Clinical study of the puerperal maternal morbidity
[영문]Standard morbidity of American Comittee of Maternal Welfare is a temperature of 100.4˚F, on any two postpartum days following the first 24 hours through the tenth postnatal days.
A clinical analysis has been made on 200 cases of maternal morbidity based on 2,748 deliveries at the Department of Obstetrics and Gynecology of Severance Hospital from Jan. 1, 1971 to Dec. 31, 1971.
The results are as follows ;
1. The incidence of overall maternal morbidity rate was 5.64%.
2. Morbidity rate was increased in group of less than 20 year old and more than 35 year old.
3. Morbidity rate of ruptured fetal membrane on admission was 14.1%.
4. Morbidity rate was increased in operative vaginal delivery as compare to normal spontaneous vaginal delivery.
5. Morbidity rate was markedly increased in emergency C-section such as fetal distress and hemorrhagic diseases as placenta previa or abruptio placentae.
6. Morbidity rate was increased in toxemia of pregnancy especially in pre-eclampsia severe form
7. Antepartum anemia was present in 20.5% of the morbidity cases.
8. Morbidity rate was increased 8 times in mannual removal of placenta than normal spontaneous expulsion of placenta.
9. Main causes of morbidity were endometritis, episiotomy wound infection and operative wound infection.