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이춘식(CS Lee) 대한산부인과학회 1972 Obstetrics & Gynecology Science Vol.15 No.5
임산부사망에 관한 임상적 관찰에 관한 연구를 통해 아직도 우리나라에서는 외국에 비해 수10배나 높은 임산부사망율을 보이고 있는 바 이를 감소시키는데 노력을 하여야한다. A 6 years experience of Seoul Red Cross Hospital (SRCH) was reviewed, expressing the maternal mortality rate and presenting the causes of maternal death. 1) There were 55 maternal deaths among the 2,2442 live births from 1965 to Oct. 1970. There were 21 cases of death after admission, 13 cases of emergency room death and 21 cases of D.O.A. among the 55 cases. 2) The maternal mortality rate of admission case per 10,000 live births was 86 and decreased one third from 104.4 in 1965-1967 to 68.5 in 1968-1970, but the D.O.A. mainly due to immediate postpartum hemorrhage and toxemia from the home delivery and local clinic was increased over one third. 3) The hemorrhage (52.7%) was becoming more important leading cause and some others such as toxemia (25.5%), infection (14.5%) and C.H.F. (7.3%) ranked in that order. 4) The preventable factors were present in nine tenths and the assignment of responsibility for these factors was reviewed. 5) The effect of maternal age, gravidity, parity, method and place of delivery were reviewed in association with maternal mortality.
배병주(BJ Bai),박성관(SK Park),이춘식(CS Lee),임종명(JM Lim) 대한산부인과학회 1972 Obstetrics & Gynecology Science Vol.15 No.5
자궁파열 25례에 관한 임상적 고찰을 시행하였다. This report is consisted of 25 cases of the uterine rupture from Oct. 1958 to MRA. 1963 and from Apr. 1968 to Sep. 1971 in Seoul Red Cross Hospital. The results are summarized as follows. 1. The incidence was 1:115 deliveries 2. The age distribution was from 23 to 44 years of age and mostly in 4th decade. According to the parity, 14 of these 25 cases were over 4. 3. On the classification of uterine rupture, 13 cases were spontaneous during labor, 8 cases were traumatic durig labor, 4 cases were rupture of previous cesarean section scar during pregnancy and labor. 4. The mean gestational duration was 39.0 weeks and most of all cases were ruptured at full term period. 5. Duration of labor of rupture during labor were average 13.0 hrs. and the interval p0eriod from rupture to laparotomy were ranged from 2 hrs. to 3 months. 6. The most important symptoms were lower abdominal pain, shock and vaginal bleeding. Among the 15 cases in 2nd. period 12 cases revealed that the Hb. level was ranged from 7.0 gm% to 10 gm% and the mean amount of transfusion was 6.7 pints. 7. According to the site of rupture, the lower uterine segment was involved in 20 cases and the corpus was in 5 cases. Intreatment, subterectomy was performed in 17 cases, total hysterec- tomy was in 7 cases, others in 2 cases. 8. The maternal death was 5 cases (20%) and perinatal death was 100%.