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KMID : 0358419770200060389
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Korean Journal of Obstetrics and Gynecology
1977 Volume.20 No. 6 p.389 ~ p.395
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Clinical Observation of Spontaneous Premature Rupture of Membranes
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주영철/Joo YC
주창남/장명익/김경태/Joo CN/Chang MI/Kim KT
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Abstract
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The spontaneous premature rupture of membranes has presented unsolved problems and controversy in treatment in three major aspects such as an increase in prematurity, an increase in infection of the mother and an increase infection of infant. We have clinical analysis of 229 cases of spontaneous premature rupture of membranes at the Department of Obstetrics and Gynecology National Medical Center in Korea and obtained the following results. 1) The incidence of S.P.R.M. is 2.8% (229 cases out of 8,219 deliveries) 2) The incidence of S.P.R.M. of premature deliveries is 6.5% (41 cases out of 554 premature deliveries) 3) Perinatal death cases are 9 cases ( F.D.I.U. 7 cases and 2 cases of neonatal death) 4) There is no fetal death case in the group of within 18 hours of latent period. 5) The main cause of perinatal death is prematurity. 6) The incidence of maternal morbidity is 29.0% (45 cases out of 229 cases) 7) The most common complications during pregnancy in S.P.R.M are anemia, toxemia and abnormal presentations. 8) the incidence of C-section is 15.3% and the most common indications of C-section are C.P.D. (5cases), fetal distress (5 cases) and abnormal presentations (5 cases). 9) The latent period is within 24 hours in most cases of over 2500 gm of fetal weight.
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