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妊産婦死亡 및 周生期死亡에 關한 臨床統計的 觀察

Statistical Study of the Maternal Mortality and the Perinatal Mortality

대한산부인과학회지 1969년 12권 5호 p.17 ~ 25
김용성 (  ) - 서울대학교 대학원 의학과 산부인과학교실

Abstract


Maternal mortality in Seoul National University Hospital was analyzed for 6 years and 9 months period, 1962-1968. Durig this period there were 5,975 live births and 20 maternal deaths. The maternal mortality rate per 100,000 live births was 33.5. There were´ 240 cases of fetal deaths and 157 cases of neonatal deaths among the 6,225 births. Average perinatal mortality was 63. 8.
The leading causes of maternal mortality in S. N. U. H. were toxemia (30/%), hemorrhage - (30%) and infection (20%). Complications of abortion and- ectopic gestation were responsible for the majority of early pregnancy obstetrical deaths.
The principal overall cause in neonatal deaths was prematurity and other causes of neonatal deaths were anoxia, malformation, abnormal pulmonary ventilation and birth trauma.
Data analyzed in SNNUH show a significant association between prenatal care and maternal and perinatal mortality. The effect of maternal age, parity, gestation, method of delivery and place of delivery were reviewed in association with maternal mortality.
The relationship between perinatal mortality and duration of gestation, birth weight, method of delivery, and the time of neonatal death were also reviewed.

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