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KMID : 0367419790200070042
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Journal of Korean Pediatric Society
1979 Volume.20 No. 7 p.42 ~ p.49
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Clinical Observation for Low-Birth-Weight Infant
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남수동/Nam, Soo Dong
이인복/김형기/이홍채/라창수/Lee, In Bok/Kim, Houng Ki/Lee, Hong Chae/Ra, Chang Soo
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Abstract
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We took clinical observation for low-birth-weight infant who had been delivered at Chosun University Hospital during the last 4 years from July, 1972 to June, 1976.
The results obtained were as follows;
1) High incidence of low-birth-weight infant was found in group of gestational period, 31-33 weeks and birth weight, 1501-1750 gm. and those were 16 cases.
2) The incidence of low-birth-weight infant was 8.4% and there was no different distribution between male and female.
3) Incidence of low-birth-weight infant by maternal age was in order of the group of 26-30 years old, the group of -20-95 years old and the group of 31-35 years old and the incidence by parity was higher in multiparity than in primiparity.
4) Incidence of low-birth-weight infant by the type of delivery was in order of normal vaginal delivery, breech delivery and C-section delivery.
5) Etiology of low-birth-weight infant was in order of multiple pregnancy, toxemia, placenta previa and abruptio placenta, premature rupture of membrane and congenital syphilis.
6) Mortality rate by weight-gestational age was lower in the group of appropriate for gestational age infant than in the group of small for gestational age infant and in the group of large fcr gestational age infart.
7) Higher mortality rate was noted in the group of lower birth weight infant, the group of more shortened gestational period and the group of lower Apgar score.
8) Incidence of twin was 11.4% and death was noted only 1 case in male group.
9) In the respect of physiologic weight loss, an average maximal weight loss 9.3% of birth weight and average maximal weight loss was appeared on 8 th day after birth and the duration of returnii.g to the birth weight was 13.5 days.
10) Average body measurements at birth were as follows; head circumference, 30.5cm, ;ength, 43.9 cm, and chest circumference, 27. 7cm and there was t-andency of lower value of body measurements in the group of lower birth weight.
11) In the chest X-ray which was taken within 12 hours after birth, normal finding was 98 cases (81.0%), hyaline membrane disease, 7(5.8%), pneumonia, 7(5.8%),atelectasis, 5(5.0%), congenital heart disease, 2(1.7%) and 1 case (0.8%) of pneumothorax.
12) In the peripheral blood cell count, there was higher value of Hb, RBC and Het in the group of nigher weight, but this proportional relationship was not found in WBC coint.
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