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KMID : 0358419650080100055
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Korean Journal of Obstetrics and Gynecology
1965 Volume.8 No. 10 p.55 ~ p.60
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Pelvic Contraction
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李東竟/Lee, Dong Kyung
李奎河/高根翼/Lee, Kyu Ha/Ko, Kun IK
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Abstract
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1) A case of combined transverse inlet contration and contracted midplane, a case of elderly primipara causing dystocia due to stricture of soft birth canal, and a case of repeated C-section due to midplane and outlet contraction, who were admitted recently to the Department of Obstetrics and Gynecology, S. N. U. H. , were reported with review of 55 cases of dystocia due to narrow birth canal among 2702 deliveries during last 3 years and 3 months.
2) Incidence of birth canal strictures was 2.03%(55 cases among 2702 deliveries),
3) Primipara was 67.3%, indicating higher incidence of birth canal strictures among primipara, but in
our cases even para 6 caused dystocia due to cephalopelvic disproportion; importance of detection of cephalopelvic disproportion rather than pelvimetry itself was Stressed.
4) Incidence of C-section was 69%(39 cases), remarkably higher comparing with overalkases (3.1%) of our hospital.
5)´ Perinatal mortality (9%; 5 cases) among our cases was higher than among total deliveries(5 % ).
6) Blood loss was not increased in vaginal deliveries, but remarkably increased in C-section cases(229 cc.vs. 464 cc.).
7) Literatures were reviewed about causes, complications and diagnosis of pelvic contraction, availability of pelvimetry, and its radiation hazards.
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