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KMID : 0358419760190120861
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Korean Journal of Obstetrics and Gynecology
1976 Volume.19 No. 12 p.861 ~ p.859
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Clinical observation of elderly primiparae
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황순경/Whang SK
김창이/전정일/오원섭/최광영/Kim CY/Chun CI/O WS/Choi KY
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Abstract
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In this study 204 cases of elderly primiparae among 41272 parturient seen at the Dept. of Obsterics and Gyunecology eight Hospital including. st Mary`s Hospital affiliated catholic medical college from January 1. 1970 to December 31. 1974 were clinically observed and statistically reveiwed. The results were summarized as follows; 1. The number of elderly primiparae was consisted of 204 cases among 41272 parturient. Its incidence was 0.49%. 2. Malpresentation was showed in 26.0% among them the most common type was abnormal vertex and breech presentation. 3. In mode of delivery, operative delivery rate was 62.7% including cesarean section (30.4%) 4. In the view of the indication for cesarean section elective cesarean section was the most common (33.8%) other indications were CPD (29.0%) fetal distress (19.5%) and toxemia (8.1%) in order 5. The average birth weight of infant was 3061 gm and 8.7% of prematurity was encountered. 6. The perinatal mortality rate was 4.9% 7. congenital fetal anomalies were seen in 1.9% 8. Antepartum complications were 3 times and postpartum complications were twice more than the control group. the former was the pre-eclampsia uterine dystocia and CPD etc., and the latter was the laceration puerperal fever and urinary infection etc.
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