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JKM > Volume 41(3); 2020 > Article
Cho, Park, and Yoo: A Case Report of Threatened Abortion And Placenta Previa Treated Twice With Korean Medical Hospitalization

Abstract

Objectives

The purpose of this study was to report the treatment progress of a pregnant women who were treated with Korean medical hospitalization due to threatened abortion in first trimester and plecenta previa in second trimester during pregnancy.

Methods

A 36-year-old pregnant woman was hospitalized twice at 9 and 19 weeks of pregnancy due to threatened abortion in first trimester and plecenta previa in second trimester. The patient was prescribed Korean Medicine(Gamidanggui-san, Gamibosaeng-tang) and treated with acupuncture, moxa. Global Assessment(G/A) of bleeding volume and frequency, Numerical Rating Scale(NRS) of abdominal pain, Visual Analogue Scale(VAS) of symptoms was assessed during hospitalization days.

Results

Amounts of bleeding, abdominal pain decreased, and other symptoms improved during hospitalization days. The patient maintained her pregnancy until 31st gestational week and gave a birth by Cesarean section. After giving birth, mother and infant are both in good health.

Conclusions

This study suggests Korean medicine treatment has effectively reduced uterine bleeding and helped maintain pregnancy.

Fig. 1
Symptom Progress (2019-08-20 ~ 2019-09-06)
jkm-41-3-180f1.gif
Fig. 2
Symptom Progress (2019-10-31 ~ 2019-11-09)
jkm-41-3-180f2.gif
Table 1
Composition of Gamidanggui-san
Herbal name Scientific name Dose (g per 120cc)
白朮 Atractylodis macrocephale Rhizoma 8
黃芪 Astragali Radix 6
白芍藥 Paeoniae Radix 6
當歸 Angelicae Gigantis Radix 6
川芎 Cnidii Rhizoma 6
人蔘 Ginseng Radix 4
黃芩 Scutellariae Radix 4
杜仲 Eucommiae Cortex 4
續斷 Phlomidis Radix 4
香附子 Cyperi Rhizoma 4
熟地黃 Rehmanniae Radix 4
白茯苓 Poria cocos (Schw.) Wolf 4
甘草 Glycyrrhizae Radix 4
枸杞子 Lycii Fructus 4
陳皮 Aurantii Nobilis Pericarpium 4
貢砂仁 Amomi Semen 4
升麻 Cimicifugae Rhizoma 2
Table 2
Composition of Gamibosaeng-tang
Herbal name Scientific name Dose (g per 120cc)
生薑 Zingiberus Rhizoma Crudus 20
白朮 Atractylodis macrocephale rhizoma 8
烏藥 Linderae Radix 8
陳皮 Aurantii Nobilis Pericarpium 8
香附子 Cyperi Rhizoma 8
黃芪 Astragali Radix 6
甘草 Glycyrrhizae Radix 4
半夏 Pinelliae Rhizoma 4
白茯苓 Poria cocos (Schw.) Wolf 4
當歸 Angelicae Gigantis Radix 4
川芎 Cnidii Rhizoma 4
白芍藥 Paeoniae Radix 4
貢砂仁 Amomi Semen 4
白荳蔲 Amomi Rotundus Fructus 4
枳殼 Aurantii Immaturus Fructus 3
桔梗 Platycodi Radix 3
蘇葉 Perilae Herba 2
竹茹 Bambusae Caulis in Taeniam 2
海螵蛸 Sepiae Os 2
黃芩 Scutellariae Radix 1

참고문헌

1 Korean Society of Obstetrics and Gynecology, Obstetrics. 6th rev. edKoonja Publishing Inc;2019. p. 546–547. p. 723–726.


2 Korean Oriental Society of Obstetrics and Gynecology. Oriental Obstetrics and Gynecology. 2:Euiseongdang. 2016; 447–448. 453–462. 665–667.


