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KMID : 0376419820060010101
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Chonbuk University Medical Journal
1982 Volume.6 No. 1 p.101 ~ p.107
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Clinical Observation on Placenta Previa.
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Abstract
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The data to be presented below are based on 51 cases of placenta previa seen among the 2,726 deliveries at Department of Obstetrics and Gynecology, Jeonbug University Hospital from Jan. 1976 to Oct. 1981.
The summary of results are as follows
1. Incidence of placenta previa was one in 53 deliveries (1.9 %) and the most frequent age incidence was between 25~29 years old (45.1%). The most common parity was between 1~2 and 3~4 and each of these consisted of 15 cases(29.4%).
2. 19 cases (37.3%) were total placenta previa and remainders were 17 cases of partial placenta previa (33.3%), 10 cases of low-lying placenta (19.6%) and 4 cases of marginal placenta (7.8 %).
3. There was no significant difference in the average placental weight between normal placenta with above 37 weeks of gestational age and placenta previa with same age, 685.7 gm and 688.2gm respectively.
4. As compared to the ratio of the sex in the placenta previa, we could not find a specific difference.
5. Placenta previa with vaginal bleeding was above 90% and 74% of them Was painless. Abnormal presentation was 25.5%.
6. The most common hemoglobin level was 10.0~11.9gm% in 19 cases (37.3%) on arrival to our hospital. The average requirement of whole blood was 2.8 pints. The largest was 3.4 pints in placenta previa totalis.
7. Vaginal delivery was 4 cases(7.8%) , low segment transverse Cesarean section 37 cases (72.6%), classical Cesarean section 7 cases (13.7%) and Cesarean hysterectomy 3 cases (5.9%).
8. Perinatal mortality rate was 39.2% (20cases/51 cases) and 40 % of that mortality showed intrauterine fetal death. Considering that 40 % of mortality showed intrauterine fetal death we recommend a rapid transport system.
9. There was no maternal death.
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