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KMID : 0351619710120010083
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Kyungpook Medical Journal
1971 Volume.12 No. 1 p.83 ~ p.113
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A Study on Socio-medical Relationship to the Status of Maternal-Child Helath and Family Planning in Rural Areas in Korea. Statistics of Subject in Kyung San Gun, Kyungpook
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Abstract
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A little has been known about the maternal and child health in rural areas in Korea. The present work was performed to crilarify the present status of maternal-child health a.nd family planning among the eligible women iin Kyung San Gun, Korea, in August 1969. One thousand five hundred and fifty three of eligible women in total were examined to provide the information on the. public health problems. In some sociomedical characteristics, the age distrilution of respondents was mostly concentrated thirties, 843 (54.3%) and twenties, 450(29. CI%) and forties, 260(16%) as follow. In educaticmal level of respondents, 64.2 percent were E;raduated from primary school, 4.2 percent from middle school, and 2 percent from over high school and illiteracy rate in 26.9 percent was following. By religion those who has not religion was relatively high (53.8%) and Buddhist (28.3%), Protestant (8.0%), Catholic (3.4%), G~nfucain 13.2), were following..
The results obtained are summerized as follows
1. The distribution of age married wa:~ mostly concentrated between 17 to 22 years old with the highest in 1920 age group. and they respondents those educated lower were married. earlier than that of educated group. At the same time, the tendency marriging later was observed in the residents those believing the protestant and Catholic.
2. The average number of gravidity for each married women showed 4.3 times, and its frepuency was in generally iecreased with age as well as those lower educated groups.
3. The induced abortion rate in respondents was 15.9 percent and showed the highest rate in the 2539 age group followed by increased with ageing. The pregnancy of induced abortion was in genernally increased in high educated group and Buddist, protestant, and Catholc. The most freque~tt gravid number at the time of induced abortion was seen in the 5th pregnancy. The ratio of live birth to induced abortion was 16 to I and the spontaneous abortion was 23 to 1. The incidence of abortion to gravidity number was 8.4 percent and 5.5 percent, in induced abortion rate and 3.1 percent spontaneous abort-ion among respondents approved rate was n.0 percent and inereasd with age, higher educated group as well as Confucian and Buddhist.
4. The rate of pregnancy at the time examined revealed 10.1 percent, and showed the highest rate in the 30^-34 age group.
5. The rate of the last child unexpected in respondents was 26.1 percent with higher in older age group.
6. The rate of difficult delivery in respondents revealed 4.6 percent with the highest in both of the 2024 age group and the over 40 age group.
7. The most common assistant at the labor
was the mother of pregnant women and herself, was following. The rate of assistant by professional persons (physician or midwife) wae~ only .12.7 percent.
8. Regarding to the feeding of infanls and children, breast feeding covered 84.9 percent, and mixed feeding breast with artificial feeding) had lower rate. Weanning time of infant varied from one to three, in which 7.4 percent in a year, -and 59.2 percent more then three years. Generally, there seems to be a tendency to wean early in the younger and highly educated groups whereas, the older and lower educated groups delayed.
9. Infant death rate was found 63 per 1000 of live birth. Regarding to age of infant death, .almost all of them was concentrated witthin a week in which 65.5 percent within a. clay of life.
10. Regarding to vaccination, the most of children were vaccinated with willingness oftheir mothers. (more than 90%)
11. In order of first information for "Term of family planning" was relatives(33.6%), chief of dong and ban (24.5%), drug store and magazines.
Those who heard "Term of family planning" were most common from 3 information sources, and 2 and 4 souses are following. The knowledge about contraceptive methods was known 83.1 percent and past practice family planning in present time was carried 25.6 percent. The rate of first practice contraceptive methods in order, was I. U. D. (57.6%) oral pills (22.0 %), Condom, and vasectomy which was the same at the present time also.
Regarding to the consultant for family planning, husband was the higher in 61.5 percent and field worker in 17.5 perceent was following. Most frequent number of gravid at the beginning of contraception was 5th (23.3%), and 6th are following.
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