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산모 혈청 Dehydroepiandrosterone(DHEA)-sulfate 농도와 유도분만에서의 유용성

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Author(s)
배진곤신소진박준철권상훈조치흠이정호차순도윤성도김종인
Alternative Author(s)
Bae, Jin GonShin, So JinPark, Joon CheolKwon, Sang HoonCho, Chi HeumRhee, Jeong HoCha, Soon DoYoon, Sung DoKim, Jong In
Issued Date
2008
Keyword
DehydroepiandrosteroneLabor induction산모 혈청 Dehydroepiandrosterone(DHEA)-sulfate 농도와 유도분만에서의 유용성
Abstract
Dehydroepiandrosterone (DHEA)-sulfate is a weak androgenic steroid produced by the adrenal cortexes of the pregnant woman and her fetus, and has been known to promote cervical ripening. However the influence of endogeneous maternal serum DHEA-sulfate levels upon the outcome of an induction attempt has not been defined. This study was performed to
evaluate the maternal serum DHEA-sulfate level as a factor influencing labor efficiency at term.
Ninty-five pregnant women admitted to labor and delivery unit were sellected and they were not
complicated by maternal corticosteroid use, antepartum chorioamnionitis, diabetes mellitus,
hypertension and fetal growth restriction. Venous blood was collected before initiation of labor
induction, and serum DHEA-sulfate level were measured by radio-immunoassay to compare with
the outcome of each induction of labor. A success was defined as progression to active labor.
In women (n=78) who progressed to active labor serum DHEA-sulfate level was higher than in whom (n=17) with unsuccessful attempt (110.5 + 13.20 ㎍/㎗ versus 79.31 + 9.81 ㎍/㎗, respectively, p<0.05). Comparing with women with DHEA sulfate levels of above 85 ㎍/㎗, the women with less DHEA-sulfate levels had an unsuccessful induction odds ratio (OR) of 4.64 (95% confidence interval, P=0.42). The DHEA-sulfate levels more decreased, the ORs more
increased. It is concluded that endogenous DHEA-sulfate may play a role in the mechanism of labor and an important factor in efficient labor induction.
Alternative Title
Maternal Serum Dehydroepiandrosterone-sulfate Levels and the Efficiency of Labor Induction
Department
Dept. of Obstetrics & Gynecology (산부인과학)
Publisher
Keimyung University School of Medicine
Citation
Keimyung Medical Journal, Vol.27(2) : 94-100, 2008
Type
Article
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/15926
Appears in Collections:
2. Keimyung Medical Journal (계명의대 학술지) > 2008
1. School of Medicine (의과대학) > Dept. of Obstetrics & Gynecology (산부인과학)
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