• 제목/요약/키워드: Missed Abortion

검색결과 9건 처리시간 0.023초

Pub Med 검색을 통한 계류유산의 최신 연구에 대한 고찰 (Systemic Review : The Study on Missed Abortion)

  • 박찬수;정민영;손영주
    • 대한한방부인과학회지
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    • 제20권4호
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    • pp.160-174
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    • 2007
  • Purpose: The purpose of this study was to investigate about missed abortion pathophysiology, diagnosis, medical treatment and to research the trend of the study related to missed abortion. Methods: We referred a PubMed site by using search word of "missed abortion"(Limits: 3 Year, only items with abstracts, Human). Results: 37 journals with 49 papers were searched. Conclusion: 1. The study of missed abortion pathophysiology was the following. The first was that important pathologies such as molar pregnancy and placental trophoblastic disease can be diagnosed by routine histopathologic analysis of product of conception following first-trimester spontaneous miscarriages. The second was that coelomic fluid leptin concentration in missed abortion is higher than in normal. The third was that adenosine deaminae activity in serum and placenta of patients with anembryonic pregnancies and missed abortions was low. The forth was that Leptotrichia amnionii sp. nov. was the etiopathogenetic factor in missed abortion. 2. Transvaginal ultrasound assessment of irregular vaginal bleeding is effective in diagonosis of missed abortion. 3. There were medical therapy with misoprostol, mifepristone or anti progesterone for missed abortion. Misoprostol was administrated oral(sublingual) and vaginal.

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계류 유산 후 한방치료 위해 내원한 환자의 Heart Rate Variability(HRV) 특성 연구 (A Study on HRV (Heart Rate Variability) Characteristics of Women Visited to Herbal Treatment after Missed Abortion)

  • 유은실;김민영;황덕상;이진무;장준복;이경섭;이창훈
    • 대한한방부인과학회지
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    • 제28권3호
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    • pp.30-39
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    • 2015
  • Objectives This study aims to analyze Heart Rate Variability (HRV) in women after missed abortion compared with healthy women Methods We studied 35 women who visited Kang-Nam Kyung-Hee Korean Hospital after missed abortion from 01 January 2012 to 28 February 2015 (missed abortion group) and 35 normal women visiting medical examination center from 1 January 2014 to 31 December 2014 (Normal Group). We measured HRV of each women and investigated the difference of HRV between two groups. Results The standard deviation of NN intervals (SDNN) in Missed abortion group is lower than normal group. The square root of the mean square difference of successive NNs (RMSSD) in Missed abortion group is lower than normal group. However there was no significant difference. Total Power (TP) and Low frequency power (LF) is significantly lower in Missed abortion group compared with normal group. High frequency power (HF), Very low frequency power (VLF) and LF/HF ratio in missed abortion group is lower than normal group. but There was no significant difference. Conclusions Missed abortion group is lower in function of overall autonomic nervous system, especially sympathetic nerve.

휘담식 수기요법을 중심으로 한 난임 치료 임상 1례 보고 (One Case Report of Infertile Woman Taking Whidam's Su-Gi therapy with Korean Medical Treatment)

  • 정은지;필감매;안훈모;장상철;배재룡
    • 대한의료기공학회지
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    • 제17권1호
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    • pp.64-82
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    • 2017
  • Objectives : This paper is to report a natural pregnancy of Whidam's Su-Gi therapy with korean medical treatment on a infertile patient who had a missed abortion and was repeatedly failed in IVF-ET. Methods : A patient who had infertility problem had a missed abortion, endometrial curettage and IVF-ET several times. In this study, the patient steadily took a Whidam's Su-Gi therapy with korean medical treatment such as herbal medication, acupuncture, and cupping therapy, and so forth. Results : Through taking Whidam's Su-Gi therapy without assisted reproduction techniques, the patient got pregnant naturally. Conclusions : This case suggest that Whidam's Su-Gi therapy with korean medical treatment is effective in treating infertile female after missed abortion and failure in IVF-ET and inducing natural pregnancy. Therefore, there needs to be more trial on infertile patients treated with Su-Gi therapy with korean medical treatment.

계류유산 환자의 자연배출을 돕는 궁귀탕가감(芎歸湯加減) 치험 1례 (A Case Study of Gunggi-tang that induces Natural Expulsion in Missed Abortion)

  • 김은섭;장은하;최호수
    • 대한한방부인과학회지
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    • 제30권3호
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    • pp.136-145
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    • 2017
  • 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.

