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RISS 인기검색어
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- 저자 : 한용보 ( Young Bo Han ) (검색결과 3 건)
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쌍태임신에서 태반유형 및 제대부착부위가 출생체중과 성장불일치에 미치는 영향
김금석 ( Kum Seok Kim ),한용보 ( Young Bo Han ),정연욱 ( Yoen Ug Jung ),권오준 ( Oh Joon Kweon ),김석영 ( Suk Young Kim ),이의돈 ( Eui Don Lee ) 대한산부인과학회 2002 Obstetrics & Gynecology Science Vol.45 No.12
Objective : To investigate the effect of the type of placenta and the portion of umbilical cord insertion on birthweight and growth discordancy in twin pregnancies. Methods : We selected 120 twins of 146 multiple pregnancies between March, 2000 and March,
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정연욱 ( Yeon Uk Jung ),권오준 ( Oh Joon Kweon ),한용보 ( Yong Bo Han ),김금석 ( Kum Seok Kim ),이광범 ( Kwang Bum Lee ),김석영 ( Suk Young Kim ),이의돈 ( Eui Don Lee ) 대한주산의학회 2002 Perinatology Vol.13 No.2
Objective:The aim of study was to compare incidence rate and causes of the preterm birth that are the major factor of newborn mortality and morbidity. Methods:Respectively there were 428 preterm deliveries out of 5,309 deliveries, from January to August 1995, and there were 319 preterm deliveries out of 2,028 deliveries, from January to August 2000 at Gill hospital, a hospital in affiliation with Gachon Medical School. The data were collected by review of the hospital record and the statistical analysis was performed using paired T-tests, Oneway ANOVA, Fisher`s exact test, and statistics significance was defined as p<0.05. Results:The incidence rate of the preterm birth increased from 8.1%(428/5,309) in 1995 to 15.7%(319/2,028) in 2000. Unknown causes of preterm birth decreased from 25.5%(109) to 20.2%(66). PPROM(Preterm premature rupture of the membranes) decreased from 26.9%(115) to 22.9%(73). IIOC(Incompetent internal os of cervix) decreased from 9.7%(41) to 6.9%(22). Uterine anomaly decreased from 1.6%(7) to 1.0%(3). And other causes deceased from 8.9%(38) to 5.1%(16). Multiple pregnancy increased from 10.1%(44) to 17.6%(56). Fetal anomaly increased from 2.1%(9) to 6.3%(20). Pregnancy induced hypertension increased from 7.9%(34) to 13.3%(42). There was not much change for the placental disorder or for placental abruption which decreased from 7.3%(31) to 6.7%(21). According to the analysis, there is a noticeable decrement in IIOC but noticeable increase in multiple pregnancy, fetal anomaly and PIH. Conclusion:Comparing the data from the preterm birth of 1995 and 2000, the unknown cause of the preterm birth is understood more accordingly to the decrement of known cause. The increase of multiple pregnancy seems to be caused by better in vitro fertilization. The increase of fetal anomaly is most likely caused by drug abuse, environmental pollution, and prenatal diagnosis. Differ from the decrease of previous research, the increase of PIH is caused by the increase of incidence of the preterm birth and also patients moving from private hospital to 3rd party hospital. We hope that we can continuously research the cause of the preterm birth and use that basic information to decrease the death and disease rates of newborn infants.
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