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RISS 인기검색어
- 검색키워드
- 저자 : 김춘지(CJ Kim) (검색결과 2 건)
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김춘지(CJ Kim),이모혜(MH Lee),안정자(JJ Ahn),김성자(SJ Kim),우복희(BH Woo) 대한산부인과학회 1973 Obstetrics & Gynecology Science Vol.16 No.4
This is a clinical analysis of 219 dystocia patients who received X-ray plevimetry by Colcher-Sussman technique among a total 4663 deliveries at the Ewha Woman`s University Hospital from Jan. 1, 1968 to April 30, 1970. The results were obtained as follows; 1. The occurence of dystocia was much common in primigravidas(77.6%), and less in multiparous woman(22.4%). 2. The majority of fetal presentation in dystocia was vertex presentation(84.5%), and the rest was breech presentation(13.6%). 3. The indications of X-ray pelvimetry in cases of dystocia was most likely unengaged vertex presentation in the early labor(47.5%), and others were breech presentation(13.7%), clinically suspected contracted pelvis(8.7%) and so forth. 4. The types of deliveries in cases of dystocia was mostly Cesarean section(60.3%), and vaginal deliveries(39.7%). 5. The patient with A-P inlet diameter of 10.55cm 0.11cm or with trasverse diameter of ischial spine 88.99cm 0.08cm in our series were considered as an boarderline C.P.D. all requiring Cesarean section. 6. The frequency of fetal morbidity was significantly increased when length of labor prolonged over 24 hours. 7. Perinatal mortality rate was 62.2 per 1,000 live birth. 8. The maternal postoperative morbidity in cases of Cesarean section was 12.6%, and no operative mortality encountered.
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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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