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      • KCI등재

        임신자간에 속발한 급성중증신부전증 2예

        김성자(SJ Kim),박수배(SB Park) 대한산부인과학회 1977 Obstetrics & Gynecology Science Vol.20 No.10

        Two cases of acute renal failure developed during pregnancy complicated by eclampsia are presnted with the review of concerning literatures.

      • KCI등재

        난소임신의 1예

        김성자(SJ Kim),김순병(SB Kim),이영희(YH Lee),유한기(HK Yoo) 대한산부인과학회 1974 Obstetrics & Gynecology Science Vol.17 No.11

        1) 난소임신의 1예를 보고한다. 2) 난소임신의 문헌적 고찰을 하였다. Ovarian pregnancy is rare in ectopic pregnancy. A case of ovarian pregnancy was reported and a brief review of literatures was made.

      • KCI등재

        오염혈 수혈에 의한 패혈성 Shock의 1례

        김성자(SJ Kim),강옥희(OK Kang),박찬무(CM Park) 대한산부인과학회 1977 Obstetrics & Gynecology Science Vol.20 No.9

        오염된 혈액의 수혈에 의하여 발생된 패혈성 shock의 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다. Septic shock caused by contaminated blood transfusion is a very rare and grave condition. The mortaliy rate is relatively high ranging 50 to 70%. A case of septic shock caused by contaminated blood tranfusion is presented sith the bridf review of literatures.

      • KCI등재

        X - 선 골반계측의 산과적 예후

        김춘지(CJ Kim),이모혜(MH Lee),안정자(JJ Ahn),김성자(SJ Kim),우복희(BH Woo) 대한산부인과학회 1973 Obstetrics & Gynecology Science Vol.16 No.4

        This is a clinical analysis of 219 dystocia patients who received X-ray plevimetry by Colcher-Sussman technique among a total 4663 deliveries at the Ewha Woman`s University Hospital from Jan. 1, 1968 to April 30, 1970. The results were obtained as follows; 1. The occurence of dystocia was much common in primigravidas(77.6%), and less in multiparous woman(22.4%). 2. The majority of fetal presentation in dystocia was vertex presentation(84.5%), and the rest was breech presentation(13.6%). 3. The indications of X-ray pelvimetry in cases of dystocia was most likely unengaged vertex presentation in the early labor(47.5%), and others were breech presentation(13.7%), clinically suspected contracted pelvis(8.7%) and so forth. 4. The types of deliveries in cases of dystocia was mostly Cesarean section(60.3%), and vaginal deliveries(39.7%). 5. The patient with A-P inlet diameter of 10.55cm 0.11cm or with trasverse diameter of ischial spine 88.99cm 0.08cm in our series were considered as an boarderline C.P.D. all requiring Cesarean section. 6. The frequency of fetal morbidity was significantly increased when length of labor prolonged over 24 hours. 7. Perinatal mortality rate was 62.2 per 1,000 live birth. 8. The maternal postoperative morbidity in cases of Cesarean section was 12.6%, and no operative mortality encountered.

      • KCI등재

        견위분만에 대한 임상적 고찰

        김성심(SS Kim),김성자(SJ Kim),송인철(IC Song) 대한산부인과학회 1974 Obstetrics & Gynecology Science Vol.17 No.12

