Browse > Article
http://dx.doi.org/10.15204/jkobgy.2017.30.3.136

A Case Study of Gunggi-tang that induces Natural Expulsion in Missed Abortion  

Kim, Eun-Seop (You and Green Korean Medical Clinic)
Jang, Eun-Ha (You and Green Korean Medical Clinic)
Choi, Ho-Su (You and Green Korean Medical Clinic)
Publication Information
The Journal of Korean Obstetrics and Gynecology / v.30, no.3, 2017 , pp. 136-145 More about this Journal
Abstract
Objectives: The aim of this study was to report a case of 43 year-old patient, diagnosed with missed abortion who previously failed to do spontaneous gestational sac expulsion in spite of 2 week-expectant-method, eventually succeeded with Traditional Korean Herb Medicine (TKHM) treatment only. Methods: In transabdominal sonography, gestational sac was not present at week 8. Due to the possibility of effect of medication on future pregnancy and post-surgery complications, D&C (Dilation & Curettage) as well as any other treatment was not done. Instead, she presented to our clinic. A combination of 2 main TKHMs was prescribed with 120-150 cc/dose (2 times per day for a week) : Gunggi-tang for helping expulsion of the dead fetus and placenta, and Wooseul-tang for treating retained placenta. Results: On day 6 of TKHM treatment, initiation of placenta expulsion was done. From day 8, hemorrhage started, lasting for 6 days. On day 10, placenta was expelled. On day 13, gestational sac and placenta were completely expelled. No infection, delayed bleeding, or pain was observed. After bleeding stopped, menorrhea started from week 7. Conclusions: This report implies a potential of TKHM as an optional and safe medication for the natural expulsion of conceptus in missed abortion.
Keywords
Missed Abortion; Natural Expulsion; Gunggi-tang; Wooseul-tang; Korean Medicine;
Citations & Related Records
Times Cited By KSCI : 4  (Citation Analysis)
연도 인용수 순위
1 Gemzell-Danielsson K, et al. Misoprostol to treat missed abortion in the first trimester. Int J Gynecol Obstet. 2007;99(Suppl 2):182-5.   DOI
2 Committee on Practice Bulletins-Gynecology and the Society of Family Planning. Medical Management of First-Trimester abortion. Practice Bulletin No. 143. American College of Obstetricians and Gynecologists. Obstet Gynecol. 2014;123(3):676-92.   DOI
3 AlSaad D, et al. Misoprostol for miscarriage management in a woman with previous five cesarean deliveries: a case report and literature review. Ther Clin Risk Manag. 2017;13:625-7.   DOI
4 Hooker A, et al. Long-term complications and reproductive outcome after the management of retained products of conception: a systematic review. Fert Steril. 2016;105(1):156-64.   DOI
5 Ben-Ami I, et al. Infertility following retained products of conception: is it the surgical procedure or the presence of trophoblastic tissue?. Eur J Obstet Gynecol Reprod Biol. 2014;182:132-5.   DOI
6 Marwah S, et al. A comparative study to evaluate the efficacy of vaginal vs oral prostaglandin $E_1$ analogue (misoprostol) in management of first trimester missed abortion. J Clinical and Diagnostic Research. 2016;10(5):14-8.
7 Waard M, et al. Management of miscarriage a randomized controlled trial of expectant management versus surgical evacuation. Hum Reprod. 2002;17(9):2445-50.   DOI
8 Nadarajah R, et al. A radomised controlled trial of expectant management versus surgical evacuation of early pregnancy loss. Eur J Obstet Gynecol Reprod Biol. 2014;178:35-41.   DOI
9 Wu H, et al. Misoprostol for medical treatment of missed abortion: a systematic review and network meta -analysis. Sci Rep. 2017;7(1):1664-72.   DOI
10 The Society of Korean OB & GY. Korean Gynecology Vol. II. Seoul:Euisung-dang. 2012:418-43.
11 Leladier C, et al. Mifepristone(RU 486) induces embryo expulsion in first trimester non-developing pregnancies: a prospective randomised trial. Hum Reprod. 1993;8(3):492-5.   DOI
12 Cho D, et al. Studies on Symptom, Pathology, Composition and Clinical Applications of Woman-related Disease Prescriptions in Bang Yahk Hap Peun. Korean Journal of Oriental Physiology & Pathology. 2004;18(6):1543-7.
13 Huh J. Dong-Eui-Bo-Kham. Seoul:Bubinbooks. 2005:1190-255.
14 Song Y, et al. A Case report of the general pain after childbirth with oriental medicine. Daejeon University Korean Medicine Research Center. 2011;20(1):111-7.
15 Dong-Eui Medicine Research Center. BangYakHapPyun(方藥合編) Vol. 4. An-Yang:Dansam, 2006:717.
16 Choi W, et al. Consideration in the interpretation of the Pyeongwi-san Prescription. Herbal Formula Science. 2015;23(2):225-33.   DOI
17 Choi M. Dong's acupuncture. Seoul:Ilung Inc. 2003:50.
18 Trinder J, et al. Management of miscarriage: expectant, medical, or surgical? Results of randomised controlled trial(miscarriage treatment (MIST) trial). BMJ. 2006;332:1235-40.   DOI
19 Lee A, et al. Effects of Boheotang -gagam on milk production and factors related lactation in postpartum mice. J Korean Obstet Gynecol. 2016;29(1):35-52.   DOI
20 Hwang D. Sinjeung Bangyakhappyeon. Seoul:Yeonglimsa. 2002:179.
21 The Society of Acupuncture & Moxibustion Nationwide College of Oriental Medicine. Acupuncture & Moxibustion Medicine Vol 1. Seoul:Jipmundang. 1994:323, 382, 404, 667, 808.
22 Kwon J, et al. A case report of pregnancy of infertility patient with thin endometrium. J Korean Obstet Gynecol. 2015;28(1):138-46.   DOI
23 Rafi J, et al. Expectant Management of Miscarriage in View of NICE Guideline 154. Journal of Pregnancy. 2014;2014:824527.