一部 農村 看護計劃을 위한 母子 健康 實態 調査 = A Survey of Maternal-Child Health Status To Establish Nursing Plan in the Rural Community

다국어 초록 (Multilingual Abstract)

This survey is an attempt to obtain basic data on the maternal and child health for community health nursing practice. Housewives of 230 household at Daedae, Sinsuk villages,Inan Dong, Sunshun City, Chonnam were surveyed from May 1 to June 20, 1981.
The results are summarized as follows:
1. The average age of subjects is 41.8 years and 85.7% of the group is primary school graduates or uneducated. The average age at marriage of subjects is 20.2 years, which shows the tendency of early marriage.
Those who last give birth to children after 35 years of age stand at 40.5%, which shows that there are high risks in maternal and child health because of the old age of pregnant women.
2. The average pregnancies are 5.7 times, the average live births are 4.5 times and the average number of living children is 4.2. According to the difference of the number, it can be said that the need of ante-natal and post-partal care and child health care is urgent.
3. Wastage of pregnancy is 205 per 1000 child births and 72.7% si due to induced abortion. It is considered that wastage of pregnancy will be lowered when the loss of maternal and child health is prevented through the distribution of family planning.
4. Those who experienced the loss of children are 23.5% of the total.
Since causes of death are diseases that can be prevented, health education including vaccination appears to urgently needed.
5. Women of 30-40 years of age have a tendency of more experiences of induced abortion and 65.5% get the knowledge of induced abortion through friends or neighbours. Among the reasons of induced abortion 68.8% is due to unwanredness of babies. The danger of maternal health in induced abortion stands at 34.5% and 14.9% feel guilty after abortion . Considering those results, it seend that the loss of maternal and child health can be prevented through the sound knowledge of induced abortions.
6. 97.4% of women delivered at home,17.4% received ante-natal care and 76.1% used unstrilized scissors when cutting unbilical cords.
It can be pointed that the need of ante-natal care and education for awareness of asepic technique at delivery is urgect.
7. More than 12 months of breast feeding stands at 68.7% and weaning within 12 months stands at 48.7%. Since the appropriate weaning period is not kept, the education of infant-nutrition and weaning is necessary.
8. Less than one week of post-patal care stands at 57.4% and those have post-patal complication stands at 46.1%, which shows poor post-patal care.
9. Only 20.4% practice family planning and the use of IUD, tuballigation and oral pills ranged in order 46.8%, 21.3% and 17% respectively.
Among reasons to give up ever used contraceptive methods, side-effects stands at 52.4%. Therefore the development of convenient contraceptive method without side-effects and the guidance of method of its exact practice will raise the rate of contraception practice.

목차 (Table of Contents)

• Ⅰ. 緖 論
• Ⅱ. 調査對象 및 方法
• Ⅲ. 調査 成積및 考按
• 1. 家口主 婦人의 一般的 特性
• 2. 姙娠·出産力및 現存 子女數
• 3. 姙娠의 歸結
• 4. 死亡兒 數와 死因
• 5. 人工 姙娠中絶
• 6. 産前管理및 分娩樣相
• 7. 最終 出産兒의 授乳相態
• 8. 産後 樣相
• 9. 家族計劃 實踐相態
• Ⅳ. 要 約
• 參考文獻
• Abstract