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http://dx.doi.org/10.15204/jkobgy.2016.29.4.024

Prevention of Preterm Birth and Management of Uterine Contraction with Traditional Korean Medicine  

Kim, Eun-Seop (You and Green Korean Medical Clinic)
Jang, Eun-Ha (You and Green Korean Medical Clinic)
Kim, Nam-Hyoung (You and Green Korean Medical Clinic)
Jan, Sae-Byul (Dept. of Oriental Gynecology, College of Oriental Medicine, Graduate School of Dae-Jeon University)
Publication Information
The Journal of Korean Obstetrics and Gynecology / v.29, no.4, 2016 , pp. 24-33 More about this Journal
Abstract
Objectives: The aim of this study was to demonstrate the benefit of Traditional Korean Medicine as an adjuvant therapy in management of early uterine contractions and the prevention of Preterm Birth (PTB). Methods: It is a case report of a 38 year-old-woman hospitalized for irregular uterine contractions and cervical change at 33+3/7weeks of gestation. After 7 trials of IVF and artificial insemination, conception was successful via IVF with help of traditional Korean medicines. 2 TKMs were prescribed: Gami-danggui-san, and Antae-eum. 120 ml of Gami-danggui-san was given twice a day morning and evening along with same amount of Antae-eum once a day from 31 August 2013 to 28 November 2013. Tocolytics (Ritodrine) was administered as a first aid for maintenance of pregnancy. Information regarding progress until the delivery was collected during the patient’s visit. Results: As of 34+2/7 weeks of gestation, intermittent uterine contractions appeared (5-12 min) on cardiotocography and vaginal bleeding was also smeared at 34+3/7 weeks. However, enhanced tocolytics and continuous administration of herbal medicine sustained the pregnancy to term. At 37+2/7 weeks, no sign of labor with restored cervical length was confirmed. The woman gave a term birth to a healthy infant via vaginal delivery at 39+3/7 gestational weeks. Conclusions: Our report implies the potential of herbal medicine as a adjuvant therapy for preterm labor treatment. Further studies are needed to assess the safety and efficacy of TKM herbal medicine as a therapeutic alternative for curing preterm birth.
Keywords
Preterm Birth; Uterine Contraction; Gami-danggui-san; Antae-eum; Korean Medicine;
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