Résumé
OBJECTIVE: To evaluate chronological pattern of the frequencies and indications for cesarean section performed at one university hospital for 24 years. METHODS: This study was carried out retrospectively based on the clinical records of 6,051 patients who had cesarean sections among total 28,836 delivery cases at our hospital from January, 1980 to December, 2003 to show the frequencies and indications for cesarean section. RESULTS: The relative frequencies of cesarean section among total delivery cases for 24 years was 21.0%. The frequencies was 16.6% in the 1980s, 21.9% in the 1990s and 34.3% in the 2000s, which shows a tendency to marked increment. The common indications of cesarean section for 24 years was previous cesarean section (40.9%) followed by abnormal presentation (16.3%), dystocia (12.2%), fetal distress (7.9%), placenta previa (6.8%). Repeat cesarean section showed increasing frequencies from 1980 to 1992 and dropped again from 2002. Dystocia and abnormal presentation showed decreasing frequencies, but multiple pregnancy, placenta previa and other indications showed increasing frequencies, especially in late 1990s and 2000s. CONCLUSION: The frequencies for cesarean section was increasing, especially from 1990s. There are many changes in indications for cesarean section. Recent changes was decreasing frequencies for repeat cesarean section, increasing for multiple pregnancy, placenta previa and other indications. This might be related to low birth rate and high elderly mother's proportion.
Sujets)
Sujet âgé , Femelle , Humains , Grossesse , Taux de natalité , Césarienne , Césarienne itérative , Dystocie , Souffrance foetale , Placenta previa , Grossesse multiple , Études rétrospectivesRésumé
Pulmonary embolism, one of leading causes of maternal death, is a common but elusive disease that can result in suffering and death if not recognized and treated effectively. We have experienced a case of fatal pulmonary embolism, which was diagnosed by echocardiography and chest spiral CT on the postoperative 2nd day after cesarean delivery and was managed successfully with pulmonary embolectomy, wedge resection of Rt. lower lobe in lung and then heparin therapy. We present this case with a brief review of literatures.
Sujets)
Échocardiographie , Embolectomie , Héparine , Poumon , Décès maternel , Embolie pulmonaire , Thorax , Tomodensitométrie hélicoïdaleRésumé
Ectopic breast tissue can occur anywhere along the primitive embryonic milk line, which extends from axilla to groin. However, the occurrence of ectopic breast tissue in the vulva is rare and less than 50 cases had been reported. We experienced a case of ectopic breast tissue in the vulva, which is the first case of ectopic breast tissue in the vulva in Korean literature.
Sujets)
Aisselle , Région mammaire , Aine , Lait , VulveRésumé
Ectopic breast tissue can occur anywhere along the primitive embryonic milk line, which extends from axilla to groin. However, the occurrence of ectopic breast tissue in the vulva is rare and less than 50 cases had been reported. We experienced a case of ectopic breast tissue in the vulva, which is the first case of ectopic breast tissue in the vulva in Korean literature.