(The) clinical and statistical study on anemia during pregnancy

의학과/석사[한글] 임신중 빈혈은 일반적으로 혈색소량 10 gm/dl미만을 말하며 사회 경제적 수준에 따라 발생빈도의 차이가 있으며, 만성소모성질환 혹은 기생충감염 뿐 아니라 잦은 임신 또는 산과적 출혈은 임신중 빈혈의 원인이 된다고 보고하고 있다. 임신중 빈혈은 대부분의 경우 철분결핍성 또는 엽산의 결핍으로 오며, 혹은 두가지 원인을 동반하는 경우가 많고 엽산의 결핍이 있는 경우에는 임신중독증 및 분만후 이상출혈이 많은 것으로 보고 되어 있다. 본 연구는 1974년 7월부터 1775년 12월까지 만2년간 연세대학교 외과대학 부속 세브란스병원 산부인과에 입원 분만한 임신 20주 이상인 산모를 대상으로 조사분석하여 다음의 결과를 얻었다. 1. 빈혈의 발생빈도는 특진산모군에서 8.4%, 일반진료군에서 11.3%로 일반진료군에서 높았으며 산전진찰회수가 많을수록 감소하였다. 2. 빈혈의 발생빈도는 분만, 조산 및 유산경력이 많은 산모군에서 많았으며 특히 4회 이상 분만 혹은 유산한 산모군에서 급격히 증가하였다. 3. 빈혈의 발생빈도는 임신기간이 짧을수록 높았으며 특히 32주 이전에 조산한 산모군에서 급격히 증가하였다. 4. 빈혈의 발생빈도는 다태임신, 기생충감염 및 임신중독증이 있는 산모군에서 높았으며 임신빈혈이 있던 산모는, 산후출혈이 많았다. 5. 빈혈이 있는 산모군에서 분만후 합병증이 많았다. The Clinical and Statistical Study on Anemia during pregnancy Dong Je Cho, M.D. Department of Medical Science The Graduate School Yonsei University (Directed by Professor; Hyun Mo Kwak, M.D.) A hemoglobin concentration of 10gm/이 or less are generally accepted as a indication of the presence of anemia during pregnancy. The incidence of anemia during pregnancy is variable, depending on the socioeconomic status of the patients and many other factor. There are many responsible factors for the anemia during pregnancy, including chronic maternal disease, parasites infestation, repeated pregnancy abortion and many other factors. Majority of anemia during pregnancy are iron deficiency, folate deficiency or combination of both. this study is a clinical analysis and evaluation for the anemia during pregnancy on 3932 cases of pregnant women who were admitted and delivered after 20 weeks of gestation at Yonsei medical center from 1974 to 1975. The followings are the result of this study. 1. The incidence of anemia during pregnancy were 8.4% in private cases and 11.3% in clinic cases. 2. The incidence of anemia during pregnancy was increased with the number of antepartal visites. 3. The incidence of anemia during pregnancy was increased with the number of delivery or abortion. 4. The anemia during pregnancy was more frequent in premature group especially before 32 weeks of gestational age. 5. The anemia during pregnancy was more frequent in the group who had parasites infestation. 6. The anemia during pregnancy was frequently associated with toxemia. 7. The anemia during pregnancy was frequent in the multiple pregnancy. 8. Unusual postpartal hemorrhage was more frequent in anemia group. 9. The post partum complication were more frequent in anemia group. [영문] A hemoglobin concentration of 10gm/이 or less are generally accepted as a indication of the presence of anemia during pregnancy. The incidence of anemia during pregnancy is variable, depending on the socioeconomic status of the patients and many other factor. There are many responsible factors for the anemia during pregnancy, including chronic maternal disease, parasites infestation, repeated pregnancy abortion and many other factors. Majority of anemia during pregnancy are iron deficiency, folate deficiency or combination of both. this study is a clinical analysis and evaluation for the anemia during pregnancy on 3932 cases of pregnant women who were admitted and delivered after 20 weeks of gestation at Yonsei medical center from 1974 to 1975. The followings are the result of this study. 1. The incidence of anemia during pregnancy were 8.4% in private cases and 11.3% in clinic cases. 2. The incidence of anemia during pregnancy was increased with the number of antepartal visites. 3. The incidence of anemia during pregnancy was increased with the number of delivery or abortion. 4. The anemia during pregnancy was more frequent in premature group especially before 32 weeks of gestational age. 5. The anemia during pregnancy was more frequent in the group who had parasites infestation. 6. The anemia during pregnancy was frequently associated with toxemia. 7. The anemia during pregnancy was frequent in the multiple pregnancy. 8. Unusual postpartal hemorrhage was more frequent in anemia group. 9. The post partum complication were more frequent in anemia group.restrictio