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서울시 일부 모성의 산전관리에 대한 실태조사 연구

A Survey of Prenatal Care in an Urban Area

공중보건잡지 1971년 8권 2호 p.360 ~ 368
임재락,
소속 상세정보
임재락 (  ) - 서울대학교 보건대학원

Abstract


For the purpose of studying whether prenatal care had any effect on Complications of pregnancy: type of delivery: birth outcome: ie, birth weight, and whether Live or still birth and postpartum check-up the hospital records of 1364 delievery cases admitted to the National Medical Center in Seoul during the period from January to December 1970 were reviewed.
The results and findings obtained from the study are summarized as follows:
1. General background information
1) The age distribution showed the majority of mothers were between age of 25-29 years (43.5%)
2) 10% of women under study were employed and the majority of their husbands´ occupations were officemen and merchants (62.6%)
3) Average age of menarche was 16 yeras and average age of first marriage was 24.8 years.
4) 31.9% of mothers were primigravida and 26.5% of mothers were primipara.
5) 32.1% of the mothers had previously undergone induced abortion, The average number of induced abortion was 1.9 per mother, 18.8% of the mothers had previously had Spontaneous abortion. The average number of spontaneous abortionwas 1.5 per mother.
2. Prenatal care in relation to birth outcome and complication.
1) 23.9% of all deliveries were induced, 20.1% of them had received prenatal care while those without prenatal care accounted for 33% of induced deliveries.
2) 11.7% of all new borns had low birth weight 7.9% of their mothers had recieved prenatal care, while 20.6% had no prenatal care.
3) There was a total of 4.2% Still births, 1.2% of them had prenatal care and 11.2% did not have prenatal care.
4) The complications pregnancy were anemia 40.8%, Toxemia 23.9%, active tuberculosis 2.1% Syphilis 0.9%, The group without prenatal care showed a higher proportion of toxemia and anemia Compared to those who received prenatal care.
5) The majority of mothers with prenatal care visited the prenatal clinic at the 9 months of their pregnancy and average number of prenatal visits was 3.8.
6) Total 47.1% recieved post partum check up, 97.3% of prenatal care group and 20.7% of without prenatal care group recieved the post partum check up.
Considering the above mentioned factors, the prenatal care is definitely necessary, regardless of number of isists, as it effects not only complications during pregnancy and labour, but birth outcome is also influenced.
Therefore better understanding of the value of prenatal care is necessary for a favourable attitude toward emphasis on prenatal care during nurse´s education.
One of recommendation is strengthening the teaching of mother and child health content, especially prenatal care is basic nursing curriculum This should be brought about throught curriculum revision.
Other recommendations includ better opportunity for Inservice Tranining or refresher courses for those presonnel working in the field of mother and child health.
There must also be better coordination between clinicians and public health workers. Legal provision in securing proper prenatal care is also recommended to improve the health status of nation.

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