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KMID : 0353019730100020337
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Korean Journal of Public Health
1973 Volume.10 No. 2 p.337 ~ p.343
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A Study on Toxemia of Pregnancy
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Kang Kil-Won
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Abstract
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For the purpose of obtaining the ingormation on toxemic patients for the prevention, an analytic study was conducted toward 3,046 patients delivered in Seoul Red Cross Hospital and 439 toxemic patients among them from 1968 to 1973.
The Reuslts were obtained as follows:
1. There werre 3, 046 patients who delivered the babies during the period, of which 439 case were diagnosed and classified as toxemian, therefore the incidence of toxemia was 14.4%.
2. Out of 439 toxemia cases, 75.8% was classified as pre-eclampsia (severe form:47.1%, mild form: 28.7%) and 24.2% was classified as eclampsia (antepartum eclampsia: 13.4%, intrapartum eclampsia: 6.7%, postpartum eclampsia: 4.1%).
3. According to the incidence of toxemia cases by age over the total delivery, the twentieth was in 13.8%, the thirtieth in 14.7% and the fourtieth in 24.7%. There was markedly increase in incidence of toxemia with the advancing age of mother.
4. The toxemia incidence by gestational periods was 36.3% or highest in the group over 454 weeks of gestation.
5. The incidence of toxemia was turned out to increase continuously with the increase of parity.
6. They showed 1＋ edema in 43.3% which was the most common and there were 2＋ edema or more in 43%.
7. Proteinuria showed similar pattern as in edema (1＋:26.7%, 2＋ or more : 52.8%).
8. Within 48 hrs after delivery, systolic pressure showed below 140mmHg in 2.7% but 22.3% of cases showed over 200 mmHg.
9. Within 48 hrs after delivery, systolic pressure showed below 140mm Hg in 60.5% and only in 2.0% maintained high blood pressure over 200mm Hg.
10. Over all the pictures of toxemia 62.1% cases showed 3 fundamental symptoms at the same time.
11. Hemoglobin levels, before and after delivery, was about below the 10gm% in 35.3% of cases, which was suggestive of anemic mother.
12. Convulsion occurred one time in 34.0% of cases which was remarkably noted as common one.
13. Normal fundus finding was the most common or 57.2% and K.W. graed IV hypertensive retinopathy showed in 6.6%.
14. Most of toxemic mothers was able to have vaginal delivery in more than 90% (spontaneous vaginal delivery: 78.3%, induced vaginal delivery: 11.8%).
15. The rate of twin delivery was 2.0% of the total deliveries. The incidence of toxemia among the total twin pregnancies was 81.7% and it was compared with 13.0% in single deliveries.
16. The birth weight of infant of toxemic mother, 18.3% ranged from 2,5000gm to 2,999gm which showed the highest in incidence of toxemia.
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