THE ACTUAL OBSTETRIC CONDITIONS IN THE MIDDLE SCALE NATIONAL HOSPITALS OF 15 THAT HAD 150-450 BEDS WERE INVESTIGATED BY THE METHOD OF ENQUÉT
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The actual obstetric conditions in the middle scale National Hospitals of 15 that had 150-450 beds were investigated by the method of enquét.Their results are shown as follow:The obstetric wards were mostly consisted of obstetrics and gynecology sections. They had 12-49 beds. Full time doctors of 1-5 persons (mean 3) and midwives of 2-13 persons (mean 8.6) were working there. In most of deliveries, a obstetrician assisted a midwife in average 70.5 cases per month in a hospital, 23.5 cases per a doctor, and 8.2 cases per a midwife.The positive deliveries, for example schedule deliveries or painless deliveries, were tended in hospitals that had relatively more obstetricians. 74 patients came, per day, in each out patient clinic in the National Hospital and they were examined by a obstetrician or by a gynecologist. The second coming patients had been organized in most of hospitals. The prenatal lessons for pregnant women and the specialized clinics, for example sterility or cancer clinic etc. were carried out in only half of hospitals. The examines for iron deficient anemia during pregnancy were done more than twice and the sedimentation rate, the coagu-lation time, the bleeding time, the chest film, E3, the amnion water analysis etc, were done regularly in half of hospitals.The observations of new born had been conf ered with pediatricians in most of hospitals. The system of the infants occupied with mother in the same room were adopted in the hospital of a few nursery.The rate of cesarian section was operated in 5.1%, of total deliveries and they were managed by lumbar anesthesia in the hospitals that had no anesthesist. Regards with being on duty in obstetrics, the portal to portal system was predominant over the on duty system in the National Hospital. Some doctors who majored on duty were employed in some hospitals.About the services towards the local medical treatments as a mission of the National Hospital, the co-operations with the local medical facilities had been scarecely but played as the role of central hospital
- 一般社団法人 国立医療学会の論文
一般社団法人 国立医療学会 | 論文
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