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RISS 인기검색어
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- 저자 : 조행원(HW cho) (검색결과 3 건)
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박정희(JH Park),조행원(HW cho),우신희(SH Woo),박금자(KZ Park) 대한산부인과학회 1968 Obstetrics & Gynecology Science Vol.11 No.10
Toxemia of pregnancy is still leading cause of maternal mortality during 3 years period from 1964 to 1966, 438 cases of toxemia of pregnancy have been encountered among total deliveries of 1040 cases in Ewha Womans University Hospital, Seoul. 1) The incidence of toxemia was varies, ranging from 3.4 to 12.2%(7% in average). Severe Preeclampsia was 50.5% of the toxemias, mild one of 44% and eclampsia of 5.3% It showed no any tendency to decrease for past 3 years. Both primigravidas and multigravidas were equally the same as 3.6% in the frequency of toxemia. February was the peak in the incidence. Toxemia was apt to occur in multiple preganancy, approximately 4 times single pregnancy. 2) Toxemic maternal death was 3 cases (0.68%); 2 eclampsias and 1 preeclampsia. The cause of death was that 2 cases died of pulmonary edema, one case of cerebral hemorrhage. Prognosis of eclampsia in general was poor. Over all toxemic death during past 4 years(1964-1968.3)was still high as leading cause of meternal death(55%). 3) Fetal death was 5%. The longer duration of gestation, the higher fetal death(40% loss during 38-41weeks) born in toxemia. 4) Fetal weight born in toxemia was 2850gms, and 390gms lesser than those born in non toxemic mother. 5) The majority of toxemias were lacking prenatal cares except 18% of the cases. Both the quantitative and qualitative prenatal care was re-emphasized. 6) Complications of the toxemia were 9 cases of postpartum hemorrhage & 4 abruptio placentae. 7) Most of the toxemic cases (2/3) were delivered well conservatively or spontaneously or whith low forceps aided. Cesarean section was performed on 8% of the cases usually following 24-48 hours, intensive medical treatment, such as Magnesium Sulfate, Serpacil, Apresolin, diuretics or sedatives etc. The stillbirths(1.6%) were succesfully induced by means of intrauterine catheter insertion. Oxytocic induction was rarely insituteed(only 1 case).
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산후자간에 관하여 ( 1964.1 - 1966.12 )
우복희(BH Woo),조행원(HW cho),김수자(SJ Kim),이일준(IJ Rhee) 대한산부인과학회 1968 Obstetrics & Gynecology Science Vol.11 No.7
Postpartum eclampsia is one of the serious complication during the puerperium although it is not common. We have encountered 13 cases of postpartum eclampsia which occured smong a total of 6040 deliveries in Ewha Womans University Hosptial, Seoul during the period from 1964 to 1966, the incidence being one case per 500 deliveries, Postpartum eclampsia constitues approximately 2.8% of all cases of Toxemia or 31% of all cases of eclampsia. Over all the incidencies were considered very high. 1. The majority cases (92%) of Postpartum eclampsia were occurred in the multiparas, and that never had prenatal cares (91%). Approximately 2/3 cases of Postpartum eclampsia have occurred after home delivery without modern obstetrical care (poor socio-economic group). 2. It is emphasized that careful Pstpartum care during first 5-10 days of puerperium shoud not be neglected to prevent or minimize these or other postpartum complications. 3. October is the peak month for Postpartum eclampsia in Seoul. This was similar to that of occurred in Miami area, although it is uncertain that whether or not it could be corelated with the mean temperature or the mean relative humidity. 4. The severity of Postpartum eclampsia depended on the degree of elevation of uric acid, and also the delayed occurrence appeared to be more severe with increased convulsion. 5. A careful study of family history seemed very important even in the puerperium since perfectely normotensive mother having family history of hypertension particularly on the parents side appeared to be a good candidates for the sudden onset of post partum eclampsia. 6. The mean weight of newborn baby from the mother of postpartum eclampsia was decreased approximately 650-850 Gm as compared with normaly expectant newborn weight, however there was no fetal death.
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강신명(SM Kang),조행원(HW cho),우복희(BH Woo),박정희(JH Park) 대한산부인과학회 1968 Obstetrics & Gynecology Science Vol.11 No.7
During 1967 puerperal infection following Cesarean section has been evaluated with or without using the pre-operative vaginal application of 1% Hygiene solution(Amphoteric surface active agent) on the 50 section, among, 600 total deliveries in Ewha Womans University Hospital, Seoul. In order to reduce the post-Cesarean section infection 1% Hygiene solution was routinely applied preoperatively into vagina and it was throughly cleaned out. Particularly it has been focused to those who were potentialy infected pre-operatively. 1. The post-Cesarean section infection(38`C or over excess 48 hours) has been significantly reduced to 28% of the cases by using pre-operative vaginal application of 1% Hygiene solution in comparison with the 48% in the control group. 2. There were 2 wound infections or pus formation (8%) due to staphylococcus infection in the control group of Cesarean section, however none in the sections with pre-operative vaginal application of 1% Hygiene solution. 3. In the potentially infected section cases (mostly due to staphylococcus aureus) the incidence of endometritis can be reduced to 50% of the control group`s frequency by using pre-operative vaginal application of 1% Hygiene solution.
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