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

Si-Yoon Cho; Eun-Ji Park; Jeong-Eun Yoo; Cho, Si-Yoon; Park, Eun-Ji; Yoo, Jeong-Eun

doi:10.13048/jkm.20034

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

Case Report

The Journal of Korean Medicine 2020; 41(3): 180-190.

Published online: September 01, 2020

DOI: https://doi.org/10.13048/jkm.20034

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

Si-Yoon Cho

, Eun-Ji Park

, Jeong-Eun Yoo

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 August 07, 2020 Revised August 12, 2020 Accepted August 16, 2020

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 31^st 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.

Keywords: Threatened abortion, Plecenta previa, Korean medicine, Herbal medicine, Gamidanggui-san

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

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