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서울시내 부인의 자궁내 장치 채택후 기간별 중단 확률에 관한 연구

Other Titles
 (A) retrospective chort study on termination of IUD in Seoul 
Authors
 전영숙 
Issue Date
1978
Description
/석사
Abstract
[한글] 서울시내 동대문과 용산구에서 1976년 7월부터 1977년 6월까지 만 12개월동안 표본추출된 자궁내시술기관에서 자궁내장치 시술을 받은 1,065명의 초삽입 유배우 가임여성을 대상으로, 자궁내장치 채택후 매달 경과함에 따라 중단형태별 사용중단율을 구하기 위해 생명표 방법을 이용하여 중단확율을 구했으며, 자궁내장치 초삽입시의 부인의 연령과 출산수준을 조사했다. 이 연구의 구체적인 목적은 1) 자궁내장치, 특히 어떤 연령에서 자궁내장치의 초삽입이 이루어지고 있는지를 알고, 2) 자궁내장치의 초삽입 당시의 부인들의 출산력 수준을 알아서 삽입시기상의 문제점을 분석한다. 3) 부인의 인구학적 특성 및 출산력등의 차이에 따른 자궁내장치 착용기간의 차이를 비교하고, 4) 자궁내장치 채택후 매월 기간이 경과함에 따라 중단형태별로 사용중단율을 구하기 위해 생명표 방법을 인용하여 월별 중단형태별 중단확율을 구한다. 5) 이렇게 구한 중단확율의 누적합이 이제까지 사용해왔던 각 중단형태별 비율과 어떻게 차이가 나는지를 대조하는 것등을 구체적인 연구목적으로 했다. 1. 대상부인중 25∼29세에 이르러 처음 자궁내장치를 삽입한 부인이 37.8%로 가장 많았으며, 30∼34세에 초삽입한 부인이 25.6%, 20∼25세에 초삽입한 부인이 15.5%였다. 2. 결혼한지 2년이 경과하기 이전에 자궁내장치를 채택한 부인이 14.8%나 되었으며, 결혼후 3∼5년사이에 채택한 부인이 35.1% 6∼8년사이에 채택한 부인이 16.6%였으며, 34.3%는 결혼후 9년이상 경과한 후에 단산을 목적으로 자궁내장치를 채택한 부인이었다. 3. 대상부인의 평균임신회수는 3.9회였고 출산경험 2.2회였으며, 부인의 연령이 높아질수록 임신회수와 출산경험 회수는 증가했다. 4. 대상부인의 2.9%는 사산을 경험했으며, 9.5%의 부인이 자연유산율, 약 70%의 부인이 인공유산을 경험했다. 8회이상의 인공유산을 경험한 부인이 8명(0.75%)있었고, 5회이상 경험한 부인이 71명(6.7%)이나 있었다. 5. 대상부인의 평균생존 자녀수는 2.1명이었으며, 부인의 연령이 증가할수록 생존자녀수도 증가한다. 6. 자궁내장치 채택후 68.4%의 부인만이 사후관찰을 한번도 받지 않았다. 사후관찰을 받은 부인이 31.3%였으며, 이중 76.6%는 단 1회의 사후관리 방문밖에 하지 않았다. 7. 조사대상 부인의 18.1%는 시술후 정기적 검진을 위해 방문했으나, 13.1%는 부작용이나 불편감이 있어서 방문했다. 대상부인의 3.1%는 출혈, 3.9%는 동통, 2.2%는 대하등의 부작용을 호소했다. 8. 월별 계속착용율은 착용후 1개월말에서 92.5%, 2개월말에서 85.5%였다가 서서히 감소되다가 10개월말에서 54.1%, 11개월말에서 52.4%로 저하되며, 13개월 이후에는 34.8%까지 저학된다. 9. 월별 추정제거율은 첫 1개월에서 7.5%, 2째달에서 7.0%이다가, 3째달에는 9.2%로 증가했다가, 이후 서서히 감소된다. 10. 자궁내장치 삽입일로부터, 전기간을 통한 제거로 인한 사용중단확율은 64.3%이며, 삽입후 6개월만 경과하면 이미 36.5%의 제거로 인한 중단확율을 보인다. 11. 전체대상 부인의 중단형태별 사용중단율은 사고임신율이 0.1%, 자연배출율이 0.8%, 제거율이 44.8%였으며, 계속 사용율이 54.3%였다. 12. 이에 반해 생명표 방법에 의한 삽입시부터 전기간동안의 누적 중단 확률은 사고임신율이 0.2% 자연배출 확률이 0.9%, 제거확율이 64.3%였으며 계속 사용확율은 34.8%였다.
