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KMID : 0644120010140010365
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Journal of Oriental Gynecology
2001 Volume.14 No. 1 p.365 ~ p.379
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Clinical Investigation for Various Postpartum Symptoms
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嚴殷奭/Uom, Eun Suk
李東寧/林垠美/Lee, Dong Nyung/Lim, Eun Mee
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Abstract
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The purpose of this study is to investigate the various postpartum symptoms, and provide fundamental data about postpartum health care. The subjects of the present study were 148 women (74 women who completed vaginal delivery and 74 women who delivered by cesarean section) who completed labor between January 1 and June 30, 1999, at the department of OB & GYN in Dong-Inchon Gil Hospital. We investigated the various symptoms which occurred from the moment of hospital discharge to 5 months after parturition, and examined the frequency of symptoms. Then we systemically classified the symptoms. Next, we subdivided the major categories of symptoms. After that, we classified the symptoms by the age of patients, the obstetric history of patients, and the method of delivery. Finally we compared the symptoms of these results and the standard textbook (Textbook of Oriental Gynecology edited by Byoung-Key Song, 1994).
The results of this investigation were summarized as follows:
1. Systemic classification of various postpartum symptoms: (1) Nervous and psychiatric symptoms accounted for 14.2% of the postpartum symptoms; (2) circulatory symptoms, for 23.7%; (3) respiratory symptoms, for 7%; (4) gastrointestinal symptoms, for 10%; (5) musculoskeletal symptoms, for 7.3% of which waist and hip joint accounted for 33% of the arthralgia; knee joint, for 25%; wrist joint, for 13.7%; (6) urinary symptoms, for 2.7%; (7) reproductive symptoms, for 23.3%; (8) the rest, for 11.8%.
2. Subdivision the major categories of various postpartum symptoms: (1) Discomfort at the incision site accounted for 92.6% of the 148 women; (2) increase of sweating, for 77%; (3) arthralgia, for 66.9%; (4) common cold, for 63.5%; (5) hair loss, for 62.2%; (6) dizziness, for 52.7%; (7) depression, for 47.3%; (8) toothache, for 43.2%; (9) coldness of the extremities and lower abdomen, for 37.8%; (10) edema, for 37.2%.
3. There were no remarkable differences in the frequency of symptoms according to the age of patients, the obstetric history of patients, and the method of delivery.
4. We observed some symptoms not mentioned in the textbook. On the other hand, we did not observe some of the textbook symptoms.
Thus, if we continue investigation about various postpartum symptoms by other methods (incidence duration, symptoms´ degree, etc) and compare with the textbook, we can update the textbook. There will be significant data which are helpful for diagnosis and oriental medical treatment of the patient after parturition.
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