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풍진감염 임신부에서 태아 제대혈채취에 의한 선천성 풍진감염의 산전진단
강명선 ( Kang Myeong Seon ),송태복 ( Song Tae Bog ),김윤하 ( Kim Yun Ha ),최영륜 ( Choe Yeong Lyun ),윤대석 ( Yun Dae Seog ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.3
Objective : To evaluate the usefulness of percutaneous umbilical blood sampling (PUBS) and prevalence of fetal infection in the pregnant women with suspicious fetal rubella infection. Methods : Between June 1996 and May 2002 in Chonnam National University Hospital, the rubella specific IgG, IgM antibody and RT-PCR were checked in fetal blood rubella specific IgM, 11 women (35.5%) high titer or rubella specific IgG, and 2 women had a history of recent rubella vaccination within 3 months. Results : PUBS was performed in all cases, successful in 27 cases (87.1%) and failed in 4 cases (12.9%). Cardiocentesis was performed in failed cases. Performing the PUBS, fetal bradycardia was observed in 7 cases (25.9%), fetal tachycardia in 1 case (14.8%), and preterm labor in 2 cases (7.4%). Performing cardiocentesis, fetal bradycardia was observed in 1 case (25.0%), fetal tachycardia in 2 cases (50.0%), and preterm labor in 1 case (25.0%). There was no fetal death. All samples of fetal blood were positive for rubella specific IgG but rubella specific IgM was detected in only 1 case. RT-PCR was negative in all cases. Conclusion : Fetal blood sampling is relatively safe and a great precaution is necessary before termination of pregnancy with suspicious fetal rubella infection and without typical maternal rash to reduce unnecessary termination of pregnancy. Several tests such as rubella specific IgM and PCR from placental villi, amniotic fluid, and fetal blood should be considered before termination of pregnancy.
제왕절개분만 후 질식 분만 시도시 성공을 예측할 수 있는 인자들
조문경 ( Cho Moon Kyoung ),김윤하 ( Kim Yun Ha ),박상현 ( Park Sang Hyeon ),김석모 ( Kim Seog Mo ),송태복 ( Song Tae Bog ) 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.7
Objective : To determine predicting factors associated with successful trials of labor in women attending vaginal birth after cesarean delivery. Methods : A retrospective chart review from January 1998 through December 2001 of 330 patients (sucess group n=282, failure group n=48) undergoing trials of labor after cesarean delivery at Chonnam National University Hospital. Data were tested for statistical significance with the Student`s t-test and the Chi-square test. Results : The following characteristics were found to be statistically significant positive prognostic indicators: lower gestational age (274.0±20.6 vs. 281.1±7.9 days, p<0.01); higher gravity (1.2±0.5 vs. 1.0±0.2, p<0.01); higher maternal weight gain during pregnancy (3228±543 vs. 3458±497 gram, p<0.01); lower birth weight (7.8±2.7 vs. 6.6±2.5, p<0.01); history of prior trial of labor success (0.17 vs. 0.02, p<0.01), lower birth weight at prior cesarean section (3257±460 vs. 3838±411 gram, p<0.05). Conclusion : The characteristics associated with successful trials of labor after cesarean delivery-Bishop score at admission, history of prior vaginal delivery will provide information that may be helpful to the physician and the patient. Trial of labor (probability) = e^(13.48+014Bishop score+1.06vaginal delivery history-0.001birth weight-0.259gestational age)/1+e^(13.48+0.14Bishop score+1.06vaginal delivery history-0.001birth weight-0.259gestational age)
만삭전 조기양막파열 산모의 정맥혈장내 지질과산화, 항산화능 및 항산화 비타민치
김윤하 ( Kim Yun Ha ),안봉환 ( An Bong Hwan ),양성열 ( Yang Seong Yeol ),김철홍 ( Kim Cheol Hong ),조문경 ( Jo Mun Gyeong ),이광수 ( Lee Gwang Su ),김석모 ( Kim Seog Mo ),송태복 ( Song Tae Bog ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.2
Objective : Our purpose was to review patients undergoing radical hysterectmy and pelvic lymphadenectomy, comparing Pfannenstiel and Vertical midline incisions for operative feasibility and perioperative outcome. Methods : Between January 2001 and February 2003, 123 patients underwent radical hysterectomy and pelvic lymphadenectomy for cervical cancer at Busan Paik hospital. All procedures were performed by a gynecologic oncologist. Prospectively, all data were collected from review of each patient`s medical record, including age, body mass index (BMI), stage, histology, nodal counts, operative time, estimated blood loss, surgical pathologic margin positivity, complications, and length of hospital stay. Associations between variables were studied using X²test, t-test, and Fisher Exact test. Results : Radical hysterectomy was performed through a Vertical midline (n=62) and Pfannenstiel (n=61) incision. There were no significant differences in age, BMI, stage, histology, nodal counts, estimated blood loss, surgical pathologic margin positivity, complications, and length of hospital stay. But, patients with a Pfannenstiel incision had shorter operative time than those with Vertical midline incision (169 min vs 197 min, P<0.0001). Conclusion : Radical hysterectomy and pelvic lymphadenectomy can be safely performed through a Pfannenstiel incision without increased operative morbidity and equal nodal removal as compared with Vertical midline incision. Pfannenstiel incision may offer the benefits of improved cosmesis and shorter operative time without compromising surgical exposure or increasing the risk of surgical complications.
