1.Clinical and Obstetric Outcomes of the Teenage Pregnancy.
Yoon Hyuk LEE ; Woo Chuel JUNG ; Eu Sun RO
Korean Journal of Perinatology 2001;12(2):114-121
No abstract available.
Female
;
Pregnancy
;
Pregnancy in Adolescence*
2.Clinical Study of Total Vaginal Hysterectomy for the Indications other than Uterine Prolapse.
Yeon Hwa LA ; Kyung Chuel CHO ; Seong Tae HAN ; Seok Hee JUNG ; Jung Lae SEO ; Woo Chuel JUNG ; Sung Won LEE ; Yong CHO ; Eu Sun RO
Korean Journal of Obstetrics and Gynecology 2000;43(8):1459-1463
No abstract available.
Female
;
Hysterectomy, Vaginal*
;
Uterine Prolapse*
3.A Case of Congenital Unilateral Renal Agenesis.
Kyung Chuel CHO ; Dong Ook LEE ; Yoon Hyuk LEE ; Yeon Hwa LA ; Woo Chuel JUNG ; Sung Won LEE ; Yong CHO ; Eu Sun RO
Korean Journal of Perinatology 2000;11(4):513-516
No abstract available.
4.Control of Postpartum Bleeding by Rectal Misoprostols: A Report of 2 Cases.
Seong Tae HAN ; Seok Hee JUNG ; Yeon Hwa LA ; La Lae SEO ; Woo Chuel JUNG ; Sung Won LEE ; Yong CHO ; Eu Sun RO
Korean Journal of Obstetrics and Gynecology 2000;43(4):747-750
Obstetrical hemorrhage is one of the deadly triad, along with hypertensive disorder in pregnancy and infection. Postpartum hemorrhage is the major cause of obstetrical hemorrhage. Uterine atony is the most common cause of postpartum hemorrhage, and resulted from poor uterine contraction after delivery of the fetus and placenta. Initial management to control postpartum uterine atonic bleeding is based on the use of uterotonics such as well known oxytocin and ergot preparations together with uterine massage. Prostaglandin E2 analogue, sulprostone can be used next when these agents are failed to produce uterine contraction. The woman unresponsive to non-surgical managements requires surgical interventions including emergency hysterectomy. Recently prostaglandin E1 analogue, misoprostol, has been known to elicit potent uterine contraction and cervical ripening after oral, vaginal or rectal administration. We have experienced two cases of postpartum uterine atonic bleedings which were unresponsive to oxytocin, ergot, or prostaglandin E2, but were successfully controlled by rectal administration of misoprostols.
Administration, Rectal
;
Alprostadil
;
Cervical Ripening
;
Dinoprostone
;
Emergencies
;
Female
;
Fetus
;
Hemorrhage*
;
Humans
;
Hysterectomy
;
Massage
;
Misoprostol*
;
Oxytocin
;
Placenta
;
Postpartum Hemorrhage
;
Postpartum Period*
;
Pregnancy
;
Uterine Contraction
;
Uterine Inertia
5.Comparison of Intravaginal Misoprostol and Cervical Laminaria Tent Insertion in Endometrial Curettage due to Abnormal Uterine Bleeding.
Dong Ook LEE ; Hyung Yong KEUM ; Jong Chul KIM ; Yoon Hyuk LEE ; Woo Chuel JUNG ; Sung Won LEE ; Yong CHO ; Eu Sun RO
Korean Journal of Obstetrics and Gynecology 2001;44(8):1478-1482
OBJECTIVE: To compare cervical dilatation efficacy and safety of intravaginal misoprostol with that of cervical laminaria tent insertion in endometrial curettage due to abnormal uterine bleeding METHOD: Patients requesting endometrial curettage due to abnormal uterine bleeding were randomized into two group. In group I (n=53), 100 g tablet of misoprostol was placed in the posterior vaginal fornix at midnight. In Group II (n=54), laminaria tent number 5 was inserted in cervical canal at midnight. Endometrial curettage was performed on the next morning. The degrees of cervical dilatation were measured by Hegar dilator just before endometrial curettage. Both groups were compared about cervical dilatation efficacy and side effect. RESULT: The degrees of cervical dilatation were 8.8+/-1.1 mm in group I and 9.3+/-1.9 mm in group II. There was no significant statistical difference. (P=0.134) The mean intervals from the use of misoprostol or laminaria to endometrial curettage were 704+/-140 minutes in group I and 829+/-156 in group II. In group I, mild fever (less than 38 degrees) was observed in four women and one complained mild abdominal pain. In group II, five women revealed mild fever and fifty women complained abdominal discomfort. All didn't need any medication or special therapy. CONCLUSION: Intravaginal misoprostol was appeared as efficacious as laminaria tent in cervical dilatatory effect before endometrial curettage in abnormal uterine bleeding patients. It was considered more convenient, safer and more cost effective method compared than cervical laminaria tent in cervical preparation before endometrial curettage.
Abdominal Pain
;
Curettage*
;
Female
;
Fever
;
Humans
;
Labor Stage, First
;
Laminaria*
;
Misoprostol*
;
Pregnancy
;
Uterine Hemorrhage*
6.A Case of Edward Syndrome.
Yeon Hwa LA ; Byoung Shick SHIN ; Young Hwa PARK ; Hyung Yong KEUM ; Zong Chul KIM ; Dong Ook LEE ; Woo Chuel JUNG ; Sung Won LEE ; Yong CHO ; Eu Sun RO
Korean Journal of Obstetrics and Gynecology 2001;44(11):2155-2160
Trisomy 18, called Edward syndrome, occurs in about 3500-8000 births. It is much more common at conception, with about 95% of cases resulting in spontaneous abortion or stillbirth. Postnatal survival is poor, with the majority of patients dying in early infancy. Characteristic findings include cardiac malformations, mental retardation, growth retardation, a prominent occiput, micrognathia, clenched hands, and rocker-bottom feet, omphalocele. The prenatal sonographic findings of our case include delayed growth, omphalocele, wrist joint fixation, choroid plexus cyst, hydramnios and postnatal gross findings include growth retardation, omphalocele, wirst joint fixation, absence of radius, syndactyly, focal absence of phalanges and flexion deformities of fingers and toes. We report a case of prenatally diagnosed Edward syndrome, which is confirmed by chromosome analysis, with brief review of related literatures.
Abortion, Spontaneous
;
Choroid Plexus
;
Congenital Abnormalities
;
Female
;
Fertilization
;
Fingers
;
Foot
;
Hand
;
Hernia, Umbilical
;
Humans
;
Intellectual Disability
;
Joints
;
Parturition
;
Polyhydramnios
;
Pregnancy
;
Radius
;
Stillbirth
;
Syndactyly
;
Toes
;
Trisomy
;
Ultrasonography
;
Ultrasonography, Prenatal
;
Wrist Joint