Clinical Survey of Fetal Macrosomia / 대한산부인과학회잡지

OBJECTIVE: Under the definition of macrosomia where the birth weight of the fetus being 4,000 grams or more, we analyzed and studied the obstetrical problems, complications of both mother and the fetus and the predisposing factors of macrosomia in this report. METHODS: A study was done on 231 cases of macrosomia infants weighing 4,000 grams or more out of 5220 full-term delivered cases in Dongguk University, Kyung-ju hospital from January, 1998 to December, 2002. RESULTS: The frequency of macrosomia ranged from 4.18% in 4,000 g or more to 0.42% in 4,500 g or more. In macrosomia frequency correlations to parity showed 41.13% (95 cases) in primiparous women, 58.87% (134 cases) in multiparous women. According to the type of delivery, normal vaginal delivery has proven to be the most, consuming 52.38% (121 cases), where Cesarean section was 47.61% (110 cases). Indications for Cesarean section ranged from cephalopelvic disproportion (27.3%) to previous Cesarean section (25.4%), in the order of frequency. Maternal complications due to delivery showed highest incidence in postpartum hemorrhage (13.63%), followed by birth canal laceration (12.12%). As of fetal complications, 3 cases (2.72%) of cephalhematoma existed, and 1 brachial plexus palsy and clavicle fracture were reported and 1 case of fetal death was reported. CONCLUSION: It would be appropriate to have definite diagnostic schemes and adequate choice of delivery method for macrosomia. Therefore, the complications of macrosomia could be decreased by a well-trained delivery coming in forehand.

A Report of Pelvic Inflammatory Disease in the Region of the Po-Hang / 대한산부인과학회잡지

OBJECTIVE: Pelvic inflammatory disease has been inclining over the years and high prevalence rates in teenagers is an upcoming issue. Our study is to research and analyze the PID patients of a certain region to give a better perspect of the disease for adequate prevention and management. METHODS: From March 1998 to December 2001, we underwent retrospective studies on medical records of 130 admitted PID patients in po-hang Dong-guk university hospital. RESULTS: Our of all gynecologic patients, 14.4% were PID patients. 17.7% of these were teenagers and patients who were in there twenties consumed up to 50.8%. The disease mostly occured within 8 days of the first menstruational day. Common etiology of the disease was unmarried state, using IUD as a contraceptive and previous artificial abortion. CONCLUSION: PID patients who are in their teens or twenties represented 68.5% of all PID patients. PID in younger ages keeps increasing and seems to be a trend. Secondary treatment of the disease is undoubtfully important, but primary prevention such as sexual education and birth control must also be considered.