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KMID : 0378019820250100107
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New Medical Journal
1982 Volume.25 No. 10 p.107 ~ p.122
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Survey of the Status of Maternal and Child Health among Cerebral Palsied Chidren´s Families
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Abstract
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This survey is based on the interviews with questionnaires from a total of 191 mothers of children registered with the Korean Society for the Cerebral Palsied, who are residents of Seoul, and of those of children who visited two children´s rehabilition centers and three hospitals located in Seoul for treatment and education during the period of May 1, 1982 to May 31, 1982.
The summary of findings and results obtained through analysis of the.maternal and child health status among families of cerebral palsied children are as follows
1. The sex distribution of the children was 108 males (56.5%), 83 females (43. 5%) and the incidence of males was higher than that of females. By age, those under 8 years old constituted 63.9% of the total and by birth order, the highest incidence fell to first. born babies at 48.7% of the total.
2. 82.7% of the mothers received prenatal care one or more times and 17.3% of the mothers received none. The rate of prenatal care increased with mother´s educatonal level.
3. The incidence of low birth weight (2, 500 gm or less) was 37.6%-and the incidence of prematurity (under 37 weeks of gestation) was 27.2%. 40.6% of.the children fell between the two categories of low birth weight and prematurity. The average weight of the babies at birth, including the low birth weight babies was 2,741 gm for males, 2,682 gm for females, and 2,716 gm for a combined average. In this study the incidence of low birth weight and prematurity were remarkably higher, and the average weights of the babies at birth were lower- than those from other surveys,
4. Institutional deliveries totalled 81.7% while 18.3% occurred at home and 76.4% of all deliveries were attended by physicians. The higher the mother´s educational level, the higher the rate of institutional deliveries with attending physician.
5. The types of deliveries and those incidences were as follows : spontaneous 67.5%, forceps 11.5%, induced 8.4%, cesarean sectin 7.9% and vacuum- extraction 4.7%.
6. Of the mothers, 51.3% experienced complications during pregnancy. 27.8% experienced toxemia of pregnancy and 21.4% experienced spontaneous premature rupture of the membrane.
7. 51.6% of all the babies experienced jaundice, 15.7% neonatal asphyxia and 15.7% convulsions during the neonatal period.
8. The ratio of live births to total births was 585, while pregnancy wastage was 415; spontaneous abortion, 83; induced abortion, 288; stillbirth? 22; and neonatal death, 22 per 1, 000 deliveries. Average number of pregnancies ´per mother was 4.24, live birth 2.58, induced abortions 1.22. Of the mothers, 19.9% experienced spontaneous abortions, 51.8% experienced induced abortions, 6.3% experienced stillbirth and 8.9% experienced neonatal deaths.
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