양수과다증 85 례의 임상적고찰 = Clinical study on 85 cases of hydramnios

국문 초록 (Abstract)

1981년 1월부터 1986년 12월까지 일신기독병원에서 진단된 양수과다임신 85예, 97태아의 임 상적 고찰의 결과는 다음과 같다. 1. 발생빈도는 1000분만당 2례(0.2%)였다. 2. 초임부에서 적게 발생하며 20-24세에 많고 25-29세에 적게 발생했다. 3. 85례중 93.8%에서 질식 분만ㅇ르 하였고, 6.2%에서 제왕절개수술을 했다. 둔위 분만이 병 원 비에 비해 10배이상 높았다. 4. 모체 및 분만에 따른 합병증으로 조기 진통이 가장 흔한 합병증이었고, 다태 임신, 임신 성 고혈압 동반이 현저히 높았으며, 태반 조기 박리와 산후 출혈의 빈도도 높았다. 5. 태아 합병증으로는 27.8%의 사산률과 54.6%의 신생아 사망률을 보였으며, 75.2%의 조산 아와 51.5%에서의 태아 기형을 보였다. 주산기 사망율이 1000분만당 824.7명이엇고, 교정 주산기 사망률도 1000분만당 505명이었다.

다국어 초록 (Multilingual Abstract)

A review of 85 cases of hydramnios which occured among 42280 delivery, an incindence 0.2% at Il sin Christian hospital between January 1st. 1981 and December 31st 1986 is presented. Hydramnios was defined as those cases in which the volume of liquor was measured as 2000 mls or more. Associated maternal and fetal conditions were evaluated and compared to the clinical course and outcome of each pregnancy. Among the 85 cases of hydramnios the associated factors was multiple gestation 12 cases (14.1%) pre-eclampsia 10 cases (11.8%) and 50 caese with congenital malformation but in 25 cases (29.1%) no cases could be found . 32 (38.9%) cases were associated with spontaneous onset of premature labour and 19 (22.4%) were associated with abnormal presentation. There were 97 infants delivery and these 73 (75.2%) were premature. The total perinatal morthality rate was 824.7 per 1000 delivery and even when it was corrected to exclude to babies with malformations incompatible with life and those under 1000gm the perinatal mortality rate was still 505 per 1000 delivery. Appropriate mangagement is essential in order to reduce maternal complications and where possible perinatal mortality and early diagnosis of fetal abnormalities by ultrasonogram is an essential part of the management.