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자궁내 태아사망의 임상적 고찰

Clinical Study for Fetal Death in Utero

대한산부인과학회지 1974년 17권 7호 p.437 ~ 443
나종구/Rha, Jong Gu
강성원/최희원/오원섭/Kang, Sung Won/Choi, Hee Won/Oh, Won Sup

Abstract


A clinical analysis was made of fetal death in utero at St. Mary´s Hospital of
Catholic Medical College during 5 years from Jan. 1, 1967 to Dec. 31, 1971.
There were 174 fetal death in utero (FDIL) among 9,626 cases of the total deliveries in which weighted more than 500 grams among born after 20 weeks gestation. The results of the study were as follows:
1) The incidence of fetal death in utero was 1. 8%.
2) In the etiological factors of fetal death in utero, 54.6co of the cases were unknown causes and relatively common known causes were abruptio placentae in 9.2°0, transverse lie in 7.5`0, placenta previa in 5.7c, toxemia in 5.700, congenital anomalies in 5.7%, cord complication in 4.00 , syphilis in 3.uterine rupture in 2.3 0, diabetes mellitus and amnionitis were 0. G o respectively.
3) Age distribution of the patients with fetal death in utero was highest among´ 2-630 years range (52.9io)(Table 3).
4) The patients in the study group had increased tendency in aged women with high parity than control group through there was no difference in number of abortion (Table 4-1 & 4-2).
5) Within 28 weeks gestation, male fetus was 1.8 times more than female fetus but after 29 weeks gestation, female fetus, was 1. 1 times more than male fetus in fetal death in utero.
6) The 8.6°0 of the study group had a previous fetal death in utero, which is higher than the 3. ircidcnce for the control group (Table 5).
7) In Maternal complications of the fetal death in utero, bleeding and then infra )artum fever in 6.3co, of the cases v,-ere g o, uterine rupture in 1. 1
vic abscess, cervix laceration is sepsis, pcl und ubinvolutio uteri were 0.6 0, 0.60, 0.6°% and 0.6% respectively.
8) The mothers who had received antenatal care over once among fetal death in utero were only 39.7% of the cases, even without adequency in it´s quality.

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