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妊娠中毒症에 關하여(1964~1966)

Toxemia of Pregnancy(1964~1966)

대한산부인과학회지 1968년 11권 10호 p.17 ~ 20
朴靜姬/Park, Jung Hee
禹福姬/趙幸元/朴錦子/Woo, Bok Hi/Chough, Hang Won/Park, Kum Ja

Abstract


Toxemia of pregnancy is still leading cause of maternal mortality during 3 years period from 1964 to 1966, 438 cases of toxemia of pregnancy have been encountered among total deliveriesof 1040 cases in Ewha Womans University Hospital, Seoul.
1) The incidence of toxemia was varies, ranging from 3.4 to 12.2% (7% in average). Severe preeclampsia was 50.5% of the toxemias, mild one of 44% and eclampsia of 5.3% It showed no any tendency to decrease for past 3 years. Both primigravidas and multigravidas were equally the same as 3.6% in the frequency of toxemia. February was the peak in the incidence. Toxemia was apt to occur in multiple preganancy, approximately 4 times single pregnancy.
2) Toxemic maternal death was 3 cases (0.68%); 2 eclainpsias and 1 preeclampsia. The cause of death was that 2 cases died of pulmonary edema, one case of cerebral hemorrhage.. Prognosis of eclampsia in general was poor. Over all toxemic death during past 4 years (19641968.3) was still high as leading cause of meternal death (55%).
3) Fetal death was 5%. The longer duration of gestation, the higher fetal death (40%. loss during 38-4lweeks) born in toxemia.
4) Fetal weight born in toxemia was 2850gms, and 390gms lesser than those born in nontoxemic mother.
5) The majority of toxemias were lacking prenatal cares except 18% of the cases. Both the quantitative and qualitative prenatal care was re-emphasized.
6) Complications of the toxemia were 9 cases of postpartum hemorrhage & 4 abruptio placentae.
7) Most of the toxemic cases (2/3) were delivered well conservatively or spontaneously or with low forceps aided. Cesarean section was performed on 8% of the cases usually following 24-48 hours, intensive medical treatment, such as Magnesium Sulfate, Serpacil, Apresolin,. diuretics or sedatives etc. The stillbirths (1.6%) were succesfully induced by means of intrauterine catheter insertion. Oxytocic induction was rarely insituteed (only 1 case).

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