| The Clinical and Prognostic Survey of The Preterm Infants Delivered from Pregnancy-induced Hypertension Mothers |
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Seoung Pyo Han1, Sang Kee Park1, Chang Hoon Song2, Jong Park3, Kyoung Sim Kim4, Young Youn Choi5 |
1Department of Pediatrics, College of Medicine, Chosun University, Gwang-ju, Korea
1Department of Pediatrics, College of Medicine, Chosun University, Gwang-ju, Korea
2Department of Obstetrics & Gynecology, College of M edicine, Chosun University, Gwang-ju, Korea
3Department of Preventive Medicine, College of Medicine, Chosun University, Gwang-ju, Korea
4Department of Pediatrics, Gwang-ju Christian Hospital, Gwang-ju, Korea
5Department of P ediatrics, College of Medicine, Chonnam University, Gwang-ju, Korea |
| 임신성 고혈압 산모에서 태어난 조산아의 임상적 및 예후적 고찰 |
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한승표1, 박상기1, 송창훈2, 박 종3, 김경심4, 최영륜5 |
1조선대학교 의과대학 소아과학교실
1조선대학교 의과대학 소아과학교실
2조선대학교 의과대학 산부인과학교실
3조선대학교 의과대학 예방의학교실
4광주기독병원 소아과
5전남대학교 의과대학 소아과학교실 |
Correspondence:
Sang Kee Park, Email: skpark@mail.chosun.ac.kr
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| Abstract |
Purpose
: This study was undertaken to review the clinical and hematologic findings of the
preterm infants delivered from pregnancy induced hypertension(PIH) mothers.
Methods
: The data were collected by reviewing the medical records on the current prognosis of
preterm birth and sending questionnaires on the status of NICU. We reviewed the medical records
from two university hospitals and two resident training hospitals in Gwangju-Chonnam to
evaluate the neonatal prognosis of preterm birth from Jan. 1, 1995 to Dec. 31, 1997.
Results
: The average survival rate of total preterm babies was 79.6%. According to birth
weights, survival rate from less than 1,000 gm was 10%, 1,000-1,499 gm was 55.3%, 1,500-1,999
gm was 82.2%. Maternal risk factors were pretmature rupture of membrane(42.2%), preterm labor
(21.3%), PIH(10.7%), multiple pregnancy(8.2%) and incompetent internal os of cervix(4.2%). The
average gestational age and birth weight were 34.2¡¾2.3 weeks and 1,940¡¾620 gm in the preterm
infants born to mothers with PIH. The death rate was 12.9% in the preterm infants born to
mothers with PIH. There were no significant differences in the incidence of RDS, use of assisted
ventilation and surfactant, and frequency of the blood transfusion between the preterm infants
born to normotensive mothers and those to mothers with PIH. There were significant differences
in the total WBC count, platelet count and the concentration of the Mg, Ca and P between the
preterm infants born to normotensive mothers and those to mothers with PIH.
Conclusion
: Our results may be helpful to predict the perinatal complications and manage the
preterm infants by considering the clinical and hematologic findings of preterm infants born to
mothers with PIH. |
| Key Words:
Pregnancy induced hypertension(PIH), Preterm infants |
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