1.Cervical priming and induction of labor in postterm pregnancy.
Korean Journal of Perinatology 1992;3(2):1-8
No abstract available.
Pregnancy*
2.Oligohydramnios in Preterm Prom is Associated with an Intense Amniotic , and Maternal Inflammatory Response but not with Fetal Hypoxia.
Korean Journal of Obstetrics and Gynecology 1999;42(1):132-137
OBJECTIVE: To examine the relationship of the amniotic, and maternal infiammatory responses and decreased amniotic fluid in patients with preterm PROM. METHODS: Fifty three patients with preterm PROM in singleton pregnancy who delivered preterm neonates (gestational age<35 weeks) within 3 days of amniocentesis were included. Amniotic fluid index(AFI) was measured by transabdominal ultrasonography at amniocentesis. Amniotic fluid was cultured far aerobic and anaerobic bacteria and mycoplasma. The intensity of the inflammatory response was evaluated by clinical and histologic chorioamnionitis. The intensity of fetal hypoxia was evaluated by 1 min Apgar score, 5 min Apgar score, and pH of cord blood at birth. RESULTS: The prevalence of oligohydramnios, which was defined when measured AFI was equal or less than 5.0, was 34% (18/53). The prevalence of positive amniotic fluid culture was 45% (24/53) and that of patients with was significantly higher than that of patients without oligohydramnios (78% [14/l8] vs 29% [10/35], p<0.01). Intrauterine inflammatory response was significantly stronger in patients with oligohydratnnios than in patients with adequate amniotic fluid (pathologic chorioamnionitis 100% [l6/16] vs 63% [19/30], clinical chorioamnionitis 39% [7/18] vs 6% [2/35]; p<0.01 for each). However, no significant difference was found in the intensity of fetal hypoxia (I min Apgar score <7 67% [12/18] vs 66% [23/35], 5 min Apgar score <7 39% [7/l8] vs 26% [9/35], pH of cord artery blood at birth 7.27+0.13 vs 7.22+0.13; p>O.I, for each). CONCLUSION: Oligohydramnios in patients with preterm PROM is strongly pedictive for positive amniotic fluid culture, and is associated with a robust host response in amniotic, and maternal cornpartments, but not with fetal hypoxia.
Amniocentesis
;
Amniotic Fluid
;
Apgar Score
;
Arteries
;
Bacteria, Anaerobic
;
Chorioamnionitis
;
Female
;
Fetal Blood
;
Fetal Hypoxia*
;
Humans
;
Hydrogen-Ion Concentration
;
Infant, Newborn
;
Mycoplasma
;
Oligohydramnios*
;
Parturition
;
Pregnancy
;
Prevalence
;
Ultrasonography
3.Comparison of predictability of fetal acidosis between umbilical artery velocity waveforms and descending thoracic aorta blood flow.
Korean Journal of Obstetrics and Gynecology 1993;36(10):3550-3557
No abstract available.
Acidosis*
;
Aorta, Thoracic*
;
Umbilical Arteries*
4.Perinatal outcome in pregnancy-induced hypertensive women associated with absent end-diastolic flow velocity on descending thoracic aorta.
Korean Journal of Obstetrics and Gynecology 1993;36(12):3877-3884
No abstract available.
Aorta, Thoracic*
;
Female
;
Humans
5.Twin Pregnancies with One Fetal Demise.
