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KMID : 0644120160290040024
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Journal of Oriental Gynecology
2016 Volume.29 No. 4 p.24 ~ p.33
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Prevention of Preterm Birth and Management of Uterine Contraction with Traditional Korean Medicine
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Kim Eun-Seop
Jang Eun-Ha
Kim Nam-Hyoung
Jang Sae-Byul
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Abstract
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Objectives: The aim of this study was to demonstrate the benefit of Traditional
Korean Medicine as an adjuvant therapy in management of early uterine contractions
and the prevention of Preterm Birth (PTB).
Methods: It is a case report of a 38 year-old-woman hospitalized for irregular
uterine contractions and cervical change at 33+3/7weeks of gestation. After 7 trials
of IVF and artificial insemination, conception was successful via IVF with help of
traditional Korean medicines. 2 TKMs were prescribed: Gami-danggui-san, and
Antae-eum. 120 ml of Gami-danggui-san was given twice a day morning and evening
along with same amount of Antae-eum once a day from 31 August 2013 to 28
November 2013. Tocolytics (Ritodrine) was administered as a first aid for maintenance
of pregnancy. Information regarding progress until the delivery was collected during
the patient’s visit.
Results: As of 34+2/7 weeks of gestation, intermittent uterine contractions appeared
(5-12 min) on cardiotocography and vaginal bleeding was also smeared at 34+3/7
weeks. However, enhanced tocolytics and continuous administration of herbal
medicine sustained the pregnancy to term. At 37+2/7 weeks, no sign of labor with
restored cervical length was confirmed. The woman gave a term birth to a healthy
infant via vaginal delivery at 39+3/7 gestational weeks.
Conclusions: Our report implies the potential of herbal medicine as a adjuvant
therapy for preterm labor treatment. Further studies are needed to assess the
safety and efficacy of TKM herbal medicine as a therapeutic alternative for curing
preterm birth.
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KEYWORD
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Preterm Birth, Uterine Contraction, Gami-danggui-san, Antae-eum, Korean Medicine
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