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RISS 인기검색어
- 검색키워드
- 저자 : 배정민(JM Pae) (검색결과 2 건)
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배정민(JM Pae),강민자(MJ Kang),조정신(JS Cho),김춘지(CJ Kim),강신명(SM Kang) 대한산부인과학회 1972 Obstetrics & Gynecology Science Vol.15 No.7
임신자궁파열 14례에 관한 보고를 하는 바이다. The clinical data presented were based on 14 cases of the ruptured gravid uterus among the 9429 cases of total deliveries seen in Ewha Woman`s University Hospital, Seoul, during 6 years period from Jan. 1962 to March 1968. The summary analysed were as follows. 1. The incidence of uterine rupture was 0.15% or 674:1 among total cases of deliveries and it seemed to be remaining steady in it`s tendency for the past 6 year`s period. 2. The leading cause of uterine rupture was abuse of the oxytocin accounting for 36% of the cases and it resulted in mostly by non-obstetrical man or midwives. 3. The occurence of rupture of previous uterine scar were obviously more often (3 out of 4) in the classical scars rather than in the low cervical scars. 4. Fetal mortality were considered high as 50% of the cases. However, no maternal death encountered. 5. All of the uterine rupture were invariably happened in the multiparous gravida. Particularly in the cases with para 1 there showed rather high incidence of uterine ruptures (37.5%) in which means that even one who had a previous vaginal delivery does not necessary guarantee it free of the accident or danger of abusing oxytocin. 6. The common type of uterine rupture was the complete rupture of the uterus (64%) which is a serous one, and it had been found mostly in the area of the low segment. 7. We have treated with immediate total hysterectomy in 5 cases, subtotal gysterectomy in 4 cases and simple repair in 5 cases depend on the reptured site, extension and the patient status. We would like to empasize that the proximal end of the uterine artery concealing in the clots must be identified and ligated for prevention of the possible late bleeding after the clot resolution takes place. 8. It was our hope that the accident of uterine rupture could be greatly reduced to 29% of the total cases by the adequate correction of the medical man`s mismanagement such as oxytocin abuse, prolonged labor and technique of Cesarean sections, furthermore, the remaining risk can be prevented to zero by the correction of the patient`s delayed admissions.
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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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