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KMID : 0376119760030020086
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Medical Journal of the Red Cross Hospital
1976 Volume.3 No. 2 p.86 ~ p.97
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Clinical Study on Toxemia of Pregnancy
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Abstract
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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 prenatal morbidity and mortality, But good prenatal supervision, with the early detection of signs and symptoms of oncoming toxemia and appropriate treatment will arrest their mortalities and morbidities and the outcome for bady 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.1975 at the Seoul Red Cross Hospitals
The results are follows;
1. The incidence of toxemia is 23.1%, preeclampsia; 19.2%, eclampsia 3.9% mild-preeclampsia 8.4%, severe eclampsia 10.8%, antepartum eclampsia 2.9%0, intrapartum eclampsia 0.2% postpartum eclampsia 0.8%.
2. Patient´s age is under 29 year-old in 63.6%.
3. 73.4% is concentrated between 38 weeks of pregnancy.
4. The incidence of primipara in toxemia is 59.3%; para2; 16.-95, pra 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 (+); 16.01.
8. Regarding the systolic, blood pressure in antepartum or intrapartumn, 6.4% in toxemia 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%6 over 200 mmHg.
9. Regarding the diastolic B. P. in antepartum or intrapartum, 5.9% is 89 mmHg or less, 94-1% over- 90mmHg.
10. Regarding systolic -B. P. in , postpartum 2nd day, 48.4% is 139 mmHgor less, 51.6% is over 140 mmHg.
11. Regarding diastolic B. R-in pvstpartnnr2nd 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%, hypertention 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. I% 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 5.5g%) and only 6.2%(55 cases)showed elevated serum creatinine(more than 1.6 mg%) and -95% showed the elevated uric acid(more than 3.0 mg%).
14. The funduscopic findings are as follows; normal; 50.4% . grade 1. 29.7% Grade, 11; 14. 1%, Grade,111; 4.2% Grade IV;1.5%.
15. Thee method of delivery is as follows: vaginal delivery;86.1%, cesarean section; 13.8%.
16. Thee average weight, of newborn babies is 2941g.
17. The sum of-stillbirth and newborn, death rates during admission is 8.016. 18. 27.2% of all maternal death is due to toxemia.
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