간행물

대한주산의학회> PERINATOLOGY (구 대한주산의학회잡지)

PERINATOLOGY (구 대한주산의학회잡지) update

  • : 대한주산의학회
  • : 의약학분야  >  산부인과학
  • : KCI등재
  • :
  • : 연속간행물
  • : 계간
  • : 2508-4887
  • : 2508-4895
  • :

수록정보
수록범위 : 1권1호(1990)~32권2호(2021) |수록논문 수 : 1,353
PERINATOLOGY (구 대한주산의학회잡지)
32권2호(2021년 06월) 수록논문
최근 권호 논문
| | | |

KCI등재

1Probability Model of Massive Hemorrhage in Patients with Placenta Previa

저자 : Myeong Gyun Choi , Jong Woon Kim , Wan Hu Jin , Yoon Ha Kim

발행기관 : 대한주산의학회 간행물 : PERINATOLOGY (구 대한주산의학회잡지) 32권 2호 발행 연도 : 2021 페이지 : pp. 55-60 (6 pages)

다운로드

(기관인증 필요)

초록보기

Objective: The aim of this study was to identify the factors affecting massive hemorrhages in patients with placenta previa. We also made probability models and equations for massive hemorrhage.
Methods: Seven hundred and sixty-four patients with placenta previa who underwent cesarean section from January 2011 to September 2019 were retrospectively reviewed. Massive hemorrhage was defined as a blood loss exceeding 1,500 mL or receiving over four units of packed red blood cells during cesarean section. Logistic regression analysis was used to create a probability model and identify the predictive factors for massive hemorrhage.
Results: Two hundred and seventy-three (35.7%) patients had massive hemorrhages. Preoperative hemoglobin levels, multifetal gestation, emergent surgery, history of a previous cesarean section, location of the placenta, the presence of lacuna, placental adhesion, the type of placenta previa, and multiparity were selected predictive factors for massive hemorrhage. One hundred seventy-eight (23.3%) patients had placenta previa and a history of previous cesarean section. Among them, massive hemorrhage occurred in 101 (56.7%). The selected predictive factors for massive hemorrhage in patients with placenta previa and a history of previous cesarean section were emergent surgery, location of the placenta, the presence of lacuna, placental adhesion, and preoperative hemoglobin levels. An equation for massive hemorrhage in patients with placenta previa was created by combining variables.
Conclusion: An equation for massive hemorrhage in patients with placenta previa was created by combining variables. These equations may help in managing placenta previa patients with high risk.

KCI등재

2Outbreak of Neonatal Staphylococcal Scalded Skin Syndrome in a Maternal Unit

저자 : Yunho Jeon , Yunha Hwang , Yejin Park , Chun Kim , Ryoungkyoung Lim

발행기관 : 대한주산의학회 간행물 : PERINATOLOGY (구 대한주산의학회잡지) 32권 2호 발행 연도 : 2021 페이지 : pp. 61-66 (6 pages)

다운로드

(기관인증 필요)

초록보기

Objective: Staphylococcal scalded skin syndrome (SSSS) is a relatively rare superficial blistering skin disease caused by exfoliating toxins produced by Staphylococcus aureus. We experienced a 3-month outbreak of neonatal SSSS in a maternal unit.
Methods: The medical records of newborns who were diagnosed with SSSS were retrospectively reviewed.
Results: Eleven newborns with SSSS were transferred to our hospital between January and March 2019. The median age of the newborns was 18.0 (11.0-22.5) days. Of the 11 newborns, 2 (18%) showed the generalized type of SSSS, 4 (36%) the intermediate type, and 5 (45%) the abortive type. S. aureus was isolated in 10 of the newborns and found to be methicillin-resistant in 9 cases. All the newborns were treated with intravenous cefazolin, and two newborns with the generalized type were also treated with clindamycin. The median duration of antibiotic use is 8 (6-14) days. All the newborns responded well to antibiotics and were discharged without complications.
Conclusion: We recently experienced an outbreak of neonatal SSSS. To manage problems associated with such an outbreak, periodic monitoring is required, along with guidelines for infection control, such as thorough infection education, isolation of infected newborns, and antiseptic handwashing.

KCI등재

3Trends and Changes of Maternal Age at Live Birth and Related Statistics in Korea (1981-2019)

저자 : Jungha Yun , Se-hyung Son , Chong-woo Bae

발행기관 : 대한주산의학회 간행물 : PERINATOLOGY (구 대한주산의학회잡지) 32권 2호 발행 연도 : 2021 페이지 : pp. 67-74 (8 pages)

다운로드

(기관인증 필요)

