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10대 여성의 임신 및 유산에 관한 의학적 고찰 ( II )
박인서(IS Park),엄승호(SH Ohm),차인환(IW Cha),정병철(BC Jung) 대한산부인과학회 1982 Obstetrics & Gynecology Science Vol.25 No.1
조사대상은 대도시 종합병원에서 엄격히 선별하였다. Nowadays industrialization and a complex urban society unduly prolong education and delay marriage and sexual gratification. Teenage reach sexual maturity at an earily at an early age, leaving a 5-10 year gap between sexual maturity and sexual activity ligitimized by marriage. Furthermore little attention has been given to the adolescent who are more susceptible and vulnerable than adults in physical, socoeconomical, and psychogical aspects. For the purpose of obtaining the medical aspects of pregnancy and abortion in adolescence in Korea, 385 cases out of 28,688 deliveries at the 4 university hospitals in Seoul during the period of 1974-1978 were studies with demographic review of Korea population. The results were as follows: 1. The collection and study were carried out in 385 cases of teenage pregnancy out of 28,688 deliveries at the 4 uniuersity hospitals in Seoul. 2. The incidence of teenage pregnancy shows higher (1.3%) compared with other reports in Korea, because most of the sample resources included the referred cases married or resided with the foreigners, exclusively U.S.A. soldiers as the project of maternal and child health cares service. 3. More than tree-fourths of occupation of teenage gravida were Koreas housewife or foreigners wife (or partner). Excluding these 2 categories out of wedlock birth might occupied one fourth of sample size. 4. the average age of menarche was 14.3 years. 5. The parity of teenage gravida: nullipara were 332 cases(86.2%) and multipara were 52 cases(13.5%). 6. In the past medical history most of the teenage gravida had non-contributory one (88.8%), venereal disease was 4.0% and pelvic inflammatory disease was 2.6%. 7. 54.4% of 385 cases had more than one antenatal care 8. Fetal presentations were vertex (94.1%), breech (4.8%), face of brow(0.8%) and shoulder presentation (0.3%) respectively. 9. Modes of deliveries were vagina (84.3%) & c-section delivery (15.7%) respectively. The frequency of major obstetric complications in order were anemia (20%),toxemia(12%), PROM (9.5%), postpartum hemorrhage(9.1%) respectively. 11. 29 cases out of 385 cases were terminated pregnancy. Among them more than half cases (56.8%) were carried out in the first trimeste, 12 cases in the second trimester and none in the third trimester. 12. According to the modes of pregnancy interruption, more than half of cases (55.2%) were terminated by D & E. others wers by Bougie with pitocin & prostaglandin. Hypertonic saline method had not been used in these cases. 13. In the views of birth weight no higher incidence of prematurity (9.9%) is seen compared with that of matured mother. There was no significant difference between Koreans housewives and foreigners wives (or partners). 14. Consequence of baby: About three-fourths(74.5%) of baby turned out to be wanted baby, unwanted occupied 16.9%.
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