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末期姙娠出血의 臨床的 考察

Clinical Review of Late Antepartum Bleeding

대한산부인과학회지 1971년 14권 10호 p.13 ~ 18
張丙水/Chang, Byung Soo
許湘/李鎭虎/李厚澤/宋尙煥/Hur, Sang/Lee, Jin Ho/Lee, Foo Tack/song, Sang Whan

Abstract


A clinical review was made of 211 cases of late antepartum hemorrhage who were admitted to the Severance Hospital during last the-I1 years (January 1, 1960-December 31, 1970).
1. Placenta previa and abruptio.placentaee composed 0.79% and 0.49% of the total deliveries respectively.
2. The ´incidence of toxemia (6.59%) was equal in placenta previa and general obstetrical patients but 69.94% of abruptio placentae cases had toxemia and 2/3 of these caces were severe.
3. The presentation of the fetus in placenta previa was abnormal in 23.08% with transverse lie in 16.4%.
4. Cesarean section rates were 75.82% in placenta previa and 17.86% in abruptio placentae.
5. Perinatal death rates were 30. 11% in placenta previa, 72.41% in abruptio placentae and 22.73% in marginal sinus rupture. In general the more perinatal deaths occurred among the mothers who had lower hemoglobin level on admission.

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