羊膜內 感染이 早期陳痛에 미치는 影響에 關한 硏究 = Effect of Intraamniotic Infection on Preterm Labor

국문 초록 (Abstract)

조기진통으로 인한 조산은 신생아 사망율 및 유병율의 가장 큰 원인일 뿐만 아니라 이로 인한 경제적 손실도 막대하므로, 조기진통의 원인은 필히 밝혀져야 할 과제인 것으로써, 양막내감염이 조기진통의 원인이 될 수 있는지를 알아보기 위하여 본 연구를 시행하게 되었다.

다국어 초록 (Multilingual Abstract)

Prematurity is the leading cause of perinatal mortality and morbidity worldwide. Recently many investigators have noted the presence of asymptomatic infection particularly associated with preterm labor. Amniotic fluid was obtained by transabdominal amniocentesis from 50 pregnant women with preterm labor and intact membranes who have been admitted to Sanggye Paik Hospital from Jan. 1, 1992, to Aug. 31, 1992.
Their gestational ages ranged from 20 to 36 weeks. The prevalence of a positive amniotic fluid culture was 12% (6/50), and 23.8% (5/21) of patients having delivered preterm neonates had positive amniotic fluid cultures. The isolated organism were Staphylococcus aureus, Bacteroides, E. coli, Candida albicans, and Fusobacterium. Women with positive amniotic fluid cultures had lower gestational ages and more advanced cervical dilatation on admission than women with negative cultures. Preterm infants born to mothers with positive amniotic fluid cultures had a higher incidence of neonatal complications such as respiratory distress syndrome and infection than preterm infants born with negative amniotic fluid cultures. This study reveals that an intraamniotic infection, which is often subclinical in nature, is a major etiologic factor for preterm delivery.

목차 (Table of Contents)

• Ⅰ.서론
• Ⅱ.연구대상 및 방법
• Ⅲ.연구결과
• Ⅳ.고찰
• Ⅴ.결론