著者
辻 達彦 矢野 ヨシ 逸見 てる子 塚越 京子
出版者
The Kitakanto Medical Society
雑誌
北関東医学 (ISSN:00231908)
巻号頁・発行日
vol.16, no.6, pp.443-453, 1966

The relationship between prenatal care and perinatal mortality, and incidence of prematurity was studied in Omama town (pop., 18, 000) of Gunma prefecture.<BR>There was no conclusive evidence of a significant association between prenatal care and perinatal mortality. However, an incidence of prematurity, particularly of low birth weight group, wats more prevalent among the group of insufficient prenatal care, as judged from later onset of prenatal care and fewer visits during prenatal period. Furthermore, several socio-medical aspecs were analyzed and discussed. On the basis of these findings, special risk group of parents was suggested and the problem-centered approach of maternity care in the community was stressed.
著者
辻 達彦 加瀬 芳夫 逸見 てる子 伊藤 洋子
出版者
The Kitakanto Medical Society
雑誌
北関東医学 (ISSN:00231908)
巻号頁・発行日
vol.24, no.3, pp.153-160, 1974

This paper is concerned with the statistical studies on the 99 cases of the maternal death in Gunma prefecture during the period of 5 years (from 1965 to 1969).<BR>Results were as follows : <BR>1. The mean value of maternal mortality per year was 19.8 ± 5.54. More than 60% of total cases was observed in the group aged over 30, and the number of the cases in the group of ages over 35 years was unexpectedly high.<BR>2. Concerning with the causes of death, when compared with those of previous study (from 1957 to 1960), toxaemia and bleeding were decreased, while those of postabortal death and others were increased. The number of death from infection and ectopia is not significantly changed. Over all the cases of maternal death were decreased in the prefecture.<BR>3. As for the place of death, the number of the cases other than medical clinic was decreased. However, the cases of death in the group of home confinement were still observed in aged pregnancy, indicating the direction to be stressed in maternal and child health.<BR>4. Little changes were observed in the rank order of the number of the cases in the district of each territorial health center when compared with that of previous study (from 1957 to 1960). No community in the prefecture had maternal death every year, and maximum number of occurrence of the case in one community was three throughout 5 years. There was no consistency in the occurrence of the case in any special district. The result might suggest that the maternal deaths in the prefecture were caused by some arbitrary factors.<BR>5. In spite of above results, the data suggested the need of precaution for toxaemia in mountain area and some part of town area, and that for bleeding in the districts near border of the prefectures.<BR>The results of the study indicate that the intensive precautions for the maternal death are still needed, especially for toxaemia and bleeding. The paper also emphasizes the need of emergency care system to reduce the maternal deaths in the prefecture.