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KMID : 0358419760190030165
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Korean Journal of Obstetrics and Gynecology
1976 Volume.19 No. 3 p.165 ~ p.171
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A clincial and statistical study of the elderly primiparas
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고상덕/Ko ST
문화숙/홍영재/유병일/박영동/Moon HS/Hong YJ/Yoo BI/Park YD
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Abstract
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1. There were 178 cases among a total of 23095 deliveries, incidence of 0.8%. 2. Maternal age was distributed from 35 to 49 year. the majority (51.7%) were in age group of 35 and 36 year 3. Concerning the antepartal complications the incidence hypertensive disorder was 23.0% that is higher comparing with 9.7% in the youngest primiparas. the spontaneouse premature of membrane was seen in 21.9% of the case ; higher than 12.2% in the control group. 4. 16 cases (91.6%) were of vertex presentation and breech presentation was higher than that of total deliveries from severance Hospital (4.3%) 5. 112 cases (62.9%) deliveried vaginally and 66 cases (37.1%) abdominally. 6. Among the indication of cesarean section highest was CPD (48.5%) other indication were elderly primipara, fetal distress, myoma, breech presentation and post-Shirodkar operation status in order of frequency. 7. The perinatal mortality rate was 6.9. 8. No congenital malformation of infants was noted. 9. The incidence of spontaneous abortion was 16.9%.
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