ABSTRACT
We made clinical and statistical observation of low birth weight infants who were delivered at Keimyung University hospital during the 2 years and 4 months period from March, 1979 through July, 1981. The results obtained were as follows: 1) The sex ratio for live birth infants, male to female, was 1.28:1, and low-birth-weight infants was 0.96:1. The incidence of low birth weight infants was 66.5 per 1,000 live births. 2) The etiology of low-birth-weight infants, in order of frequency was: 1st, multiple pregncy, 2nd , permature ruptupe of membrane, 3rd, toxemia, 4th malposition of fotus and 5th , plaoente previa and abruptio placents. 3) The mortality rate for low-birth-weight infants was 123.5/1,000 low-birth-weight infants. 4) Premature percentage of low-birth-weight infants was 61.7%. 5) A sharp decrease in mortality rate was observed when infants weight over 1,750 grams at birth, and over 35 weeks gestation period. Therefore delayed delivery was recommendec. 6) Of all deaths of low-birth-weight infants in the nuracry, 85.9% died within 24 hours of birth, and 82.9% within 48 hours of birth. 7) There was no difference between male and female infants regarding mean helight, mean head circumference and mena chest cincumference according to weight.
Subject(s)
Female , Humans , Infant , Infant, Newborn , Male , Pregnancy , Head , Incidence , Infant, Low Birth Weight , Live Birth , Membranes , Mortality , Parturition , Sex Ratio , Thorax , ToxemiaABSTRACT
We made clinical and statistical observation of low birth weight infants who were delivered at Keimyung University hospital during the 2 years and 4 months period from March, 1979 through July, 1981. The results obtained were as follows: 1) The sex ratio for live birth infants, male to female, was 1.28:1, and low-birth-weight infants was 0.96:1. The incidence of low birth weight infants was 66.5 per 1,000 live births. 2) The etiology of low-birth-weight infants, in order of frequency was: 1st, multiple pregncy, 2nd , permature ruptupe of membrane, 3rd, toxemia, 4th malposition of fotus and 5th , plaoente previa and abruptio placents. 3) The mortality rate for low-birth-weight infants was 123.5/1,000 low-birth-weight infants. 4) Premature percentage of low-birth-weight infants was 61.7%. 5) A sharp decrease in mortality rate was observed when infants weight over 1,750 grams at birth, and over 35 weeks gestation period. Therefore delayed delivery was recommendec. 6) Of all deaths of low-birth-weight infants in the nuracry, 85.9% died within 24 hours of birth, and 82.9% within 48 hours of birth. 7) There was no difference between male and female infants regarding mean helight, mean head circumference and mena chest cincumference according to weight.
Subject(s)
Female , Humans , Infant , Infant, Newborn , Male , Pregnancy , Head , Incidence , Infant, Low Birth Weight , Live Birth , Membranes , Mortality , Parturition , Sex Ratio , Thorax , ToxemiaABSTRACT
The purpose of this study is to estimate early neonatal mortality rate in relation to obstetric factors. The early neonatal mortality rate was estimated on live births with a gestational period more than 28 weeks who died during the first 7 days of life in Ewha Womans University Hospital fro-m Jan. 1974 to Dec. 1978. During this period, there were 8218 single births and 127 early neonatal deaths. 1. We had 127 deaths out of 8218 single births, and early neonatal mortality rate came to 15.5 per 1000 live births. 2. The early neonatal mortality rate was increased in cases of maternal age over 40, higher in multipara, who had delivered more than 4 times, who had frequent abortions (more than 5 times) and it was also higher in para-one than para-two. 3. The early neonatal mortality rate was 7.9 times higher in abnormal presentation of fetus than normal one. 4. There was no significant difference in early neonatal mortality rate between spontaneous vaginal delivery and Caesarian section delivery, but significant high mortality rate was noted in breech delivery. 5. In cases of anemic mother (Hemoglobin less than 10 gm%, Hematocrit less than 32%), the early neonatal mortality rate was 2.8 times higher than non-anemic group. 6. The early neonatal mortality rate of babies from mothers without antenatal care was 3 ti-mes higher than that of mothers who had. 7. Hypertensive disorders in pregnancy was present in 15.8% of all live births and early neo-natal mortality rate was 10.8. The mortality rate was 6.5 times higher in chronic hypertensive vascular disorder with toxe-mia than in preeclampsia and 3.7 times higher in eclampsia than in precclampsis. 8. The obstetric complication which increased early neonatal mortality rate were polyhydra-mnios, amnionitis, abruptio placentae etc.
