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이병주,이명재,이태헌,김용봉,이응수,박성관 인제대학교 1995 仁濟醫學 Vol.16 No.4
전치태반은 임신의 산전시 태반의 박리현상이 초래되어 심한 출혈이 일어남으로써, 산모뿐만아니라 태아에서도 매우 치명적인 위험을 초래할 수도 있다. 저자는 인제대학교 서울백병원 산부인과학교실에서 5년간 경험했던 52례의 전치태반 환자를 대상으로 그 임상적 소견을 조사, 분석하였다. During the period from January 1, 1990 to December 31, 1994, 52 cases which diagnosed and treated as placenta previa among the total delivery of 3,802 in Inje University, Seoul Paik Hospital were reviewed. 1.The incidence of placenta previa was 1:73.1 deliveries(1.37%) and types of placenta previa were totalis in 29 cases(55.8%), low lying in 13 cases(25.0%), partialis in 6 cases(11.5%) and marginalis in 4 cases(7.7%). 2.The placenta previa has occured more often in multiparous(55.8%) than primigravida(44.2%). 3.The first episode of vaginal bleeding occured after 29 weeks in 42 cases(80.8%). 4.The fetal presentation in placenta previa was vertex in 40 cases(76.9%), breech in 10 cases(19.2%), and transverse lie in 2 cases(3.9%). 5.The method of delivery included vaginal delivery in 7 cases(13.5%), Cesarean section in 40 cases(76.9%), and Cesarean hysterectomy in 5 cases(9.6%). 6.Blood loss at delivery was over 500ml in 44 cases(84.6%) and blood transfusion was needed in 27 cases(51.9%). 7.The perinatal mortality rate was 76.9 per 1,000 births, and preterm delivery occurred in 31 cases (59.6%), low birthweight babies were born in 19 cases (36.5%). 8.In 22 cases(42.3%), there were maternal complications including placenta accreta, puerpural fever, wound infection, and preeclampsia.