초록보기

Objective: To investigate the changing trends of maternal age at birth in Korea over the past 40 years and related statistics to identify the aging trend.
Methods: Population and birth statistics between 1981 and 2019 were obtained from the Statistics Korea. Birth data including total number of births, crude birth rate (CBR), total fertility rate (TFR), and maternal statistics including women's first marriage age, number of women of childbearing potential, distribution of maternal age at birth, maternal age by birth order, and birth weight by maternal age were reviewed.
Results: There was a decrease in the total number of births, CBR and TFR. The average age of women at first marriage increased from 23.2 to 30.6 years and the number of women of childbearing potential decreased from 17.6 million to 15.86 million. The number of advanced maternal age women increased from 3.9% to 33.4% and the number of newborns born to advanced maternal age mothers increased threefold from 33 thousands to 100 thousands. The proportion of low-birth weight infants by maternal age increased among mothers under the age of 20 and mothers of advanced maternal age.
Conclusion: We found significant trends in low birth rate, decreased number of women of childbearing potential, later first marriage age and increasing maternal age over 40 years in Korea. In terms of perinatal management, this study intended to provide basic data, aiming at overcoming a rising trend in low birth rate and advanced maternal age.

KCI등재

4Conservative Management of Retained Placenta Accreta Postpartum

저자 : Eun Hui Joo , Ji Eun Ko , Hee lim Lee , Hyeon Chul Kim , Young Ran Kim

발행기관 : 대한주산의학회 간행물 : PERINATOLOGY (구 대한주산의학회잡지) 32권 2호 발행 연도 : 2021 페이지 : pp. 75-79 (5 pages)

다운로드

(기관인증 필요)

초록보기

Retained placenta accreta is difficult to diagnose in the series of processes involved in parturition. It is usually discovered after delivery, when massive and uncontrollable postpartum hemorrhage occurs. A histological examination of residual placental tissue is the gold standard for the diagnosis of retained placenta accreta and indicates the degree of placental invasion into the myometrium. If the placenta is forcefully removed, maternal morbidity and mortality is high. Therefore, the management is essential when the placenta cannot be delivered spontaneously or manually. We present a case of a 35-year-old woman (G4P2A1L2) who had a high risk of placenta accreta due to past history of placenta accreta and previous myomectomy. After successful delivery, the placenta was not delivered as expected. Consequently, she experienced massive post-partum hemorrhage of 1,500 mL for up to 2 days post-partum, necessary of an extensive blood transfusion. Following spontaneous vaginal delivery and a failed attempt to manually remove the placenta, a uterine artery embolization was performed, and the patient improved over a few weeks. Thus, this case was successfully managed with conservative treatment, avoiding hysterectomy or other additional surgical treatments. No secondary postpartum complications were observed, and the menstrual cycle returned to normal within 6 months.

KCI등재

5Case Report of Pregnancy Induced Atypical Hemolytic-uremic Syndrome

저자 : Eun Hye Jeon , Sul Lee , So Hee Kim , Hyung Joon Yoon , Jong Kil Joo , Seung Chul Kim

발행기관 : 대한주산의학회 간행물 : PERINATOLOGY (구 대한주산의학회잡지) 32권 2호 발행 연도 : 2021 페이지 : pp. 80-84 (5 pages)

다운로드

(기관인증 필요)

초록보기

Pregnancy-associated atypical hemolytic-uremic syndrome (p-aHUS) is a rare and fatal thrombotic microangiopathy characterized by hemolytic anemia, thrombocytopenia and acute renal injury during pregnancy. A pregnant woman with atypical symptoms of hemolytic-uremic syndrome (HUS) delivered a baby by cesarean delivery under suspicion of atypical hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome at 35 weeks of gestation. However, even after delivery, the patient's condition worsened. Following this, p-aHUS was diagnosed through as a result of ADAMTS13 activity. After several plasma exchanges (PEs) based on diagnosis, vital signs were stabilized and laboratory results were normalized. Herein, we report and review an unusual case of woman with complicated p-aHUS who recovered after PE.

KCI등재

6A Case of Microcephaly with Congenital Retinal Detachment

저자 : Donghoon Joo , Mun Hui Jeong , Seong Hee Jeong , Narae Lee , Mi Hye Bae , Young Mi Han , Kyung Hee Park , Shin Yun Byun

발행기관 : 대한주산의학회 간행물 : PERINATOLOGY (구 대한주산의학회잡지) 32권 2호 발행 연도 : 2021 페이지 : pp. 85-89 (5 pages)

다운로드

(기관인증 필요)

초록보기

Microcephaly can occur with autosomal dominant or autosomal recessive inherited pattern in a family, but more commonly it is a form of many syndromes that lead to intellectual impairment. Several reports of ocular anomalies accompanied with microcephaly vary from microphthalmia, nystagmus, cataracts, falciform retinal folds, retinal dysplasia, optic disc coloboma and optic atrophy to chorioretinal degeneration have been documented. In this report, the patient hospitalized for intrauterine growth restriction and microcephaly was diagnosed with congenital retinal detachment on fundus examination incidentally and whose result of chromosomal microarray analysis revealed about 1.4 Mb of duplication at Yq11.23 that is irrelevant with clinical symptom. The result of whole exome sequencing was not significant, either. So by enrolling the patient's genetic information obtained through whole genome sequencing and clinical feature to the national bio big data, we plan to research on genetic disease in comparison with genetic information of similar cases continuously. The authors experienced a case of congenital retinal detachment accompanied by microcephaly without family history and regardless of congenital viral infection, this has not been reported until now.