자간전증의 자궁정맥혈장 및 제대정동맥혈장내 항산화능과 항산화 비타민
김기민 ( Kim Gi Min ),김윤하 ( Kim Yun Ha ),안봉환 ( An Bong Hwan ),양성열 ( Yang Seong Yeol ),김철홍 ( Kim Cheol Hong ),조문경 ( Jo Mun Gyeong ),송태복 ( Song Tae Bog ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.4
Objective: This study was aimed to investigate lipid peroxide levels, oxygen-radical absorbance capacity (ORAC), and antioxidant vitamin levels in uterine venous plasma, umbilical venous and arterial plasma and to evaluate their roles in the pathophysiolo
나재호 ( Na Jae Ho ),김윤하 ( Kim Yun Ha ),오종석 ( O Jong Seog ),신종희 ( Sin Jong Hui ),양정선 ( Yang Jeong Seon ),김철홍 ( Kim Cheol Hong ),조문경 ( Jo Mun Gyeong ),송태복 ( Song Tae Bog ) 대한산부인과학회 2004 Obstetrics & Gynecology Science Vol.47 No.5
Objective : To investigate the possible role of vaginal infection in preterm delivery, we studied characteristics of vaginal discharge related to hydrogen peroxide producing Lactobacillus. Methods : Vaginal specimens were obtained from 66 women with normal pregnancy and 30 women with preterm labor and intact membranes. Vaginal pH, leukocyte counts on wet smear, and scores by Nugent criteria on Gram stain were measured. Lactobacillus were tested for production of hydrogen peroxide using a qualitative assay on a tetramethylbenzidine agar plate after incubated for 30 minutes and 1 hour. One hydrogen eighty-seven hydrogen peroxide-producing Lactobacillus colonies isolated from vaginal fluid of normal pregnant women, and 77 hydrogen peroxide-producing Lactobacillus colonies isolated from it of women with preterm labor and intact membrane. Results : 1. There were no significant differences in vaginal pH between normal pregnant women and women with preterm labor and intact membranes (4.06±0.31 vs. 4.04±0.57, p<NS). 2. Leukocyte levels in vaginal wet smear of women with preterm labor and intact membranes were significantly higher than that of normal pregnant women (4.46±0.47 vs. 2.39±0.37, p<0.01). 3. Nugent score of Gram stained vaginal smear of women with preterm labor and intact membranes were significantly higher than that of normal pregnant women (2.34±0.51 vs. 1.21±0.30, p<0.05). 4. Hydrogen peroxide-producing Lactobacillus levels in vaginal flora of women with preterm labor and intact membranes were significantly lower than that of normal pregnant women incuvated after 30 minutes (strongly positive 2.6%, weakly positive 2.6%, negative 83.1% vs 17.1%, 31.6%, 41.7%, p<0.01) and 1 hour (strongly positive 6.5%, weakly positive 7.8%, negative 59.7% vs 36.9%, 19.8%, p<0.01). Conclusion : Distribution of vaginal hydrogen peroxide-producing Lactobacillus in vaginal flora as defense factors for vaginal infection may have a important role in the pathophysiology of preterm labor.