• Title/Summary/Keyword: postabortal depression

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A Study on Postabortal Symptoms and Depression Measured by EPDS (유산 후 내원한 환자에 대한 증상조사 및 EPDS 평가)

  • Lee, Yoon-Jae;Hwang, Deok-Sang;Lee, Chang-Hoon;Lee, Kyung-Sub
    • The Journal of Korean Obstetrics and Gynecology
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    • v.21 no.1
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    • pp.206-215
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    • 2008
  • Purpose: After abortion, many women could have psychologic problems and physical symptoms. But in Korea, the symptoms and psychologic problems and after abortion had rarely been researched. Methods: The subjects were 29 women who visited Kangnam Korean hospital for postabortion management from May 2007 to December 2007. From questionnaire, we researched the variable symptoms after abortion and depression as Edinburgh Postnatal Depression Scale. Results: The 79% of patients took a rest only less than 1 week after abortion. As the rest time was shorter, the number of symptoms was higher. The frequent symptoms were related to the dysfunction of autonomic nerve system and the circulating system. The patients after abortion had high Edinburgh Postnatal Depression Scale scores, the mean score was $13.33{\pm}7.11$. The high EPDS scores and the number of symptoms was related with methods of abortion and age. Conclusions: Postabortal symptoms are related with physical symptoms and depression. So psychological evaluation would be needed. And for prevention of postabortal symptoms, the adequate rest time would be demanded after abortion.

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A Case Report of Postabortal Syndrome Patient (유산 후 산후풍 환자 1례에 대한 임상보고)

  • Kim, Se-Hwa;Hwang, Deok-Sang;Lee, Jin-Moo;Lee, Kyung-Sub;Lee, Chang-Hoon;Jang, Jun-Bock
    • The Journal of Korean Obstetrics and Gynecology
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    • v.27 no.4
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    • pp.97-108
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    • 2014
  • Objectives: This study is to report the clinical effect of oriental medicine on a patient suffering from postabortal syndrome with somatic pain disorder, Qi deficiency and depression. Methods: The patient had a miscarriage by cervical incompetence in 24 weeks' gestation even though she had operated cervical cerclage in 20 weeks' gestation. The patient received herbal medication, acupuncture, moxibustion during 20 days of outpatient treatment. The clinical effects were evaluated through VAS (Visual Analogue Scale) and EPDS (Edinburgh Postnatal Depression Scale Test). Results: The clinical symptoms of somatic pain and Qi deficiency were reduced during the treatment. The EPDS score also decreased from 19 points (high risk level) to 8 points (low risk level). Conclusions: This case study showed that herbal medicine, acupuncture and moxibustion treatment appeared to effectively reduce postabortal syndrome. Since patients previously experienced cervical incompetence tend to have habitual abortion for next pregnancy, further long term observation and preventive treatment are needed in this case for next safe pregnancy and childbirth.