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KMID : 0644120180310030061
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Journal of Oriental Gynecology
2018 Volume.31 No. 3 p.61 ~ p.78
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Analysis on Outpatients with Postpartum Disease at the Korean Gynecologic Clinic of Traditional Korean Medicine Hospital
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Hwang Young-Sik
Park Nam-Chun
Lee Jin-Wook
Yang He-Rynn
Park Seung-Hyeok
Hwang Deok-Sang
Lee Jin-Moo
Lee Chang-Hoon
Jang Jun-Bock
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Abstract
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Objectives : The purpose of this study was to analyze the current characteristics of outpatients with postpartum disease and provide a treatment instruction in the clinical field.
Methods : To analyze characteristics of outpatients with postpartum disease, We searched medical records from January 1, 2015 to December 31, 2017 using Z34(Supervision of normal pregnancy), O94(Sequelae of complication of pregnancy), U327(産後風) and 388 postpartum patients were analyzed.
Result : 1. The general characteristics of the subjects are as follows. The average age was 33.73±3.62 years old, 356(91.75%) are full term pregnancy, 201(51.81%) are first delivery, 79(20.36%) had past history of abortion and 63(16.24%) had past history of gynecologic disease. 2. The most subjects visited in April(10.31%). The mean duration from delivery date to visiting date was 131.5±214.6 days. The mean number of visits after the initial visit was 1.91±1.7. 3. The characteristics related with pregnancy and delivery are as follows. The number of subjects taken assisted reproductive technology was 19(4.9%) and suffering from gestational disease was 28(7.22%). The mean body weight difference between full term pregnancy and visiting date was -8.24±3.57 kg. The number of subjects discharging lochia on visiting date was 167(43.04%) and breastfeeding was 262(67.53%). 4. The most chief complaint was arthralgia in 217(55.93%) followed by general weakness, cold sensation, edema, sweating disorder, dizziness, lower abdominal pain, digestion disorder, heat sensation, defecation disorder and urination disorder. 5. The most accompanying symptom was arthralgia in 322(82.99%), followed by sleep disorder, cold sensation, general weakness, sweating disorder, defecation disorder, edema, dizziness, digestion disorder, urination disorder, lower abdominal pain and heat sensation. 6. A total of 356 subjects were taken herbal medicine. The most prescribed herbal medicine to subjects was Gungguijohyeol-eum-gamibang(29.59%).
Conclusion : These results could be helpful to diagnose and treat postpartum patients in korean gynecologic clinical fields.
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KEYWORD
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Korean Gynecology, Outpatient, Postpartum patients, Korean medical treatment
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