A clinical observation has been made on 500 cases of postterm pregnancy out of 6231 cases delivered at the dept of obstetrics and gynecology, collage of medicine, Ewha womens universijty for the past 3 years from Jan. 1, 1983 to Dec. 31, 1985.
A pregnancy was considered as postterm vrhen it exceeds 42 weeks calculated from the first day of the last menstrual period. 3
The result are as follows
1) The incidence of postterm pregnancy was 8.02 . Among these 500 cases. 412 cases (6.61 % ) had 42 gestational weeks.
2) Total delivery in relation to age distribution showed 3724 cases in 2529 aged group and 1099 cases in 20-24 aged group while the incidence of postdate pregnancy showed 10.0% in 20^24 aged group and-8.62% in 25^-29 aged group respectively.
3) The spontaneous onset of labor in postterm pregnancy was noted in 210 cases (42:0%).
4) Total duration of labor over 24 hours showed 1.12 % and 0.63 % in primipara and multipara and duration of second stage in labor over 2 hours showed 4.09% and 4A3% in primipara and multipara respectively.
5) The incidence of cesarean section was 30.92% in control group and 36.8% in postterm delivery group.
6) The number of newborn infants weighing 3000-3499 gin were 2447 cases (39.27%) in the control group and 207 cases (41.4%), more higher in the postdate delivery group.
7) The incidence of the meconium stained amniotic fluid was 21.4% and low Apgar score was more common in meconium stained group.
8) The maternal complications were more common in meconium stained group.
9) The perinated death were 35.94 and 34.0 in control and postterm pregnancy repeatively. The incidence of the perinatal mortality by gestational weeks showed 8 cases for 42weeks.
164 cases of cardiovascular surgery were performed at Ewha Womans University Hospital from March 1982 to October 1987. There were 119 cases of open heart surgery and 45 cases of non open heart surgery. There 1lrere 112 congenital cardiac anomalies and 50 acquired heart diseases. Congenital cardiac anomalies were 35 PDA, 29 VSD, 21 TOF, 13 ASD, 3 ECD, 2 MR and 9 other rare anomalies. Acquired heart diseases were 24 mitral valvular diseases, 7 aortic valvular diseases, 14 multiple valvular diseases and 5 other rare diseases. We had 21 operative mortalities and 18 complications.
|