The Obstetrical and Statistical Aspects of the Unmarried mother / 대한산부인과학회잡지

OBJECTIVE: We focused the objective of this study on the obstetrical and statistical aspects of the unmarried mother, especially teenage pregnancy and 20's pregnancy. METHODS: The 112 well-documented records in the 130 unmarried mothers who delivered at Gangnam general hospital public corporation from 1998 to 2000, were enrolled in our study. Unmarried mothers were divided into three age groups; teenage group, 20's group and 30's group, then, each group was analyzed by liable methods, SPSS (Version 10.0.7) and data were processed by Student's t-test and accepted as the significant meaning within p-value less than 0.05, 95% significant level. RESULTS: In this study, teenage mothers were delivered lower birth weight babies than those of other groups (p=0.000001). Sex partners of teenage mothers, most school boy friends, were similar age to those mothers and low economic state. Despite desire of bringing up children (teenage 11% versus 20's 36%), they gave up their babies because of monetary matters and social bias. And teenage mothers felt stronger affection for babies than 20's. Teenagers' and 20's unmarried mothers have poor information about contraception (teenage group 42%, 20's 31%). CONCLUSION: The unmarried mothers have been constituting many social problems. Fortunately, the absolute number of the unmarried mothers have not increased but the teenage pregnancy has the majority of unmarried mothers (> OR =50%). It is necessary for unmarried mothers to take the education of contraceptive measures, the social systems of bringing up the boarder babies and the retraining courses of unmarried mothers.

The Obstetrical and Statistical Aspects of the Unmarried mother / 대한산부인과학회잡지

OBJECTIVE: We focused the objective of this study on the obstetrical and statistical aspects of the unmarried mother, especially teenage pregnancy and 20's pregnancy. METHODS: The 112 well-documented records in the 130 unmarried mothers who delivered at Gangnam general hospital public corporation from 1998 to 2000, were enrolled in our study. Unmarried mothers were divided into three age groups; teenage group, 20's group and 30's group, then, each group was analyzed by liable methods, SPSS (Version 10.0.7) and data were processed by Student's t-test and accepted as the significant meaning within p-value less than 0.05, 95% significant level. RESULTS: In this study, teenage mothers were delivered lower birth weight babies than those of other groups (p=0.000001). Sex partners of teenage mothers, most school boy friends, were similar age to those mothers and low economic state. Despite desire of bringing up children (teenage 11% versus 20's 36%), they gave up their babies because of monetary matters and social bias. And teenage mothers felt stronger affection for babies than 20's. Teenagers' and 20's unmarried mothers have poor information about contraception (teenage group 42%, 20's 31%). CONCLUSION: The unmarried mothers have been constituting many social problems. Fortunately, the absolute number of the unmarried mothers have not increased but the teenage pregnancy has the majority of unmarried mothers (> OR =50%). It is necessary for unmarried mothers to take the education of contraceptive measures, the social systems of bringing up the boarder babies and the retraining courses of unmarried mothers.

One case of Cervical Leiomyoma / 대한산부인과학회잡지

Leiomyoma of the cervix is a rare tumor, accounting for 5% of all uterine leiomyomas. We experienced one case of leiomyoma of the cervix, and present it with a brief review of the literatures.

Comparison of bone mineral density between surgical menopausal women and natural menopausal women / 대한산부인과학회잡지

OBJECTIVE: It is widely known that the menopausal complication in the surgical menopause is to proceed rather than that of natural menopause. But, it has not obviously been proven so far. In this study, we surveyed whether BMD between surgical and natural menopausal group, in terms of decrease of the BMD of the menopausal complication would have a difference. METHOD: By using dual energy X-ray absorptiometry, we compared 2nd-4th Lumbar spine BMD in 28 of surgical menopause with that of 187 of natural menopause. RESULT: There is no obvious distinction in FSH and estradiol concentration between two groups. Surgical and natural menopausal groups showed the BMD -1.046+/-0.175 g/cm2, -0.942+/-0.124 g/cm2, respectively. Also, there is no statistical significance. CONCLUSION: Although there is no statistical significance in the BMD of the surgical menopausal group was lower than that of the natural menopausal group. Prevention of the menopausal complication as well as decrease of the BMD in the surgical menopausal group needs to be required more active attitude.

A case of hyponatremia as the intial manifestation of Sheehan's syndrome / 대한산부인과학회잡지

No abstract available.