Joong Shin PARK ; Hee Chul SYN
Korean Journal of Obstetrics and Gynecology 1997;40(8):1630-1637
OBJECTIVE: To evaluate the maternal complications and perinatal outcomes in twin pre-gnancies with one fetal demise PATIENTS: From January 1990 to December 1996, 20 twin pregnancies with single fetal death were observed in Seoul National University Hospital : in 6 cases(group 1) between 20 ~26 weeks and in 14 cases(group 2) after 26 weeks gestation by gestational age of fetal death ; in 7 cases of monochorionic and in 13 cases of dichorionic placentation. RESULTS: The incidence of one fetal death was 5.4% in twin pregnancy. Diagnosis-to- delivery interval of group 1 was longer than group 2(61.0 days : 8.9 days). So it was thou- ght that the gestational age of delivery in group 1 was not always earlier than in group 2. And other parameters(chorionicity, preterm delivery, cesarean section, coagulopathy, IUGR, perinatal mortality, neurologic sequelae, IVH) didn't show the statistical differences between group 1 and group 2. According to chorionicity, it seemed that the perinatal mortality rate of monochorionic group was higher than dichorionic(86% : 62%) and that cesarean section rate was higher in dichorionic group(54% : 14%). But there were no statistical significances between two gruops. All other parameters also didn't show differences statistically. CONCLUSION: We fail to demonstrate that monochorionic placentation is associated with increased risks for the survivor in twin pregnancies of single fetal demise. It may be part- ially explained due to small numbers of cases in this study.
Cesarean Section
;
Chorion
;
Female
;
Fetal Death
;
Fetal Growth Retardation
;
Gestational Age
;
Humans
;
Incidence
;
Perinatal Mortality
;
Placentation
;
Pregnancy
;
Pregnancy, Twin*
;
Seoul
;
Survivors
6.Detection of male-specific DNA by polymerase chain reaction.
Korean Journal of Perinatology 1993;4(3):391-400
No abstract available.
DNA*
;
Polymerase Chain Reaction*
7.The relationship between the presence, severity and pattern of acute placental inflammation and amniotic fluid interleukin-8 in preterm labor.
Jae Weon CHANG ; Bo Hyun YOON ; Hee Chul SYN
Korean Journal of Obstetrics and Gynecology 1999;42(12):2669-2674
OBJECTIVE: To evaluate the relationship between amniotic fluid interleukin-8 and the presence, severity and pattern of acute inflammatory lesions in the placenta delivered after preterm labor with intact membranes. METHODS: The relationship between placental histologic finding and amniotic fluid interleukin-8 was examined in 46 consecutive patients who were admitted with the diagnosis of preterm labor with intact membranes and who delivered singleton gestations within 5 days. RESULTS: The prevalence of acute histologic chorioamnionitis was 63.0%(29/46) and that of positive amniotic fluid culture was 17.4%(8/46). The most frequent site of histologic inflammation was chorion-decidua(56.5%, 26/46). The median amniotic fluid interleukin-8 increased significantly according to the presence and higher severity of inflammation in each type of placental section (p<0.05 for each). Three patterns of inflammation were identified in chorion-decidua: non-marginating, marginating, and mixed. Median amniotic fluid interleukin-8 and the rate of severe histologic chorioamnionitis (grade> or = 4) increased significantly in the order of non-marginating, marginating, and mixed (p<0.05 for each). CONCLUSION: Both the presence and greater severity of acute histologic chorioamnionitis are associated with an elevated amniotic fluid interleukin-8. A marginating and mixed pattern of inflammation are associated with a higher amniotic fluid interleukin-8. Amniotic fluid interleukin-8 is a reliable prenatal marker of histologic chorioamnionitis.
Amniotic Fluid*
;
Chorioamnionitis
;
Diagnosis
;
Female
;
Humans
;
Inflammation*
;
Interleukin-8*
;
Membranes
;
Obstetric Labor, Premature*
;
Placenta
;
Pregnancy
;
Prevalence
8.The normal values of umbilical cord blood pH and gases that might be altered according to the duration of labor pain.
Hee Chul SYN ; Bo Hyun YOON ; Syng Wook KIM
Korean Journal of Perinatology 1993;4(4):512-523
No abstract available.
Female
;
Fetal Blood*
;
Gases*
;
Labor Pain*
;
Pregnancy
;
Reference Values*
;
Umbilical Cord*
10.Graves' disease complicating pregnancy.
Sung Soo KIM ; Bo Hyun YOON ; Bo Youn CHO ; Hee Chul SYN ; Syng Wook KIM
Korean Journal of Perinatology 1991;2(1):105-113
No abstract available.
Graves Disease*
;
Pregnancy*