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RISS 인기검색어
- 검색키워드
- 저자 : 이경자(KZ Lee) (검색결과 3 건)
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이규현(KH Lee),김춘기(CK Kim),안정자(JJ Ahn),고은희(UH Koh),이경자(KZ Lee) 대한산부인과학회 1973 Obstetrics & Gynecology Science Vol.16 No.8
주산기사망에 관한 연구를 통하여 산전관리의 경험이 있는 예는 29.1%에 불과하였다. A review was made of all perinatal deaths at Ewha Women`s University Hospital during the 8 year period from Jan. 1, 1963 to Dec. 31, 1970. There were 160 stillbirth and 112 neonatal deaths among 14074 cases of the total deliveries in which excluded fetus weighing under 999 gm or born before 20 weeks gestation. There results of the study were as follows: 1. The incidence of stillbirth rate was 11.4, and early neonatal death rate was 7.8. The perinatal mortality rate was 19.3. 2. In etiological factors of perinatal mortality about 40% of the cases was unknown causes, and the relatively common known causes were antepartum anxia (20.9%), intrapartum anoxia (18.6%), infections (13.9) and congenital anomalies (4.7%). 3. The most common cause of anoxia during antepartum and intrapartum was preeclampsia. 4. The congenital syphilis as a cause of perinatal mortality was 8.45%. Ther incidence of premature rupture of membrance was 5.51% in the perinatal death. 5. The most cases of perinatal death occured within 24 hours after birth (80.3%) and 92.8% of the neonatal death occured within third postpartum day in average. 6. The most common cause of neonatal death was prematurity (76.8%). 7. the mothers who had received antenatal care among perinatal deaths were only 29.1% of the cases even without adequacy in it`s quality.
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태반조기박리 ( Abruptio placentae ) 의 6년간 관찰 ( 1963 - 1968 )
강신명(SM Kang),김수자(SJ Kim),이경자(KZ Lee),이일준(IJ Rhee) 대한산부인과학회 1970 Obstetrics & Gynecology Science Vol.13 No.8
Abruptio placenta is a serious complication in pregnancy when dealing with maternal death as well as fetal loss especially in the country having high incidence of toxemia. 1. We have encountered 34 cases of Abruptio placentae which occured among a total of 10,640 deliveries in Ewha Womens University Hospital, Seoul during the period of 6 years from 1963 to 1968, the incidence being one case per 330 deliveries or 0.32%. Although this incidence was considered relativity low both the maternal & fetal death rate were markdly high. 2. The leading causative predisposing factor of the abruptio pladentae in this series was toxemia occupying one-third(38%) of the cases. The other known cause was shortness of the umbilical cord(26%) including it`s strangulation. Indeed every efforts to prevent the toxemias of pregnancy are important at present among the numerous caucative factors. 3. The majority of placentae occured between age of 30&40, and more in multigravidas(88%). It was interesting to notice that more than one-half(56%) of the cases of abruptio placentae had a tendency of prematurity occuring from 27 to 37 weeks of gestation period. 4. Abruptio placentae with concealed hemorrhage was serious in it`s nature. However the fetal death rate were considered to be high(80%) even in the mild group which probably due to the delayed admission from the patient side. 5. The average amount of blood transfusion needed was 3 pints in the mild cases, and 6 pints or more in the severe cases. 6. About one-half(56%) of the abruptio placentae were treated by Cesarean section mostly for the severe cases with shock or for the fetal distress. The perinatal mortality was reduced to 53% in these section group. 7. The incidence of prenatal care undergone was very low(only 18%). Both quantative and qualitive prenatal care would be important to prevent abruptio placentae, and it should be warn if any toxemic state or sudden pain develops in multigravidas, over 30 year of age, particularly during 27-37 weeks of gestation. 8. The prognosis of the patient with abruptio placentae admitted in 4 hours after it`s onset was much fair than the delayed in which revealing the partial or less than one-half area of the placental detatchment with some hopeful(25%) fatal salvage. Therefore the abruptio placentae should be terminated promptly in 2~4~8 hours after the accident has occurred.
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전치태반 ( Placenta previa ) 에 관하여 ( 1963 - 1968 )
강신명(SM Kang),이일준(IJ Rhee),이경자(KZ Lee),김수자(SJ Kim) 대한산부인과학회 1970 Obstetrics & Gynecology Science Vol.13 No.8
Management of placenta previa is still a difficult one although expectant policy has been introduced for past 20 years in order to minimize the high neonatal mortality resulting from prematurity and intrauterine anoxia. The data to be presented are based on 73 cases of placenta previa seen among total deliveries of 10779 in Ewha Women`s University Hospital, Korea for past 6 years period. 1. Our incidence of placenta previa is considered somewhat high, 148:1 or 0.67%. It is unknown that whether or not this related to the frequency of induced abortion. 2. Placenta previa has occured more often in multigravidas(64.4%) than primigravidas or 4 times as frequent in primigravias as in multigravidas with para 4. 3. The frequent of toxemia associated with placenta previa was considered to be high, 17% or 3times the average incidence(Ewha) 4. About half(45%) cases of placenta previa was a sort of total placenta previa which was most serious one, requiring all(26 cases) Cesarean section and needed average 4 pints of blood transfusion. 5. Approximately half or 47.7% cases of placenta previa had delayed admission until labor pain occur following vaginal spotting has first time been noticed. More instructive prenatal education is emphasized. 6. The policy of waiting has been applied in the maximum of 41% cases of placenta previa. However there is a limitation that it seemed to be wise to perform the definitive operative delivery without delay more than 37th week of gestation becaue it prone to cause sudden, massive hemorrhage after that. 7. Vaginal delivery able been done in 1/5 cases of placenta previa which is all mild one requiring less than 2 pints of blood transfusion. 8. The majority cases(79.2%)of placenta previa, particularly all cases of total placenta previa (45% cases of sections)were treated by Cesarean sections and required more than 4 pints of massive, rappid blood transfusion. Of these sections 2 cases of Cesarean-hysterectomy were encountered inevitably in order to prevent uncontrolable hemorrhage. 9. A comparative study of low cervial Cesarean sections both to the anterior and posterior type of placenta previa(17&11 cases respectively) revealed no any differences either in view point of blood transfusion erquired or fetal loss corrected. Thus the potential risk of classical section seemed to be avoided. 10. Fetal mortality under the waiting policy is still limitted and high; 24% of loss in premature baby which is considered twice the average premature loss, and 3.4% loss(or 1.7% of corrected fetal loss)in term baby. There was no maternal mortality in this series. 11.A operative large sterized pads packing into the low segment to minimize the massive oozing is believed to be a life saving procedure and able to substitute any unexpectant hysterectomy. There was no significant postoperative infections in this procedure as aften seen in preoperative vaginal packing which is no longer been used.
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