A Case Report of Threatened Abortion And Placenta Previa Treated Twice With Korean Medical Hospitalization

Article information

J Korean Med. 2020;41(3):180-190
Publication date (electronic) : 2020 September 01
doi : https://doi.org/10.13048/jkm.20034
Dept. of Obestetrics & Gynecology, College of Korean Medicine, DaeJeon University
Correspondence to: (Jeong-Eun Yoo), Tel: +82-42-470-9139, Fax: +82-42-470-9005, E-mail: jeyoo@dju.kr
Received 2020 August 07; Revised 2020 August 12; Accepted 2020 August 16.

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)

Fig. 2

Symptom Progress (2019-10-31 ~ 2019-11-09)

Composition of Gamidanggui-san

Composition of Gamibosaeng-tang

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Article information Continued

Fig. 1

Symptom Progress (2019-08-20 ~ 2019-09-06)

Fig. 2

Symptom Progress (2019-10-31 ~ 2019-11-09)

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