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KERD
논문KCI 등재

한국의 2005-2009년도 영아사망률 중에서 출생체중, 임신나이 별 구분에 따른 신생아 사망률의 비율 관찰

Analysis of Infant Mortality Rate in Korea Concerning According to Birth Weight and Gestational Age from 2005 to 2009

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Purpose: Recently in Korea, there have been significant improvements in neonatal mortality rate (NMR) and infant mortality rate (IMR). This study aimed to investigate the proportion of the NMR among IMR, with the goal of discerning the influence of improved NMR on the reduction of IMR in the last 5 years in Korea. Methods: All data were from Statistics Korea. Changes in the NMR percentage among IMR and the percentage of the death by the distribution of the birth weight and gestational were investigated. Results: The total birth rate decreased, but the total number of preterm and low birth weight infants increased. These was a large decrease in NMR and IMR. The proportion of NMR among INR exceeded 50%. Early NMR was higher than late NMR. Among the total infant death, the mortality of preterm and low birth weight infants was high. Conclusion: Between 2005 and 2009, the total birth has declined in Korea, but the frequency of low birth weight infants is trending upward. The improvements in NMR and IMR, and the downtrend of the NMR percentage in IMR, are encouraging. It seems that the continued decrease of mortality of preterm and LBWI is required for better improvements NMR and IMR in Korea. This result is expected to be used for the basic data to improve the management of the newborns in Korea.

Abstract

Purpose: Recently in Korea, there have been significant improvements in neonatal mortality rate (NMR) and infant mortality rate (IMR). This study aimed to investigate the proportion of the NMR among IMR, with the goal of discerning the influence of improved NMR on the reduction of IMR in the last 5 years in Korea. Methods: All data were from Statistics Korea. Changes in the NMR percentage among IMR and the percentage of the death by the distribution of the birth weight and gestational were investigated. Results: The total birth rate decreased, but the total number of preterm and low birth weight infants increased. These was a large decrease in NMR and IMR. The proportion of NMR among INR exceeded 50%. Early NMR was higher than late NMR. Among the total infant death, the mortality of preterm and low birth weight infants was high. Conclusion: Between 2005 and 2009, the total birth has declined in Korea, but the frequency of low birth weight infants is trending upward. The improvements in NMR and IMR, and the downtrend of the NMR percentage in IMR, are encouraging. It seems that the continued decrease of mortality of preterm and LBWI is required for better improvements NMR and IMR in Korea. This result is expected to be used for the basic data to improve the management of the newborns in Korea.

참고문헌 (15)

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  2. Korea Ministry of Health and Welfare, "Infant mortality survey report in 1996", pp.31~37 (1999), Seoul: Korea Ministry of Health and Welfare
  3. Korea Ministry of Health and Welfare, "Infant mortality survey report in 1999", pp.31~43 (2002), Seoul: Korea Ministry of Health and Welfare
  4. Han YJ, "Infant and maternal death survey report in 2002-2003", pp.67~70 (2005), Seoul: Korea Institute for Health and Social Affairs, Korea Ministry of Health and Welfare
  5. Han YJ, "Infant and maternal death survey report in 2005-2006. Seoul: Korea Institute for Health and Social Affairs", pp.77~92 (2008), Korean Medical Record Association, Korea Ministry of Health and Welfare
  6. A report of statistical analysis of infant mortality base on the birth data, "Statistics Korea", Seoul: Statistics Korea, 2~6 (2011)
  7. "Birth statistics"[URL]
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  9. Bae Young Min, "The Changes in the Mortality Rates of Low Birth Weight Infant and Very Low Birth Weight Infant in Korea over the Past 40 Years", Journal of Korean Medical Science, 19(1), pp.27~31 (2004), 대한의학회
  10. 김기수, "극소 및 초극소 저출생 체중아의 생존율 변화(1967-2007년)", Korean Journal of Pediatrics, 51(3), pp.237~242 (2008), 대한소아과학회
  11. Bae CW, "The changes in the birth and mortality rates of newborn in Korea", J Korean Med Assoc, 49, pp.975~982 (2006)
  12. 한원호, "Recent Trends in Neonatal Mortality in Very Low Birth Weight Korean Infants: In Comparison with Japan and the USA", Journal of Korean Medical Science, 26(4), pp.467~473 (2011), 대한의학회
  13. 배종우, "2009년 한국 시도별 미숙아, 저체중출생아의 빈도 및 신생아중환자 실의 현황", 대한신생아학회지, 18(1), pp.70~75 (2011), 대한신생아학회
  14. 배종우, "2006년도 전국 7개 병원 신생아중환자실 입원 현황 및 입원비용 분석", 대한신생아학회지, 16(1), pp.25~35 (2009), 대한신생아학회
  15. 배종우, "한국에서 모성 및 신생아사망율 감소를 위한 일본의 총합(지역) 주산기 모자의료센타 운영의 벤치마킹: 한국에서 주산기 모자의료시스템 확립을 위한 제언", 대한주산의학회잡지, 21(2), pp.129~139 (2010), 대한주산의학회

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