Pregnancy and Cerebrovascular Disease / 대한산부인과학회잡지

OBJECTIVE: It is widely believed that pregnancy accounts for a significant impact upon maternal as well as fetal health. Nevertheless, the correlation between pregnancy and cerebrovasular disease has not been fully understood due to few data available in Republic of Korea. METHODS: We have reviewed clinical diagnosis and impressions of 7,879 patients who were admitted inpatients to the Korea University Anam Hospital either for delivery or for pregnancy between 1995 and 2000, retrospectively. Four identified as patients with cerebrovascular disease were analyzed with medical records, results of blood tests and radiologic tests, as well as neurologic findings. RESULTS: In 4 patients with cerebrovascular diseases, we found 2 subarachnoid hemorrhages, 1 intracranial hemorrhage, and 1 cerebral infarction. Among 7,879 inpatients, the incidences of subarachnoid hemorrhage, intracranial hemorrhage, and cerebral infarction were 0.03%, 0.01%, and 0.01% respectively. CONCLUSION: In our study, the incidence of cerebrovascular disease during pregnancy was as low as 0.05%. But cerebrovascular disease was related to maternal and fetal health, therefore much attention should be focused on the precise evaluation of the pregnancy with cerebrovascular disease.

Combined intrauterine and cervical pregnancy / 대한산부인과학회잡지

Although recently the incidence of heterotopic pregnancies are increasing because of assisted reproduction, heterotopyic pregnancies were rare with an incidence of 1 per 30,000 pregnancies. In this presentation, we describe a case of combined intrauterine and cervical pregnancy after artificial abortion. The patient was treated by local injection of methotrexate directly into gestational sac under the guidance of sonogram after systemic methotrexate treatment. The gestational products were removed by dilatation & currettage due to persistent vaginal bleeding on the next day. So we report a case with a brief review of the literatures.