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KMID : 0358419760190010031
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Korean Journal of Obstetrics and Gynecology
1976 Volume.19 No. 1 p.31 ~ p.37
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A Study of Water and Electrolytes in Post-Cesarean Section
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閔勝源/Min, S.W
黃允永/金淑姬/宋尙煥/Hwang, Y.Y/Kim, S.H/song, S.W
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Abstract
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It has been known that sodium restriction is a principal management on postoperative care, but in people who take a large amount of -sodium and have a habit to excrete it precisely, like the Koreans, sodium restriction is not needed in. postoperative care.
The pregnancy causes the retension of water and sodium physiologically by the expansion of plasma volume, the mechanical obstruction of the lower extremities, and other physiological changes such? as increased capillary permeability, decreased colloidal pressure of the plasma, increased sodium spaces, etc.
These conditions- do not return to the normal status until- the sixth postpartum week.
This study is designed to clarify whether. sodium restriction is needed or not in post-Cesarean section patients who have already the retension of water and sodium as a physiological change of the pregnancy.
Eight cases of abdominal hysterectomy and 14 cases of elective Cesarean section were treated with 3, 000ml of 5% dextrose in water daily without administration of the salt, and 16 -cases of elective Cesarean section were treated for three days after surgery with 1, 000ml of 5 % dextrose in water and 2, 000ml of 5 % dextrose in saline which contained.18 -Gm of salt (Gm. of sodium.), the amount of daily intake of
healthy Korean people:.
Three groups of casesd were analyzed and their results were as follows:
1. The amount of urine was decreased- after. surgery and the amount of the output was more that of the intake in the cases of both hysterectomy and. Cesarean section
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