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RISS 인기검색어
- 검색키워드
- 저자 : 조정신(JS Cho) (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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강신명(SM Kang),전혜자(HJ Chun),강민자(MJ Kang),조정신(JS Cho) 대한산부인과학회 1971 Obstetrics & Gynecology Science Vol.14 No.7
본 이화의대에 입원한 견위분만의 발생빈도는 과거 6년간 총분만 10679명중 276명으로서 1:36즉 2.5%였다. Management of the breech delivery is still a difficult problem because there is no practical way of measurement of fetal biparietal diameter up to date, and fetal mortality remains still high. It seemed very important to evaluate the pelvic capacity and to juge the fetal size accurately by experienced obstetrician before the labor takes place in order to reduce the unnecessary fetal loss or hypoxia which affect second generations. The data to be presented are based on 276 cases of breech presentation seen past 6 years between January 1963 and December 1968 in Ewha Woman`s University Hospital, Seoul, Korea. the following results were obtained. 1. The incidence of breech delivery was one in every 38 cases or 2.5% of 10,679 cases of total deliveries during past 6 years. In this study, breech presentation associated with twins and infant weighing under 1,000gm were excluded. 2. Placenta previa is a most commonly associated etiologic factor(6 cases) in breech presentation in which the incidence is significantly high, 3 times the average one in this institute. 3. Operative delivery or Cesarean section was required in 19% of the total cases of breech presentation with 1,000gm or more of the birth weight, and in 24% of the cases of term breech presentation. 4. In cases of that anteroposterior diameter of pelvic inlet in 10cm or less, or interspinous diameter of mid-pelvis is 9.5cm or below, approximately one-half(48%) of the cases of breech presentation necessitated Cesarean section. 5. In general, the more big the infant`s birth weight the greater the incidence of Cesarean sectionrequired such as 28% done in the moderate sized infants (3.0kg-3.49kg), and 37% in the rather large infants weighing 3.5kg-3.99kg in breech presentation. 6. In careful revewing the fetal distress in vaginal breech delivery according to the birth weight, the frequency of infant with poor condition or lower Apgar Score of 6 or less were 19% of the cases among average term babies weighing 3.0kg. However in case of infant body weight exceeding 3.0kg, the hypoxic infant rate were significantly increased up to 61% of the case or 3 times the one with 3.0kg birth weight. Severe hypoxic infants with Apgar Score of 4 or less were apt to occur in the footling presentation (68%), twice as much as that in complete breech presentation. No fetal fractures or dislocation and Erb`s paralysis were seen in this whole subject. 7. When dealing with breech vaginal delivery, over all 6 cases of more than average sizd infant wighing from 3.3kg to 3.5kg or more were dead due to breech delivery whereas all alived among 132 cases of average size of infant weighing from 3.0kg-3.2kg. However, infants weighing 3.3kg or more who were deliveried by Cesarean section were all alived. In this whole series of breech presentation, no maternal death were ween except 3 cases of mild degree of cervical lacerations. 8. The corrected perinatal mortality in the vaginal breech delivery was 9.3% among the premature infants and 4.1% among the term babies.
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