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우리나라의 母子保健 實態에 關한 考察

A Review of the Reported Research Data on Maternal and Child Health in Korea

공중보건잡지 1974년 11권 2호 p.328 ~ 340
정문희, 洪在雄,
소속 상세정보
정문희 (  ) - 서울대학교 보건대학원
洪在雄 (  ) - 서울대학교 보건대학원

Abstract


To obtain the outline figures of M.C.H. status in Korea, the author attempted to compile the concerned data from various studies since 1945. The health indices for mothers and children selected by the author with the above mentioned objectives were infant death rate, outcome of pregnancy and conditions at birth of infant.
Thc analyses were limited to original survey data only. The findings obtained through the review of 76 original papers were as follows;
1. It is general trends for the infant death rates in any area to be reduced annually. There were big differences between the rates surveyed in metropolitan areas and that in rural areas. The wide variations were observed in the infant death rates of the population with different socio-economic status. The currently estimated infant death rates in metropolitan areas were concentrated around 35 per 1,000 live-births and higher rates below 60 in rural areas.
2. The rate of pregnancy wastage by abortions and still-births were very high and increased steadily in recent data especially in rural population. The rates shown by recent survey in a metropolitan population were calculated to be more than 250/1,000 pregnancies and around 120 in rural areas. These trends in those pregnancy wastage rates were thought to be originated from the difference in the induced abortion practices. More than 70% of those wastage in a metropolitan and urban population was occupied by induced abortions.
3. The conditions at birth of infants include the rates of deliveries at medical facilities and that attended by professionals. Both of these were very low in any area, especially in rural area. These rates were thought to be affected by socio-economic status of families in an area. Therefore the difference between areas were very large to show more than 50% in a metropolitan area and less than 10% in rural areas by current surveys.

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