Subject(s)
Female , Humans , Infant , Pregnancy , Abruptio Placentae , Amnion , Chorioamnionitis , Eclampsia , Fetus , Hematocrit , Infant Mortality , Live Birth , Maternal Age , Mortality , Mothers , Parturition , Pre-EclampsiaABSTRACT
This paper present 105 cases which were admitted to the Department of Pediatrics of Dong San Presbyterian Hospital from Jan. 1978 to July, 1980 The results are summarized as follows; 1) Age incidence, 94% of patients were under age of two, 88.2% of patients were under one year, and adults were high incidence in Korea. 2) Male to female ratio was 2.1:1 3) In seasonal incidence, spring was relatively high. 4) In 76.4% of cases, their body weight were over 50 percentile of Korean normal infants and children. 5) The patients who visited hospital within 24 hrs. from onset of symptom was occupied in 57.7%. 6) The cardinal symptom and signs were vomiting (89.4%), abdominal pain. Irritability, crying, (72.9%), mucous bloody stool (70.6%) and abdominal mass (42.1%) 7) In analysis by intussusception type(40.0%), ileocolic type (23.5%), ileoileal type(17.6%), jejunojejunal type (17.6%), in adults. 8) In simple abdominal X-ray figures showed the dilatation due to gastrostomy 52.9% and phenomenon of fluid retention 30.6%. 9) Etiologic causes were confirmed only 7.1% in children and 29.4% in adults, the causes in 92% were idiopathic in children and 70.6% in adults respectively. 10) In previous illness, we find out its predisposing factors 42.4% in children. 11) Hydrostatic barium reduction was successed in 47.1% of all cases and operative cases were 47%
Subject(s)
Adult , Child , Female , Humans , Infant , Male , Abdominal Pain , Barium , Body Weight , Causality , Crying , Dilatation , Gastrostomy , Incidence , Intussusception , Korea , Pediatrics , Protestantism , Seasons , VomitingABSTRACT
This clinical study was made on 505 cases with anemia and 34 cases with severe anemia among 2021 patients hospitalized in the Department of Pediatrics, Ewha Womans university Hospital for recent five years from 1973 to 1977. 1) The incidence of anemia was 25.0% The incidence of severe anemia was 1.7% 2) The anemia occurred more often in male than female (1.8 : 1) The ratio of severe anemia was higher in male (2.8 : 1) 3) The age distribution was late childhood (6 to 12 years of age), preschool children (2 to 6 years of age), infancy (1 month to 2 years of age) in frequency. The severe anemia was frequent in preschool children and late childhood. 4) The causes of anemia were infection, iron deficiency anemia, acute hemorrhage in order. The causes of severe anemia were leukemia, acute hemorrhage, infection in order. 5) Mild anemia occurred almost in non-hematologic diseases. Severe anemia occurred in hematologic and non-hematologic diseases equally. 6) In the hematologic diseases, the incidence of mild anemia was high in iron deficiency anemia, and the incidence of severe anemia was high in leukemia, aplastic anemia in order.
Subject(s)
Child, Preschool , Female , Humans , Male , Age Distribution , Anemia , Anemia, Aplastic , Anemia, Iron-Deficiency , Hematologic Diseases , Hemorrhage , Incidence , Leukemia , PediatricsABSTRACT
A case of isolated hypoaldosteronism 5 month old male infant was presented. He was admitted to the pediatric ward with the chief complants of frequent vomiting, dehydration, lethargy and failure to thrive. The diagnosis was established by salt-losing manifestation, laboratory fiding and good response after salt-retaining steroid therapy. A brief review of related literatures were also presented.