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Neonatal Mortality Rate at Busan II Sin Women’s Hospital

Journal of the Korean Pediatric Society 1974;17(5):361-368.
Published online May 31, 1974.
Neonatal Mortality Rate at Busan II Sin Women’s Hospital
Suk Hyeon Yun1, Hyo Kwon Lee1, Suk Kyu Kim2
1Department of Pediatrics, College of Medicine Busan National University
2Department of Pediatrics,Busan II Sin Womens Hospital
分娩 新生兒의 在院中 死亡率에 對한 考察
尹淅敍1, 李孝權1, 金錫圭2
1金山犬學校 醫科大學 小兒科學敎室
2蔡山 日新病院 小兒科
Abstract
The authors present astatistical study on 18,432 live and still-born infants delivered at II Sin Women’s Hospital from Jan. 1968 to Dec. 1972 in regard to neonatal mortality. The results obtained are as follows; 1. The perinatal 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. Q% 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 premature 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 to 41 weeks while the optimal birth weight with same regard was from 3:001 〜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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