KCI등재

7Small Bowel Intussusception in a Preterm Infant

저자 : Jae Hun Jung , Jin Young Park , Sook-hyun Park

발행기관 : 대한주산의학회 간행물 : PERINATOLOGY (구 대한주산의학회잡지) 32권 2호 발행 연도 : 2021 페이지 : pp. 90-94 (5 pages)

다운로드

(기관인증 필요)

초록보기

Intussusception is a common cause of intestinal obstruction in 6-18 months of age. However, in preterm infants, it is an extremely rare disease. The symptoms of intussusception in preterm infants are similar to those of necrotizing enterocolitis (NEC). Most preterm infants can often be clinically diagnosed with NEC. The NEC and small bowel intussusception treatments are different. In case of NEC, antibiotics and nothing per oral should be used, but small bowel intussusception could be resolved by spontaneous reduction or it should be treated with bowel reduction or bowel resection with laparotomy in case of symptomatic patients. Because of different treatments, an accurate and urgent diagnosis following clinical suspicion is critical using abdominal X-ray and ultrasonography. In this report, we present a case of small bowel intussusception in a premature infant with gestational age of 27 weeks and birth weight of 1,070 g who was diagnosed based on rapid clinical suspicion and prompt image studies.

KCI등재

8Prenatal Diagnosis of Ventricular Tachycardia Initiated from Bradycardia

저자 : Rina Kim , Mi-young Lee , Lee Room Song , Seung A Choi , Jin Hoon Chung , Hye-sung Won , Pil-ryang Lee , Ellen Ai-rhan Kim , Jae Suk Baek

발행기관 : 대한주산의학회 간행물 : PERINATOLOGY (구 대한주산의학회잡지) 32권 2호 발행 연도 : 2021 페이지 : pp. 95-99 (5 pages)

다운로드

(기관인증 필요)

초록보기

Fetal ventricular tachycardia (VT) is an extremely rare condition. Because sustained VT is highly associated with perinatal morbidity and mortality, prenatal management with antiarrhythmic drugs is crucial. A 33-year-old woman was referred to our hospital for fetal bradycardia at 25.2 weeks of gestation. Initial echocardiography showed bradycardia with irregular atrial beats, which was suspected as blocked atrial bigeminy. Four weeks later, the fetal tachycardia was accompanied by no atrioventricular conduction. Therefore, VT was diagnosed. The fetus developed hydrops. Despite the use of antiarrhythmic drug, the neonate died a few hours after birth because of persistent VT. Only few cases of fetal VT have been reported worldwide, and no case has been reported in Korea. Here, we report a case of fetal VT and discuss the prenatal management using antiarrhythmic drugs, reviewing previous reports.

KCI등재

9Trisomy 9 Mosaicism in an Extremely Low Birth Weight Infant

저자 : Hannah Cho , Ju Sun Heo , Ki Hoon Ahn , Soon-cheol Hong

발행기관 : 대한주산의학회 간행물 : PERINATOLOGY (구 대한주산의학회잡지) 32권 2호 발행 연도 : 2021 페이지 : pp. 100-103 (4 pages)

다운로드

(기관인증 필요)

초록보기

Trisomy 9 mosaicism is a rare chromosomal abnormality with distinct and recognizable clinical features. In this report, we present an extremely low birth weight (ELBW) infant with trisomy 9 mosaicism. A male preterm infant born at 31+3 weeks of gestation, weighing 922 g, was delivered by cesarean section. Prenatal findings revealed severe intrauterine growth restriction and oligohydramnios. The result of non-invasive prenatal test was a low risk for chromosomal anomalies including trisomy 9. After birth, dysmorphic features were present, such as microcephaly, palpebral fissure, low set ears, a bulbous nose, micrognathia, and a high-arched palate. He also had a single umbilical artery, bilateral inguinal hernia, and cryptorchidism. Intra-organ evaluation revealed ventriculomegaly, mesocardia, absent right brachiocephalic trunk with double superior vena cava, and bilateral renal hypoplasia. He needed the respiratory support of a humidified high-flow nasal cannula until 4 months of corrected age. He had feeding difficulties requiring tube feeding because of poor oral sucking. The result of a postnatal chromosome study confirmed trisomy 9 mosaicism. To the best of our knowledge, this is the first case of an ELBW infant with trisomy 9 mosaicism in South Korea.

1
권호별 보기

내가 찾은 최근 검색어

최근 열람 자료

맞춤 논문

보관함

내 보관함
공유한 보관함

1:1문의

닫기