한방치료로 임신 및 출산에 성공한 난치성의 습관성유산 1례 증례보고 (One Case of Pregnancy and Delivery in Habitual Abortion by Korean Traditional Medicine)

  • 배광록;황덕상;이진무;이창훈;장준복
    • 대한한방부인과학회지
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    • 제33권4호
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    • pp.143-150
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    • 2020
  • Objectives: The purpose of this study is to report the Pregnancy and delivery in habitual abortion with ectopic pregnancy and loop electrosurgical excision procedure after Korean Traditional Medicine Treatment. Methods: The patient was diagnosed as habitual abortion that had missed abortion three times. She was treated by moxibustion, cupping, acupuncture, Gungguijohyeol-eum-gamibang, and Gwisin-hwan-gamibang for 6 months. The effect of dysmenorrhea was evaluated through the Numeric Rating Scale (NRS). Results: After the treatment, dysmenorrhrea was improved. She was pregnant during the treatment and delivered a child. Conclusions: The case report shows that Korean medical treatment can be helpful for habitual abortion.

Efficacy of intralipid administration to improve in vitro fertilization outcomes: A systematic review and meta-analysis

  • Han, E Jung;Lee, Hye Nam;Kim, Min Kyoung;Lyu, Sang Woo;Lee, Woo Sik
    • Clinical and Experimental Reproductive Medicine
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    • 제48권3호
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    • pp.203-210
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    • 2021
  • We performed a systematic review and meta-analysis to evaluate whether intralipid administration improved the outcomes of in vitro fertilization. Online databases (PubMed, Cochrane Library, Medline, and Embase) were searched until March 2020. Only randomized controlled trials (RCTs) that assessed the role of intralipid administration during in vitro fertilization were considered. We analyzed the rates of clinical pregnancy and live birth as primary outcomes. Secondary outcomes included the rates of chemical pregnancy, ongoing pregnancy, and missed abortion. We reviewed and assessed the eligibility of 180 studies. Five RCTs including 840 patients (3 RCTs: women with repeated implantation failure, 1 RCT: women with recurrent spontaneous abortion, 1 RCT: women who had experienced implantation failure more than once) met the selection criteria. When compared with the control group, intralipid administration significantly improved the clinical pregnancy rate (risk ratio [RR], 1.48; 95% confidence interval [CI], 1.23-1.79), ongoing pregnancy rate (RR, 1.82; 95% CI, 1.31-2.53), and live birth rate (RR, 1.85; 95% CI, 1.44-2.38). However, intralipid administration had no beneficial effect on the miscarriage rate (RR, 0.75; 95% CI, 0.48-1.17). A funnel plot analysis revealed no publication bias. Our findings suggest that intralipid administration may benefit women undergoing in vitro fertilization, especially those who have experienced repeated implantation failure or recurrent spontaneous abortion. However, larger, well-designed studies are needed to confirm these findings.

한국(韓國) 의서(醫書)에 보이는 불수산(佛手散)의 처방구성(處方構成)과 효능(效能)·주치(主治)에 대한 고찰 (Constitution of Prescription and Medicinal Effect & Adaptation Diseases of 'Bullsoosan(佛手散)' in Korean Medical Books)

  • 유정아;정창현
    • 대한한의학원전학회지
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    • 제29권1호
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    • pp.17-41
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    • 2016
  • Subjects : A literature research on the constitution and medicinal effect & adaptation diseases of "Bullsusan". "Bullsusan" is a herbal prescription composed of Angelicae Gigantis Radix(當歸) and Cnidii Rhizoma(川芎). Objectives : Through the researching on the records of "Bullsusan" in Korean Traditional Medical Books, gain the literature evidence for adaptation to these days child labor as a pre-labor keeping herbal medicine. And have detailed consideration on the constitution of prescription and medicinal effect & adaptation diseases of "Bullsusan". Methods : First, researched the records of "Bullsusan" in Korean Traditional Medical Books which were included at A Series of Korean Medicine(韓國醫學大系) and analysed component ratio, nickname, herbal manufacture and drug processing method, medicinal effect and adaptation diseases. Second, referred related Korean and Chinese researches that examined the medicinal effect and adaptation diseases of "Bullsusan" by scientific experimentation. Conclusions : We found total 46 records of "Bullsusan" from 20 kinds of Korean Traditional Medical Books included at A Series of Korean Medicine. Prescription component ratio of Angelicae Gigantis Radix and Cnidii Rhizoma were 3:2, 1:1, 2:1, 1:1. 3:2 had most 20 records and 1:1 had second 14 records. Especially 1:1 had a tendency of having nickname "Goonguitang", but not must had. First herbal manufacture was powder, it had 8 records. First drug processing method was decocting with water and alcohol, had 19 records. Medical Effects of "Bullsusan" can be induced to next 8, that were "remove get bad blood, give birth new blood", "easy labor by reducing fetal volume", "acceleration of labor", "test of fetal survival, elimination of dead embryo", "elimination of placenta", "revive", "allaying pain", "nourish the blood". From these medical effects, 9 adaptation diseases can be induced. That were "threatened abortion", "womb ache and vaginal bleeding by spontaneous abortion", "pre-labor keeping(prevention of hard labor)", "acceleration of labor", "hard labor", "missed abortion", "postnatal vaginal bleeding, dizziness, asthma, headache, womb ache", "postnatal mastoptosis and mastodynia", "first aid symptom like as dizziness, unconsciousness, stroke caused by excessive bleeding". The medical effect of "acceleration of labor" and "elimination of placenta" have been examined by modern clinical research. The effect of "remove get bad blood, give birth new blood", "allaying pain" and "nourish the blood" have been examined by modern experimental study. But overdosing on "Bullsusan" to pregnant mouse can cause natural abortion, so the proper dose of "Bullsusan" in pregnant period is very important.

