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일개 농촌지역 임신부의 모자보건실태에 관한 조사 : 1981년도 경기도 남양주군 수동면 Su-Dong Myun, Nam Yang-Ju Gun, Kyung-Gi Do
김정원,김혜옥,손현주,이유정,이지희,조숙,지용실,홍경화 이화여자대학교 의과대학 1982 梨花醫學誌 Vol.- No.14
The status of maternal and child health is one of the most important indicators to evaluate the community and national health. In the maternal and child health the precise and rapid method is reasonable prenatal care. In this view, this study carried out from July 13, 1981 to July 18, 1981 to strengthen MCH in a Korean rural community Su-Dong Myun, Nam Yang-Ju Gun, Kyung-Ki Do and following results were obtained, 1) The age distribution of pregnant women was that the age group of 25-30 rated highest with 40.0% and there were not below 20 and above 45. 2) About 40.0% of Pregnant women were educated at the elementary school level 32.5% the junior school level. On the other side, 42.5% of their husbands were educated at the junior school level, the elementary school was 25.0%. 3) About 65.0% of their husbands engaged in agriculture and 12.5% salaried men. 4) The frequencies of pregnancy increased in proportion to their age, the average frequencies of pregnancy is 2.9 and total number of pregnant cases is 76. 5) The spontaneous abortions of total frequencies (76 Cases0 rated 9.2%, induced deliveries 11.9%, still birth 6.6%, and live children 71.0%. 6) Average number of wanted children was 2.2, existing children were 1.3. Experienced persons practiced family planning were 35.0% and 43.0% of them used oral contraceptives. 7) The rate of recieving prenatal cares was 50.0% of total pregnant women, 45.0% were recieved at clinics, 35.0% at Health centers, and 60.0% of total pvenatal cares recieved were examined by doctors. Expected deliveries at home rated highest with 67.5% and expected deliveries by medical Personnels rated 32.5%. 8) 55.0% of pregnant women remembered the weight before pregnancy and the date of menstruation. There were standard weight increase with 15.4%, above increase with 30.8%, and below increase with 23.0%. 9) 67.5% was that the value of hemoglobin was below 11.0gm/dl and hematocrit was below 33.0%. 10) The blood pressure, all pregnant women were within normal range. Through the tests of edema, proteinuria and glycosuria, non of pregnant women was doubtful of toxemia. 11) In environment of food average number of family was 5. 87.5% of pregnant women provided dinner by herself. Nuclear family was 50.0% Simple tape water and pump was 72.5%. 50.0% used in oil and 40.0% woods. 12) Main food, subsidiary food rated 55.0%, 40.0% respectively. Eating between meals was self-sufficiency with 22.5%. 13) 30.0∼52.5% hardly ate animal protein food (ex. meat. fish, eff, milk, bean), 55.0% was not satisfied with food because of poor economics (73.0%). 14) In the relationship of eating habits and health, 50.0%. of all have interests, who were increasing caloric intake than before pregnancy was 32.5%, 20.0% kept taboo in foods because of pregnancy, especially animal protein food. 15) Pregnant women intake total 1995 Cal, protein 62g, lipid 18.4g, carbohydrates 398.2g, iron 15.1mg, calcium 497.2mg, phosphorus 671.7mg, Vit. A 5032 I.U. and ascorbic acid 70.7mg. 16) According to nutritional elements, caloric intake consisted of protein 12.4% lipid 8.3% and carbohydrates 78.2%. 17) Good quality of total protein was 15.0%.
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