DOI QR코드

DOI QR Code

Obstetric Outcomes in 68 Pregnant Patients with Recurrent Pregnancy Loss on Oreintal Treatment and Analysis of Factors Affecting the Success of Birth

한방치료 후 임신에 성공한 반복 임신손실 환자 68례의 산과적 결과 및 출산 성공 영향 인자의 분석

  • Received : 2010.07.29
  • Accepted : 2010.08.10
  • Published : 2010.08.31

Abstract

Purpose: To estimate the effect of oriental treatment on recurrent pregnancy loss, a retrospective analysis was done. Methods: Sixty-eight pregnant women at the $\bigcirc\bigcirc$ oriental clinic, Korea, from January 2005 to May 2009 diagnosed as recurrent pregnancy loss were included in this study. The sixty-eight patients received oriental treatment such as acupuncture, moxibution, herbal acupuncture and herbal prescriptions, divided into two groups: Group A- live birth(N=58) and Group B- abortion(N=10). The maternal age, parity, menstrual history, gynecological history and period of treatment were compared. To find out factors affecting the success of birth, we performed binary logistic regression analysis(SPSS ver. 14.0 for windows). Results: The live birth rate was 85.3%. The maternal age, parity, menstrual history, gynecological history and period of treatment were not different between two groups. Logistic regression analysis showed that the significant factors predicting the occurrence of miscarriage were advanced maternal age(${\geq}35$)(P=0.005, Odds Ratio[OR]=3.809, 95% Confidence Interval[95%CI]: 1.514-9.585) and suffering from gynecological problems(P=0.044, OR=4.048, 95%CI: 1.037-15.801). Conclusions: The results suggest that oriental treatment has effectiveness on recurrent pregnancy loss. Further study will be needed.

Keywords

References

  1. 박문일. 재발성 임신손실의 관리. 대한산부인과학회지 symposium. 1997:485-98.
  2. The Practice Committee of the American Society for Reproductive Medicine. Definitions of infertility and recurrent pregnancy loss. Fertility and Sterility. 2008;89:1603. https://doi.org/10.1016/j.fertnstert.2008.03.002
  3. Kerri M et al. Etiology of recurrent pregnancy loss in women over the age of 35 years. Fertility and Sterility. 2009; July:e1-5.
  4. 박문일 등. 한국여성의 습관성 유산의 원인 및 빈도에 대한 분석. 대한주산회지. 2001;12(3):336-43.
  5. 이향아 등. 습관성 유산의 원인적 분류에 의한 임상적 고찰. 대한산부인과학회지. 2005;48(4):947-53.
  6. 백승희, 이경섭, 송병기. 습관성 유산의 동서의학적 고찰. 대한한의학회지. 1995;16(2):115-33.
  7. 김경숙, 강명자. 습관성 유산의 한방 치료에 대한 임상적 고찰. 대한한방부인과학회지. 2000;13(2):452-67.
  8. 정민영, 손영주. 임신과 출산에 성공한 습관성 유산 1례의 임상보고. 대한한방부인과학회지. 2005;18(2):203-12.
  9. 조현주, 임은미. 습관성 유산 치료 14례 임상보고. 대한한방부인과학회지. 2005;18(2):159-68.
  10. 대한산부인과학회. 부인과학 제4판. 서울:고려의학. 2007:533-62.
  11. 허걸 등. 습관성 유산 환자의 향후 임신에서 분석한 산과적 결과. 대한산부인과학회지. 2002;45(3):458-64.
  12. 이상훈 등. 滑胎(습관성 유산)에 대한 원인별 치법 처방에 대한 문헌적 고찰. 대한의료기공학회지. 1999;3(1):120-38.
  13. 한방여성의학 편찬위원회. 한방여성의학II. 서울:정담. 2007:134-40.
  14. 安榮基. 經穴學叢書. 서울:성보사. 2002:228, 362, 678, 686, 723.
  15. 유태성, 고형균, 김창환. 不孕(불잉)의 침구치료에 대한 고찰. 대한한방부인과학회지. 1988;2(1):23-33.
  16. 대한약침학회편. 약침요법 시술 지침서. 서울:한성인쇄. 1999:13-185.
  17. 이상길 등. 자하거 약침제제에 대한 고찰. 대한침구과학회지. 2000;17(1): 67-74.
  18. 黃道淵. 新增方藥合編. 서울:영림사.2003:147, 225, 251-2.
  19. 이경섭, 송병기. 淸胞逐瘀湯投與患者의 臨床的考察. 대한한방부인과학회지. 1987:1(1):33-7.
  20. 김성란, 정진홍, 유동렬. 安奠二天湯을 중심으로 한 胎漏및 胎動不安의 文獻的考察. 대전대학교 한의학연구소 논문집. 1998;7(1):609-24.
  21. 최숙향 등. 1개 대학병원에서 10년간 시행한 양수, 융모막융모 및 유산아의 세 포유전학적 분석. Journal of Laboratory Medicine and Quality Assurance. 2009; 31:293-9.
  22. 박희진 등. 35세 이상 고령 산모의산과적 예후. 대한산부인과학회지. 2006; 49(10):2066-74.
  23. Zhang XY et al. Effect of maternal age on the pregnancy rate of patients with repeated implantation failure and recurrent miscarriage following PGS. Fertility and Sterility. 2008;90(S):310-1. https://doi.org/10.1016/j.fertnstert.2007.06.048
  24. Carolyn RJ, Judi LC, William HK. Diagnostic factors identified in 1020 women with two versus three or more recurrent pregnancy losses. Fertility and Sterility. 2010;93(4):1234-43. https://doi.org/10.1016/j.fertnstert.2009.01.166
  25. Li TC et al. An analysis of the pattern of pregnancy loss in women with recurrent miscarriage. Fertility and Sterility. 2002;78:1100-6.
  26. Mostafa M et al. Body mass index and risk of miscarriage in women with recurrent miscarriage. Fertility and Sterility. 2010;94(1):290-5. https://doi.org/10.1016/j.fertnstert.2009.03.021
  27. Henriette SN et al. A firstborn boy is suggestive of a strong prognostic factor in secondary recurrent miscarriage: a confirmatory study. Fertility and Sterility. 2008;89(4):907-11. https://doi.org/10.1016/j.fertnstert.2007.04.029