大邱地域 綜合病院 出生兒性比에 미치는 要因 = Factors Affecting Birth Sex Ratio of Hospital Deliveries in Taegu City

국문 초록 (Abstract)

출생아성비에 관련된 요인을 분석하기 위하여 대구시내 5개 종합병원에서 1982년부터 1986년까지 5년간 출생한 신생아의 성비를 연도별로 비교하고, 1개 종합병원을 선정하여 1984년부터 1987년까지 매년 2월과 3월에 분만한 산모 1,286명(출생아수는 1,316명)의 의무기록을 조사하였다.
5개 종합병원에서 출생한 신생아의 성비는 114.5 였으며 1985년도가 123.4 로 가장 높았다.
출생성비는 산모의 학력, 종교, 남편직업 등에 따라서는 유의한 차이가 아니었으나, 산모의 연령이 35세 이상인 경우의 출생아성비는 400.0, 출산순위가 세째아 이상인 경우는 309.5, 생존자녀를 여아만 2명이상 둔 경우는 330.7로서 현저히 높았다.
산전진료시에 초음파검사를 받은 기록이 없는 경우의 출생아성비는 87.8인데 비해 기록이 있는 경우는 135.8로 유의한 차이를 보였다. 특히 여아만 2명 이상 있는 산모의 80.4%가 초음파검사를 한 기록이 있으며 이들의 출생아성비는 542.9로 현저히 높았고 세째아 이상을 출산한 산모의 75.6%가 초음파검사를 한 기록이 있으며 이들의 출생아성비는 441.6이었다.
출생아성비는 남아선호와 관련되어 초음파검사에 의한 태아성감별 때문에 높게 나타난다고 할 수 있다. 따라서 태아성감별을 목적으로 한 초음파검사 행위를 억제하는 제도적 장치를 마련함과 동시에 남아선호를 조장하는 사회관습과 각종 사회제도가 전면적으로 개선되어야 할 것이다.

다국어 초록 (Multilingual Abstract)

The purpose of this study was to find out the factors affecting birth sex ratio which had revealed alarmingly higher in recent years.
This study was conducted by this author to get hold of the basic data such as the sex ratio of live birth which had been delivered at 5 general hospitals in Taegu from 1982 to 1986.
And author chose Dongsan Medical Center from those 5 hospitals for further detailed study,and reviewed 1,286 medical records of mothers who had birth in each February and March from 1984 to 1987.
Of these 1,286 deliveries, 30 cases were twin deliveries, which added the total children numbersto 1.316.
The findings of this study were as follows:
The average of birth sex ratio(114.5) for 5 years at five general hospitals in Taegu was slightly higher than the traditional birth sex ratio (102-107) and the highest was 123.4 in 1985.
There was no significant difference in birth sex ratio by mother's educational level, her religion nor father's occupation.
The birth sex ratio of the cases whose mother was above 35 years old was significantly high(400.0), that of the cases who were born to the mothers who had more than 3rd parity was significantly high(309.5), and that of the cases whose mother had more than two daughters and no son was also significantly high(330.7)
The birth sex ratio of the cases who did not have ultrasonogram on their prenatal visits was 87.8. In contrast to this, that of the cases who had ultrasonogram was significantly higher(135.5).
Of the mothers who have more than two daughters and no son, 80.4%(45 cases) had ultrasonogram and their newborn's birth sex ratio was significantly high(542.9).
Of the cases who were born to more than 3rd parity mothers, 75.6%(65 cases) of their mothers had ultrasonogram and their sex ratio was significantly high (441.6).
It was revealed by this study that the birth sex ratio is changed to significantly high due to sex confirmation of the fetus by ultrasonogram.
Thus it is recommended that the value related to having equality of sexes must be ingrained by changing the various social systems and value systems which is now aggrevating the son preference and should provide controlling system which can prohibit the ultrasonogram for sex confirmation only.

목차 (Table of Contents)

• 목차
• 서론 = 1
• 대상 및 방법 = 3
• 성적 = 5
• 고찰 = 22
• 요약 = 26
• 참고문헌 = 28
• Abstract = 30