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巨大兒에 對한 臨床的 考察

Clinical Survey of Giant Babies

대한산부인과학회지 1971년 14권 2호 p.11 ~ 18
李鎭虎/Lee, J.H
張丙水/許湘/車熙國/Chang, B.S/Hur, S/Cha, H.K

Abstract


The delivery of giant babies is. a big .problem of obstetricians, it is not only dlifficult delivery but also various complications to the mothers and babies.
Between January, 1, 1960, and December, 31, 1969, there´, were 258 giant babies among the .8703 deliveries, at the dept of Oh & Gyn. Severance Hosp. Yon sei University.
The results obtained were as follows.
1) The incidence of giant babies (over 4kg) was 2.96%.
2) The incidence in multipara was higher than primipara.
3) The highest incidence was found among the women 30 to 34 year of age. 4) The incidence increased abruptly from 41 weeks of pregnancy.
5) Obstetrical complications were more common, these were, toxemia of pregnancy, shoulder dystocia, and postpartum hemorrhage.
6) Diabetes was the most commom maternal complication.
7) Incidences of midforceps and c-section were higher than that of overall.
8) Perinatal mortality was higher than overall (about 2.5 times common).
9) In the sex ratio of giant babies, male was more common (female: male= 100:203.5).

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