[영문] The author observed distribution of the type of termination of IUD, probability of termination, rates of retention and termination for all reasons, rates of expulsion and removal and rate of pregnency for 12 months towards 1065 women who had been inserted with IUDs from July 1976 through 1977 1065. IUD acceptors had been sampled among married elighbile women lived in Dongdaemun-gu and Yongsan-Gu, Seoul. The purpose of this survey can be specified as below: 1. To know the age group performing the first insertion of IUD. 2. To know the fermility level of women when they accepted the IUD firstly. 3. To compare the duration of IUD use according to the demographic acteristics and fertility lesel of mother. 4. To investigate monthly rates and cumulative rates of termination, retention, expulsion and removal through life table method. 5. To find out the differences in termination rate of IUD according to retrospective cohort study from that through life table method. As the results of this survey following conclusion was abtained. 1. Regarding the age distribution of women 25-29 years of age group ranked the highest with 37.8 percent out of all women had been inserted, 30-34 age group ranked second with 25.6 percent, and that of 20-25 was 15.5 percent. 2. The women who had been inserted with IUDs till two years after marriage occupied 14.8 percent of all, that of 3-5 years was 35.1 percent and that of 6-8 years was 16.6 percent. 34.3 percent of women accepted IUD as a purpose of artificial cessationof childbearing. 3. The average frequency of pregnancy was 3.9 times and the frequency of love birth experienced was 2.2 times. It is noticeable that the frequency of pregnancy rose with age of mother. 4. 2.9 percent of all women experienced still birth, 9.5 percent experienced the spontaneous abortion, and 70 percent experienced the artificial abortion. the women who had experienced artificial abortion 8 times or more were eight (0.75%) and those of 5 times or more were seventy-one(6.7%) 5. The number of present children was 2.1 in average. The number of living children rose with age of mother. 6. 31.3 percent of all women were recorded to had visited clinic after insertion. The rest of women, 68.4 percent, had never visited clinic after insertion. More-over, 76.6 percent of the women who had ever visited had visited clinic only one time. 7. 18.1 percent of clinic visitors visited to have a check up in normal condition, but 13.1 percent of the women visited under the state of having a side effects or inconvenience. Out of total women 3.1 percent had vaginal bleeding, 3.9 percent had pains and 2.2 percent had increased discharge. 8. The retaining proportion was 92.5 percent at the end of the first month, 85.1 percent at the end of the second month, and it reduced slowly month by month. It turned out to 34.8% at the end of the thirteenth month after insertion. 9. The proportion of removal was 7.5 percent during the first month, 7.0 percent during the second month. It incriased a little during the third month with 9.2 percent. There after, it also reduced slowly. 10. The cunulative proportion of removal was 64.3 percent through out the all period. It had already downed to 36.5 percent after six months. 11. As for the rate of termination according to retro spective cohort study, the rate of accidental pregnancy was 0.1 percent, the rate of natural expulsion was 0.8 percent, the rate of natural expulsion was 0.8 percent, the rate of removal occupied roughly 44.8 percent and the rate of continuing using was 54.2 percent. 12. In opposition to this, the cumulative rate of termination through the life table method told us that the rate of pregnancy was 0.2 percent, the rate of natural expulsion was 0.9 percent, the rate of removal was 69.3 percent and the rate of continuing users was 34.8 percent through out 12 months.
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https://ir.ymlib.yonsei.ac.kr/handle/22282913/116870
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2. Thesis / Dissertation (학위논문) > 4. Graduate School of Public Health (보건대학원) > Master's Degree (석사)
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