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조승욱(SW Cho),이종태(JT Lee),이호근(HK Lee) 대한산부인과학회 1982 Obstetrics & Gynecology Science Vol.25 No.3
Authers performed clinical study on 242 patients with postpartum atonic bleeding encountered at department of Obstetrics & Gynecology, Korea General Hospital, Seoul, Korea for 10 years and 8 months from November 1968 to June 1979. There were 9151 cases of vaginal deliveries during that period. The result are as follows; 1) an overall incidence of postpartum atonic bleeding was 2.64% among the 9151 vaginal deliveries, about 3 times of higher incidence was noted in twin pregnancy (8.05%) as compared with single pregnancy (2.59%), an incidence also increased significantly when the materal age was above 30th years and the parity was above 3 times. 2) The prolonged labor & delayed placenta delivery had a tendency toward developing postpartum atonic bleeding, also large sized baby & placenta produced significantly higher incidence of postpartum atonic bleeding. 3) when induction or augmentation of labor with oxytocin were carried out, higher incidence of postpartum atonic bleeding were developed. 4) Hypertensive disease in pregnancy & uterine dysfunction seemed to be associated more frequently with postpartum atonic bleeding. 5) 232 cases were treated with hysterotonics and transfusion, Operations were performed on 9 cases. 6) Puerperal fever and wound infection were complicated in the patient with postpartum atonic bleeding.