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In spite of the widespread advances in the treatment of toxemia in recent years, it remains the major cause of maternal and preinatal morbidity and mortality. But good prenatal supervision, with the early detection of signs and symtoms of on-coming toxemia, and approprite treatment will arrest their mortalities and morbidities, and outcome for baby and mother will be usually satisfactory, The data tabulated are based on 479 cases with the diagnosis of toxemia among 2077 cases of total deliveries between Apr. 1, 1972 and Dec. 31, 1975 at the Seoul Cross Hospital. the results are follows: 1. The incidence of toxemia is 23.1%, preeclampsia 19.2%, eclampsia 3.9% mild preeclampsia 8.4%, severe preeclampsia 10.8% antepartum eclampsia 2.9%, intrapartum eclampsia 0.2%, postpartum eclampsia 0.8%. 2. Patient`s age is under 29 year old in 63.6%. 3. About three fourth (73.4%) is concentrated between 38 weeks and 42 weeks of pregnancy. 4. The incidence of primipara in toxemia is 59.3%. para 2;16.9%. para 3;11.7%. para 4;6.8%. para over 5;5.0%. 5. The incidence of toxemia in twin pregnancy is 70.2%. 6. The edema(-) in toxemia is 11.5%, edema(trace); 8.8%, edema (+); 26.6%, edema(#): 23.5%, edema(*) : 21.7%, edema(*) ; 7.6%. 7. The proteinuria (-) in toxemia is 5.3%, proteinuria (trace); 18.4%, proteinuria (+); 24.6%, proteinuria (*); 15.6%, proteinuria (*); 19.9%, proteinuria (*); 16.0%, 8. regarding the systolic blood pressure in antepartum, 6.4% in toxemic patient is 139 mmHg or less in blood pressure, 25.6% between 140 mmHg and 159 mmHg. 47.4% between 160 to 199 mmHg. 20.4% over 200mmHg 9. Regarding the diastolic B.P. in antepartum or intrapartum, 5.9% is 89 mmHg or less, 94.1% over 90 mmHg. 10. Regarding the systolic B.P. in postpartum 2nd day, 48.4% is 139 mmHg or less, 51.6% is over 140 mmHg. 11. Regarding diastolic B.P. in postpartum 2nd day, 29.9% is 89 mmHg or less, 70.1% is over 90 mmHg. 12. The case that showed edema only is 1.0%, proteinuria only 1.4%. hypertension only 6.9%, edema plus hypertension 13.5%, edema plus proteinuria; 2.1%, hypertension plus proteinuria 63.5%, headache; 35.1% in all toxemia; visual disturbances; 11.4% in all toxemia. 13. Regarding the laboratory findings, anemia(Hgb; less than 10.0% gm%) is 31.1% in admission day and 61.7% in postpartum 2nd day. 36.4%of the studied cases(55 cases) revealed low total serum protein(less than 5.5 gm%), and only 6.2%(55 cases) showed elevated serum creatinine (more than 1.6 mg%), and majority (95%) showed the elevated uric acid (more than 3.0 mg%). 14. The fundoscopic findings are as follows; normal; 50.4%. grade I;29.7%. grade II; 14.1%, Grade III 4.2%, Grade Ⅳ; 1.5%. 15. the method of delivery is as follows; vaginal delivery; 86.1%. cesarean section; 13.8%. 16. The average weight of newborn babies in 2941g. 17. The sum of stillbirth and newborn death rates during admission is 8.6% 18. Over one fourth(27.2%) of all maternal death is due to toxemia.
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