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KMID : 0358419740170010023
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Korean Journal of Obstetrics and Gynecology
1974 Volume.17 No. 1 p.23 ~ p.30
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Clinical Observation of Spontaneous Premature Rupture of Membranes
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강연위/Kang YW
이춘노/이남훈/Lee CN/Lee NH
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Abstract
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A clinical observation has been made on 370 cases of spontaneous premature rupture of mambranes out of 3202 deliberies at the Department of Obstetrics & Gynecology, Korea General Hospital from Jan. 1969 to Apr. 1972. The result are as follows : 1) The incidence of S.P.R.M was 11.6%. 2) The incidence of S.P.R.M in relation to parity was higher in primipara group rather than multipara group and also high incidence was noted in twin pregnancies. 3) Anemia and toxemia were the most cimmon disease in S.P.R.M. 4) Spontaneous labor develops in most cases within 24 hours (73.6%). 5) The incidence of cesarean section was 49 cases (13.24%) in all 370 cases with S.P.R.M. 6) The success rate of the vaginal delivery was 92.9% by intravenous oxytocin dripping method. 7) The complication was as follows : a) The incidence of premature birth weight was present in 17.73%. b) Abnormal presentation was present in 10.50% and breech, transverse lie and face presentation were present in 8.87%, 0.83% and 0.55% respectively. 8) Maternal morbidity was present in 5.95% and which was progressively increased according to prolonged lag period. 9) In comparison with used and noused prophylactic antibiotics, maternal morbidity was little change. 10) Perinetal death was present 5.8% and major cause of neonatal death was prematurity.
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KEYWORD
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