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早産兒 出生頻度와 哺育에 關한 考察

A Study on the Nursery Care of the Premature infants and their Birth Rate

최신의학 1970년 13권 12호 p.63 ~ 66
최순옥,
소속 상세정보
최순옥 (  ) - 이화여자대학교 의과대학 소아과학교실

Abstract


Despit of the recent decrease in the death rates of infants, those of the new-born are still considerably high due to the high death rates of the premature infants. Efforts to improve the methods of feeding and nursing the premature infants in order to lower the death rates are prevailing in many countries.
Having reviewel the experience with 162 premature infants out of 4, 020 live-births at the Ewha Womans University Hospital, during the tenure of February, 1955-April, 1957, with respect to the incidence, death rate, cause of death, age of death, commencement date of bottle feeding and then body weight, relationship between the volume of the initial intake of water or milk and the birth weight, that between the length of starving perio:l and the birth weight, daily caloric intake and body weight increase rate, the author obtained the following conclusions:
1. The total number of premature births was 162 out of 4,´020 live-births at the Ewha Womans University Hospital during the tenure of February, 1955-April, 1957, the incidence percentage being 4.0.
2. The total number of deaths was 24 out of 162 premature infants, its percentage being 14.8, and the less the birth weight, the higher the death rate.
3. Fifty-four per cent of the death were due to anoxia and atelectasis, and seventy-five per cent of the death occurred within the first three days.
4. The less the birth weight was, the more the commencement date of bottle feeding prolonged.
5. The starving periods were 20-36 hours for the premature infants of birth weight 1. 0-1. 5 kg, 20-24 hours for those of birth weight 1. 5-2. 0 kg, and 12-24 hours for those of body weight 2.0--2.5 kg, respectively.
6. The daily caloric intake was first stabilize:! to 110 cal. kg. of body weight in two weeks.

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