EIA로 측정한 혈청 ${\beta}$-hCG치의 자궁외 임신에 대한 진단적 가치 (Diagnostic Value of Serum Beta-hCG Measured by EIA in Suspected Ectopic Pregnancy)

  • 박윤기;김종욱;이태형;박완석;이승호;정원영
    • Journal of Yeungnam Medical Science
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    • 제2권1호
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    • pp.221-227
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    • 1985
  • 1984년 1월 l일부터 1985년 10월 30일까지 22개월간 영남대학교 의과대학 부속병원 산부인과에 자궁외 임신 진단하에 입원하여 수술을 시행 받은 환자중, 수술전에 ${\beta}$-hCG 효소면역 측정법에 의해 혈청 hCG 치가 측정된 34예의 최종진단 및 수술소견과 뇨 임신반응 검사의 판정결과를 중심으로 혈청 hCG 농도를 비교 분석 한 결과 다음과 같은 결과를 얻었다 1. 28예의 난관임신 전예와 계류유산을 동반한 황체파열 1예의 혈청 hCG 농도는 59 mIU/ml 이상이었으며, 나머지 황체파열 4예와 자궁부속기 농양 l예의 혈청 hCG 농도는 6.6 mIU/ml 이하이었다. 2. 난관임신 28예의 혈청 hCG 농도의 분포범위는 59~21, 980 mIU/ml로 22예(78.6%)에서 3,000 mIU/ml 이하의 혈청 hCG 치를 보였으며, 100 mIU/ml 이하의 저농도는 4예(14.3%), 6,500 mIU/ml 이상의 고농도는 6예 (21.4%)에서 관찰되었다. 3. 난관임신 28예중 복강내 유리혈액이 500ml 이하인 12예와 500ml 이상인 16예의 평균 혈청 hCG 농도는 통계적으로 유의성이 있는 차이가 없었다 (P>0.05). 4. 파열형 난관임신 15예의 평균 혈청 hCG농도는 비파열형 난관임신 13예의 평균 혈청 hCG 농도보다 통계적으로 유의성 있게 높았으나 (P<0.01), 각각의 분포범위에 있어서는 차이가 없었다. 5. 뇨 임신반응 검사의 자궁외 임신에 대한 양성율은 64%(16/25)이었으며, 가음성을 보인 9예의 평균 혈청 hCG 농도와 분포범위는 353mIU/ml와 59~933 mIU/ml 이었다. 이상의 연구결과로 미루어 보아 뇨 임신반응 검사는 근래 감도가 크게 향상되었음에도 불구하고 자궁외 임신에 대한 진단적 가치의 증대는 없었으며, ${\beta}$-hCG 효소면역 측정법에 의한 단일 혈청 hCG치는 자궁외 임신과 유사한 증상을 나타내는 복강 및 골반질환군에서 자궁외 임신의 진단을 완전히 배제함으로서 자궁외 임신을 조기에 진단할 수는 있으나, 정상 초기임신 및 유산과의 감별진단이나 혈청 hCG 치에 따른 자궁외 임신의 평가에는 한계가 있는 것으로 판단되므로, 보다 정확한 진단 및 평가를 위해서는 근래 널리 이용되고 있는 초음파 진단을 병행하고 혈청 hCG 치를 연속 측정하여 평가하는 방법이 시도되어야 할 것으로 생각된다.

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