        1) 둔위분만의 빈도는 단태분만의 경우에는 2.9%, 단태 및 쌍대분만 전체로서는 3.8%였다. 2) 분만회수에 따른 빈도는 초산부에서 3.1% 이상 경산부에서 2.1% 이상이었다. 3) 임신주수는 38주 이상이 71.9%였고 태아체중은 2,500gm 이상이 72.6%였다. 4) 질식분만 209예 중에는 frank breech가 가장 많아 76예, 다음 incomplte breech 66예, complete breech 20예의 순이었다. 5) 분만방식은 partial extraction이 65.7%, 제왕절개술이 13.6%, 자연분만이 11.2%이고 total extraction이 6.2% 기타 3.3%의 순이었다. 6) 질식분만에서의 분만시간은 24시간 이내에 분만이 끝난 예가 초산부에서는 약 78%, 경 산부에서는 약 84%였다. 7) 모체 및 태아의 합병증으로는 임신중독증이 가장 많아 66예, 양막조기파수 26예, 협골반 12예, 태아가사 16예, 제대탈출 13예가 있었으며 그 외에 전치태반, 태반조기막리, 지연분만, 태반계유, 산후출혈, brachial palsy, 두개골골절 등이 있었다. 8) 조산기사망율은 초산부에서 111.9, 경산부에서 265.9, 전체적으로는 200.0이다. 9) 모체의 사망은 1예도 없었다. It has been well known that the breech presintation is the most frequent abnormal presentation and has inherent obstetric problems especially on the fetal and maternal morbidity and complications in primigravida. From Jaruary, 1950 to December, 1968, there were 377 cases of breech delivery in the Dept. of Obstetrics and Gynecology, National Medical Center. The authors attempted ten years clinical survey on the above materials consisted of breech delivery of singletons of nullipara and multipara, and twins. The results obtained were as follows : 1) The incidence of breech delivery was 2.9% in singlitons and 3.8% in all deliveries of singlitons and twins. 2) The incidence based on the parity was 3.1% or over in nullipara and 2.1% or over in multipara. Age distribution was concentrated on the ages between 26-30. The youngest was 20 and the oldest was 53. 3) As to the gestational weeks and baby weight, 71.9% was 38 weeks or over and 72.6% was 2,500 gm or over, respectively. 4) Regarding the type of breech presentation the most common was frank breech (76 cases) and the others were in incomplete (66 cases) and complete breech (20 cases). 5) The mode of delivery in orders were partial extraction(65.7%), cesarean section (13.6%), spontaneous delivery (11.2%0, total extraction (6.2%0 and the other (3.3%). 6) As to the duration of the labor, 78% of nullipara and 84% of multipara were completed within 24 hours in vaginal delivery. 7) The maternal and fetal complications were in orders of toxemias of pregnancy (66 cases), early rupture of membranes (26 cases), cord prolapse (13 cases), contracted pelvis (12 cases) and the remainders were placenta previa, abruptio placentae, prolonged labor, retained placenta and postpartum bleeding. 8) The perinatal mortality was 111.9 in nullipara, 265.9 in, multipara and 200.0 in all. 9) No maternal death was encountered.

      • KCI등재

        난소수종파열로 인한 조산례

        임경모(KM Im),이홍균(HK Lee),김성자(SJ Kim) 대한산부인과학회 1969 Obstetrics & Gynecology Science Vol.12 No.6

        A case of premature delivery complicated by ruptured dermoid cyst and ryphoid fever is reported. It is presumed that dermoid cyst which is was detected by X-ray of plain was pushed up to the left costal margin by the enlarging pregnant uterus, ruptured by the pressures, and by ensuing generalized peritonitis caused delivery.

      • KCI등재

        10대 여성의 임신과 유산에 관한 의학적 고찰

        이명근(MK Lee),장명익(MI Chang),김성자(SJ Kim),윤석한(SH Yoon),박인서(IS Park) 대한산부인과학회 1976 Obstetrics & Gynecology Science Vol.19 No.2

        1. The majority of the gravidas belonged to the old teen-age group and no sighnificant correlation was found between the prevalence of teen-age pregnancy and the different year. 2. The highest incidence of age at menarche fell on 14 years old and average age at menarche was 14.4 years old. 3. Mean age at marriage showed a mild but regular rise to 1940 and then the sharper incline in the survey. From 1925 through 1968, the marriage age rose form 20.2 to 26.8 for men and from 16.7 to 23.0 for women, arise of about six and half years in each case 4. The majority of teen-age groups neither had abortion nor used contraception. 5. Abortion rate had risen considoderably at all ages since 1964 study but proportionately most at the youngest age. 6. According to the occupation of teen-age gravidas, legally approved housewife occupied 29.0%. 7. Forty five percent of all materials lived with thier parents and the rest of them lived in broken family or alone. 8. Illiterate group comprised 2.9% of all materials. No college girls were involved because they were usually beyond this teen-age group. 9. Out of 29 cases of interruption of pregnancy 10 cases were interrupted in the first trimester, 17 cases in the second trimester and 2 cases in the third trimester. respectively 10. Pregnancies were interrupted by means of dilatation and evacuation in 15 cases. pitocin incution with bougie in 9 cases and intraamniotic hypertonic saline instillation in 2 cases respectively.

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