Social Epidemiological Study on Maternal Health:Part 1. Trend in Obstetrical Care and Social Patterns in a Community, Gunma Prefecture
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概要
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All the 1559 delivery cases in the town of Omama, Gunma Prefecture during the 5 year period of 1964-68 were surveyed with regard to the state and places of delivery, and obstetrical facilities, and changes in these items were investigated with special reference to social patterns . Principal findings are as follows: 1) During the survey period, the number of total births was about 340 each year, with live birth rate of 18 (per 1, 000 of the population) . In 1966, that is the particular year of hinoeuma, the rate significantly fell to 12.0 (P<0.01) . 2) The rate of delivery in other than hospital and clinics (at one's own home or elsewhere), which is one of important indices of maternity care, fell abruptly from 29.6% in 1964 to 1.5% in 1968. 3) As for the change in the place of delivery, the initial rate of delivery in the institutions in the town of Omama was 67.2%, but fell to 46% 5 years later . By contrast, the rate in the neighboring city of Kiriu increased from 25.5% to 46.6%, the latter surpassing the corresponding figure in Omama. The rate of delivery in other places than these two remained almost invariably at 7-9% a year. 4) As for the change in the birth rate by birth order, the rate in 1966 showed marked decrease for the second infants. The birth rate in other than obstetrical institutions was lowest for the first infants, and increased in the order of the 2nd, 3rd and so on. Differences in delivery rate by the birth order was statistically significant . 5) Abrupt fall in birth rate in other than obstetrical institutions was accelerated by the establishment of the community-owned maternity center in 1966. Thus the change occurred in the direction, from one's own home to maternity center and finally to hospitals or clinics. 6) As for the birth weight, deliveries of premature or postmature infant were infrequent in maternity homes. The proportion of such deliveries at home was not markedly different from that in maternity hospitals or clinics. Perinatal prognosis of delivery at home is the object of anxiety. 7) To summary, it is rejoicing to confirm that the proportion of deliveries in obstetrical institutions tended to increase year after year, although the condition is not yet so favorable that "those needing hospitalization for medical reason can be hospitalized." Enhanced community activity in and around the maternity center is now greatly expected.
- 日本民族衛生学会の論文
日本民族衛生学会 | 論文
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