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KMID : 0358419650080030023
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Korean Journal of Obstetrics and Gynecology
1965 Volume.8 No. 3 p.23 ~ p.24
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Clinical Statistics of Obstetrical Cases in Korea
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李東炅/Lee, Dong Kyung
鄭佐九/金想經/朴在一/申冕雨/Chung, Ja Koo/Kim, Saong Kyung/Park, Jae Il/Shin, Myun Woo
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Abstract
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In spite of the significant progress of the obstetrical field in Korea during past two decades, studies in regard to the baseline of this field, presented from this country, are rarely found.
Although the number of cases are fairly small, the principal purpose of the present investigation was to observe the general patterns of Korean women concerned to the child-bearing. This study is based on the retrospechic investigation of 1,384 grabides visited for their anteparum cares, 1,655 parturiants delivered in the wards, 65 gravidas and puerparas not delived but admitted for incidental complications, and babies born from those mothers, between April, 1962 and March, 1964 at the Seoul National University Hospital.
Result obtained were as follows:
1) Obstetrical history
(1) Among-the total number of 1,720 cases, 588 (34.18%) primigravidas, 1,127 (65,52/),multi gravidas and the rest cases were..
(2) There were 675(39.24%) primiparas an d 1,042 (60.58%) muttiparas.
(3) Eighty-three (4.82 %) cases had histories of premature delivery and 467 (27.15 %) had abortion. (4) Seven hundres and twenty-five (42.15%) cases had no living child and 992 (57.67%) had one or more living children.
2) The antepartum cares were taken on 34.02% of admilted cases in 1962, while 44.02% in 1963. In the result, during these study years, the ratio of prenatally cared cases to the all admitted ones was 669:1,720(40.63%) and gradually increasing tendency was noticed.
3) The obstetrical complications ocuured more frequently in the non-registered group: .
(1) Of the 206 (11.97% of all admitted) cases of toxemias, 64 (9.15%) were jn the registered group and 142.03-90%) in the non-registered.
(2) Severe complications during labor were developed mostly in the non-registered.
4) The average weight gain during the course of pregnancy was 8.33 kgm.
5) The mean hemoglobin value at term was 10.40gm% and increased to 10.90 gm% in labor.
6) The average value of hematocrits just before the labor was 32.85% but no conclousive changes
in relation to the various gestational months were found.
7) Leukocytosis was noted in both primiparas (11.500 per cmm) and multiparas (10,500) during labor. The mean value was 10.900 per cmm.
8) The incidence of proteinuria was 61.40% in primiparas, 55.32% in multiparas and 57.51% of the all casas.
9) Positive cardiolipin microflocculation test (including?) was detected in 3.12% of all the examined.
10). One or more kinds of intestinal parasited were found in 995 (94.67%) out of 1,051 cases.
11) Deliveries occurred in the daytime were 53.43% and in the night 46.56%.
12) The average durations of labor in primiparas: were 14.77 hours for the first stage, 48.99 minutes for the second and 11.76 minutes for the third. In multiparas, these were 8.66 hours, 31.33 minutes and 11.10 minutes respectively.
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