임상기록을 통해산후출혈은 23.5%로 평균 산후출혈율율 5.0%에 비하면 거의 5배였다. 산모사망예는 없었다. Obstetric management of large fetus weighing 4000gm or more is considered to be a di- fficult problem and requires special experiences. The data presented are based on 362 cases of large fetus seen in Ewha Woman`s University Hospital, Seoul, Korea among 9302 cases of total deliveries for past 5 years duration begining Jan. 1966 to Dec. 1970. The summary was as follows; 1. The incidence of large fetus weighing 4kg. or more was 3.89% of the total deliveries, and the baby weighing 4500 gm or more was 0.51% of the total. 2. Approximately two third of 59.2% of the cases of large fetus were bory between 40 and 41 week of gestation, and another one third (31.8%) of the cases were born in 42 or more week of gestation. 3. The majority of large fetus were found to be born either in the mother aged 30-34 (43%), or in 25-29 (37%), buth the fetus born in the mother aged 35 or more were less (14%). 4. There noticed a definite tendency of large fetus predominantly born in multiparous. The incidence of large fetus born in multigravida with para 1-5 was more than twice the primigravida, and when the parity increased to 6 or more the incidence was greater than 7-10 times. 5. Most cases of large fetus(69.1%) were male fetus, whereas the female fetus were 30.9 % of the cases. A largest baby in this seriese was also male fetus with 5500 gm of body weight. 6. The incidence of abnormal early postpartum oral glucose tolerance test of the mother deliveried large fetus was significantly high (45%) in the 1 hour test which is most valua- ble one, high (28%) in the 2 hours although low or insignificant in the usual fasting blood sugar test. about one third or 32% of the casesof the pregnant woman subsequently delivered large fetus showed positive glucoseuria wheras only the 4.5% cases of the control group revealed it. 7. The incidence of maternal overt diabetes was 8 cases or 1.37%. 8. Large fetus weighing 4kg or more of body weight required Cesarean section for the dystocia in 26% of total cases in comparison with only 5.2% of the average Cesarean sec- tion rate. Any mother even had previous normal ranging deliverise it does not necessary immune to cephalopelvic disproportion and needed the Cesarean section not infrequently. 9. The frequency of immediate postpartum hemorrhage following delivery of large fetus was about 24% of the case of 5 times the average incidence. The routine oxytocin intravenous drip has been instituted effectively. 10. The perinatal loss in large fetus were 9 cases or 2.5% of 362 cases in which consist of 1.2% of the stillbirth and 0.6% of the neonatal death.
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