A Case of Pelvic and Abdominal Actonomycosis Associated with an Intrauterine Contraceptive / 대한산부인과학회잡지

Actinomycosis is a rare entity which presents some difficulties in establishing a correct preoperative diagnosis. Many actinomycotic pelvic infections in women are related to IUD use and the colonization rate appears to increase in accordance with the duration of IUD use. So, all women in IUD use are recommended to make cervicovaginal smear and pelvic infection associated with IUD use should be suspected to have actinomycoses. We report a case which presented painful mass on right upper and lower quadrant of abdomen of a 40-year-old women. We identified sulfur granules by histopathologic exam of surgically resected specimen. Eventually it proved to be pelvic and abdominal actinomycosis associated with the use of an intrauterine device. Because variable clinical pictures and infrequency of the disease make the diagnosis more difficult, increased alertness of clinicians and microbiologists to the presence of anaerobic organism as the cause of infection are needed to make an earlier and more correct diagnosis of actinomycoses and to further avoid any inappropriate treatment.

A Comparison of Intravaginal Misoprostol with Oral Dinoprostone for Labor induction at Term / 대한산부인과학회잡지

OBJECTIVE: To compare the safety and efficacy of intravaginal misoprostol versus oral dinoprostone for labor induction at term. METHODS: One hundred of patients at term were randomized to receive either 50microgram of misoprostol vaginally every 4 hours or dinoprostone 0.5mg orally every 1 hour for the maximum of six doses. Intravenous infusion of oxytocin was administered under such circumferences as the patient did not go into active labor after maximum dose, SROM was developed without an adequate contraction pattern, or the patient had arrest of dilatation(no change in cervical dilatation for 2 hours). We compared the frequency of oxytocin augmentation, administration to delivery interval, vaginal delivery rate within 12 hours and 24 hours, intrapartum complications, induction failure, mode of delivery, neonatal outcomes, and maternal complications between two groups. RESULTS: The average interval from administration to delivery was shorter in the misoprostol group(739.4+/-372.4min vs 1087.7+/-765.1min, p<0.05), but the interval from administration to vaginal delivery of each group was similar(724.3+/-375.4min vs 800.3+/-697.0min). Regarding the frequency of vaginal delivery within 24 hours, however, misoprostol group was higher than dinoprostone group(88% vs 56%, p<0.001). And oxytocin augmentation of labor occurred less commonly in misoprostol group than in dinoprostone group(20% vs 76%, p<0.05). Any statistically significant difference in intrapartum complications, mode of delivery, and neonatal or maternal adverse outcome was not appeared between these two group. CONCLUSION: Vaginal misoprostol is as effective and safe as oral dinoprostone for cervical ripening and induction of labor at term. In addition, vaginal misoprostol contributes the curtailment of labor induction expenditure due to its moderate price; misoprostol costs 100 won per 50microgram.

Long-Term Effects of Oral Progesterone (Medroxyprogesterone Acetate) on the Level of Bone Mineral Density During Estrogen Replacement Therapy in Postmenopausal Women / 대한산부인과학회잡지

Estrogen replacement therapy is known to reduce the incidence of cardiovascular disease and osteoporosis in postmenopausal women. Estrogen has beneficial effect on bone density and adding progesterone to estrogen is known to have synergistic effect. However, the effect of progesterone on bone mineral density had not been precisely evaluated in Korean postmenopausal women. To evaluate the impacts of progesterone on bone mineral density during estrogen replacement therapy, we conducted the randomized 2-year trials of conjugated equine estrogen (Premarin(R) 0.625 mg/day) with or without cyclic progesterone(medroxyprogesterone acetate : MPA 10 mg/day for 12 days) in 105 postmenopausal women. Bone mineral density was measured in the lumbar vertebrae(L2-L4) using dual energy X-ray absorptiometry(DEXA) at the beginning of the treatment, 6 onths, 12 months and 24 months later, respectively. In Premarin only group, bone mineral density at 6 months and 12 months after treatment did not show significant difference from baseline value. But bone mineral density on 24 months after treatment showed significantly increased value(p value<0.05) than that of initial. In Premarin plus MPA group, bone mineral density at 12 months and 24 months after treatment showed significantly increased than baseline(p value<0.05). And compared with Premarin only group, Premarin plus MPA group showed significant increase in spinal bone density after 2 years treatment(p value<0.05). These results suggest that the addition of MPA in estrogen replacement therapy appears to increase in bone mineral density more than unopposed estrogen. Thus combination of estrogen and progesterone appeared to be effective long-term prophylactic treatment regimen upon postmenopausal bone loss.