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KMID : 0358419760190120913
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Korean Journal of Obstetrics and Gynecology
1976 Volume.19 No. 12 p.913 ~ p.919
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Hypertensive disorder in pregnancy 598 cases
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오영옥/Oh YO
우복희/우경숙/안정자/강신명/Woo BH/Woo KS/Ahn JJ/Kang SM
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Abstract
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1. The incidence of toxemia was 13% among these patients 65% of them had preeclampsia 6% eclampsia, 16% transient hypertension and 2.5% chronic hypertension respectively. 2. It seemed there was a close relation with the patients age and parity in the incidence of toxemia. we found higher incidence of toxemia in older women with high parity. 3. When we studied the conditions of women with multiple pregnancy, they had much higher incidence of toxemia than women with single pregnancy. in fact 37% of all the mothers of the multiple pregnancy had toxemia which is three times higher than that of mother of the single pregnancy 4. Average fetal weight born in toxemia patients was lower than those born in normal mothers. 5. About 13% of the toxemic patients had rather normal systolic blood pressure around 130 mmHg at prenatal care. with this fact in mind one should be more careful in prenatal care. 6. After 82.96% normal delivery and 17% cesarean section, we concluded that there was little evidence that toxemia had more cesarean section than normal delivery. 7. One should be especially careful or oncoming hypotension due to preoperative MgSO4 or serpacil treatment given before cesarean section. 8. After studying the patients with immediate postpartum atonic uterine bleeding we found the incidence occured twice as much among toxemic patients than the women with normal pregnancy 9. Perinatal mortality rate was 4.8% 10. We had 0.84% maternal death among toxemic patients. it was clinically suspected the deaths due to cerebral hemorrhage and acute renal failure.
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KEYWORD
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