3 Kim SC, Kim HS. Clinical Study on Vaginal Bleeding during Early Pregnancy. Chungbuk J Med. Vol. 1 No. 11991; 1:1. 95–105.


4 NICE Guidelines, Ectopic pregnancy and miscarriage: diagnosis and initial management. National Institute for Health and Clinical Excellence;2019.


5 Ellen S, Lawrence L, Patricia F. Late Pregnancy Bleeding. American Family Physician. 2007; 75:1199–206.
pmid

6 Signore CC, Sood AK, Richards DS. Second-trimester vaginal bleeding: correlation of ultrasonographic findings with perinatal outcome. American journal of obstetrics and gynecology. 1998; 178:2. 336–40.
crossref

7 Hong HT, Lee TG. A case report of threatened abortion. J Korean Obstet Gynecol. 1997; 10:117–21.


8 Son JH, Kim DC. A Case Report of the Treated Threatened Abortion in a Pregnant after In Vitro Fertilization (IVF). The Journal of Korean Obstetrics and Gynecology. 2014; 27:3. 143–50.
crossref

9 Yun YJ, Hwang DS, Lee JM, Lee CH, Jang JB. A Case Report of Threatened Abortion. The Journal of Korean Obstetrics and Gynecology. 2015; 28:1. 167–74.
crossref

10 Sabourin JN, Lee T, Magee LA, von Dadelszen P, Demianczuk N. Indications for, timing of, and modes of delivery in a national cohort of women admitted with antepartum hemorrhage at 22+ 0 to 28+ 6 weeks’ gestation. Journal of Obstetrics and Gynaecology Canada. 2012; 34:11. 1043–52.
crossref pmid

11 Heo J. Donguibogam. Bubin Publishers Co;1999.


12 Qu F, Zhou J. Treating threatened abortion with Chinese herbs: A case report. Phytotherapy Research: An International Journal Devoted to Pharmacological and Toxicological Evaluation of Natural Product Derivatives. 2006; 20:10. 915–6.
crossref

13 Wahabi HA, Fayed AA, Esmaeil SA, Bahkali KH. Progestogen for treating threatened miscarriage. Cochrane Database of Systematic Reviews. 2018; 8.


14 Çoban K, Yiğit N, Aydın E. Benign paroxysmal positional vertigo in pregnancy. Turkish archives of otorhinolaryngology. 2017; 55:2. 83
crossref pmid pmc

15 Zhang Z-J. Synopsis of Prescriptions of the Golden Chamber. Awoolos Publishing Company;1994. p. 573


16 Kim HJ, Kim ES, Jin DH, Hwang DS, Lee JM, Lee CH, et al. Treatment of Mid-trimester Oligohydramnios Using Gami-danggui-san. The Journal of Korean Obstetrics and Gynecology. 2019; 32:1. 85–93.


17 Hwang DY. Bangyakhappyun. Yeokang Publishing Company;1994. p. 155


18 Herbal medicine professors of College of Oriental Medicine. Herbal medicine. Youngrimsa. 2016; 156171216336338345389396398444447504543573577630635638645655683


19 Meridians & Acupoints Compilation Committee of Korean Oriental Medical Colleges. Details of Meridians & Acupoints: A Guidebook for College Students. Euibang Publishing Co;2010. p. 42–45. p. 213–230. p. 275–278. p. 409–411. p. 690–702. p. 762–764. p. 771–772. p. 789–791. p. 812–815. p. 1093–1099. p. 1131–1133.


20 Kim YS, Lim EM, Lee HH. Analysis for 23 studies of patients that used herbal medicine during pregnancy. The Journal of Korean Obstetrics and Gynecology. 2007; 20:3. 185–99.


21 Jung EH, Jang SB, Choi KH, Yoo DY. A retrospective study of patients that used Herbal Medicine during pregnancy. The Journal of Korean Obstetrics and Gynecology. 2014; 27:3. 79–93.
crossref

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