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農村婦人의 分娩樣相에 對한 調査

A Survey on Deliveries among Rural Women

공중보건잡지 1966년 3권 2호 p.109 ~ 124
오영민 (  ) - 서울대학교 보건대학원

Abstract


A survey on deliveries was conducted from july 20 to September 20, 1966 toward 892 married women of age group 20∼49(having one or more children) in 11 Guns of West district of Kyongsang Namdo.
This investigatios was aimed at finding out the status of prenatal and postnatal care, deliveries and infant deaths, etc, which were summerized as follows.
1. Women´s age at first marriage ranged from 13 to 31, the most frequent age group was 20∼21 with 31.5 percent. For the entire respondents, age at mariage averaged 19.8.(Table 6)
2. The women having 3 living children comprised 16.8 per cent or the top, number of living chlidren averaged 3.6 (Table 7)
3. The utilization of medical facilities for prenatal care comprised 51.2 per cent or the top, while midwifes offices 20.8 per cent and health centers 17.4 per cent respectively. (Table 8)
4. Among the series of prenatal care consultation and diagnosis comprised 51.2 percent or the top, while medical treatment 26.2 percent and tonic 17.5 per cent respectively. (Table 9)
5. The utilization rate of medical facilities for prenatal care increased in proportion to respondents, educational level. (Table 10)
6. The utilization rate of medical facilities for prenatal care was highest at age group 25∼29 and 20∼24 with 36.0 percent and 35.9 percent respectively. (Table 11)
7. Out of total deliveries 5.7 percent utilized medical facilities; hospital or clinic 1.5 percent and midwife´s office 4.2 percent. (Table 12)
8. The utilization rate of medical faclities for delivery increased in proportion to respondents´ educational level. (Table 13)
9. It was observed that 8.7 per cent of all deliveries were attended by medical persons, 83.4 per cent by nonmedical persons and 7.9 percent were performed without any assistant. (Table 12 & 14)
10. By age groups, the utilization rate of medical facilities for delivery was highest at age group 45-with 13.7 percent, followed by 23-24 age group with 12.8 percent. (Table 15)
11. By husbands occupation, the utilijation rate of medical facilities for delivery was highest among administrative workers with 22.2 percent or the top, followed by professional, technical and related workers with 19.0 percent, clerical workers with 11.0 percent and sales workers with 10.6 percent respectively. (Table 16)
12. Among the instruments for delvieries assisted by nonmedical persons scissors to cut umbillical cords wmprised 96.2 percent or the top and knives, sickles, teeth, etc, were employed for the rest. (Table 17)
13. Out of the total home deliveries assisted by nonmedical persons 29.6 percent were performed with using "disinfected scissors, knives and sickles"
Regarding their recognition of disinfection, "washing with clear water comprised 35.2 percent or the top, followed by "boiling" with 32.9 percent, "washing with alcohol" with 20.8 percent and "keep on fire" with 10.4 percent respectively. (Table 18)
14. In the articles used at home deliveries assisted by nonmedical-persons, Vinyl wrappers comprised 12.1 percent or the top and the rest were towels, blankets, paper, disappers, cloth wrappers, skirts, bed clothes and so on.
Besides, 72 deliveries were performed on the intact floors of rooms and 20 deliveries on the straw. (Table 19)
15. In the side dish after delivery seaweed soup comprised 95.4 percent or the top and doenjang soup, bean-sprout soup and vegetable soup, etc, occupied 5.6 percent.
In seaweed soup, soup with seaweed only was 67.3 percent, seaweed soup with fish and seaweed soup with meat were 20.6 per cent and 7.5 percent respectively. (Table 20) 16. Boiled rice for main maternal diet comprised 86.9 percent or the top and the rest were "rice and barley", "rice mixed with other cereals" and others.(Table 21)
17. Regarding duration for maternal diet after delivery "I week or so" was most frequesnt with 46.1 percent, followed by "a fortnight or so" with 25.2 percent. (Table 21)
18. Regarding duration for bed rest after delivery "I week or so" was most frequent with 46.1 percent, followed by "a fortnight or so" with 25.2 percent. (Table 21)
19. Out of the total puerperal women 13.1 percent received postnatal care. By place of delivery. 57.1 percent of the women delivered at hospital, 47.3 percent of the women delivered at midwifes office and 10.9 percent of the women delevered at home received postnatal care. (Table 24)
20. By respondents. educational level, infant deaths were most frequent at no education group with 9.6 percent and the rest decreased in proportion to higher educational level. (Table 25)
21. Infant deaths were highest at 1∼12 months of age with 36.3 percent.(Table 27)
22. The most frequent causes of infant deaths were all diseases of infections including infections of the new born, other diseases peculiar to early infancy and all other diseases.
The rest were congenital information with 5.3 percent, both birth injury and premature birth with 1.2 percent respectively and respectively.(Table 28)

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