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The clinical study of 37 pregnancy women with aplastic anemia / 대한산부인과학회잡지
Korean Journal of Obstetrics and Gynecology ; : 2536-2541, 1999.
Artigo em Coreano | WPRIM | ID: wpr-8609
ABSTRACT

Objectives:

To determine whether the clinical aspect of aplastic anemia is influenced by pregnancy.

METHODS:

We reviewed 37 cases of pregnant aplastic anemia patients during Jan. 1989 to Dec. 1998, and examined age, parity, progress of pregnancy, termination methods, obstetrics & neonatal complications, hematologic change, and treatment modality by medical records.

RESULTS:

According to onset of disease, patients were divided into pre-pregnant diagnosed group(n=12) and during-pregnancy diagnosed group(n=25). Mean age of diagnosis was 29.4yr, 89.2% were nulliparous, and 51.4% were severe aplastic anemic patients. All patients underwent 50 pregnancy. Mean gestational period was 37wks, birth weight was 2569gram, and, except in 7 cases of abortion, 43 cases were delivered transvaginally or transabdominally(51.2% vs. 48.8%). Preeclampsia, eclampsia, preterm labor, restricted growth, and distress were complicated and decreased hemoglobin, hematocrit, reticulocyte, platelet were reversed after termination in pregnancy associated group. Treatment modality during pregnancy included transfusion, steroid, anti-lymphocytic globulin, anti-thymocytic globulin and IVGV, and remission rate was 45.5% in pregnancy associated group.

CONCLUSION:

We concluded that pregnancy is associated with aplastic anemia as a high risk factor, and intensive treatment is needed.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Paridade / Pré-Eclâmpsia / Reticulócitos / Peso ao Nascer / Plaquetas / Prontuários Médicos / Fatores de Risco / Diagnóstico / Eclampsia / Hematócrito Tipo de estudo: Estudo diagnóstico / Estudo de etiologia / Fatores de risco Limite: Feminino / Humanos / Gravidez Idioma: Coreano Revista: Korean Journal of Obstetrics and Gynecology Ano de publicação: 1999 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Paridade / Pré-Eclâmpsia / Reticulócitos / Peso ao Nascer / Plaquetas / Prontuários Médicos / Fatores de Risco / Diagnóstico / Eclampsia / Hematócrito Tipo de estudo: Estudo diagnóstico / Estudo de etiologia / Fatores de risco Limite: Feminino / Humanos / Gravidez Idioma: Coreano Revista: Korean Journal of Obstetrics and Gynecology Ano de publicação: 1999 Tipo de documento: Artigo