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分娩 新生兒의 在院中 死亡率에 對한 考察 Neonatal Mortality Kate at Busan Il Sin Women´s Hospital

소아과 1976년 17권 5호 p.15 ~ 22
소속 상세정보
尹淑鉉/Yun, Suk Hyeon 李孝權/金錫圭/Lee, Hyo Hwon/Kim, Suk Kyu

Abstract


The authors present astatistical study on 18,432 live and stillborn infants delivered at Il Sin Women´s Hospital from Jan. 1968 to Dec. 1972 in regard to neonatal mortality.
The results obtained are as follows;
1. The penatal mortality rate was 82.: neonatal mortality rate at delivery room was 46, and the mortality rate after admission to pediatric ward was 34.
2. Despite of sharp increase in total numbers of deliveries from 1969, fetal mortality rate was fixed at 36, while the neonatal mortality rate tended to decrease.
3. The main causes of death were anoxia and prematurity (causing over half of the total), intrauterine infection (mainly congenital syphilis) and congenital malformations.
Acquired causes of death were mainly gastro-intestinal disturbance and pneumonia.
4. Considering the total births, 13.016 weighed under 2, 500 gm.: the neonatal mortality rate
under 2, 500gm. was 85.3%, 12.8% of the newborn had a gestational period of 37 weeks or earlier.
5. Among the prcmature infants with same birth weight, the infant with longer gestational
period gives better prognosis to other. The optimal gestational age as far as fetal salvage rate is
concerned, was from 38 tr, 41 weeks while the optimal birth weight with same regard was from 001-3, 500 gm.
6. The over-all sex ratio of total babies delivered, live and dead, was 51.66 male to 48.34 female. The neonatal mortality rate was 39 for male infant and 26.9 for female.
7. Intensive prenatal care and pediatric nursing methods directly or indirectly influenced the neonatal mortality rate will be considerably decreased.

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