未熟児網膜症の発生過程に関する社会医学的研究

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  • Sociomedical Studies on the Infants with Retinopathy of Prematurity
  • ミジュクジ モウマクショウ ノ ハッセイ カテイ ニ カンスル シャカイ イガ

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The author studied fifteen retinopathy cases for the purpose of finding the sociomedical problems involved therein. Retrospective interviews with the families were the main sources of information. The items on the list for interviews included the obstetric histories of mothers, the conditions of mothers during their pregnancies related to retinopathy infants, the conditions of mothers during the deliveries related to the infants, medical care provided for the infants, the present conditions of the infants, the knowledge of the families about retinopathy of prematurity, etc.<br>The results of the interviews prompted the author to particularly investigate the conditions of mothers during their pregnancies related to the infants, the obstetric histories of mothers and the explanations from the medical personnel on the cases to the families.<br>The conclusions are as follows;<br>(1) All cases were preterm low birth weight infants and it was noted that twelve cases out of fifteen had evidently one or more risk factors of preterm delivery which were preventable.<br>(2) The total pregnancies of all the mothers were 46; natural abortions and preterm deliveries were 31, artificial abortions 3, and full-term deliveries 12. Among them 14 natural abortions and preterm deliveries, 2 artificial abortions and 4 full-term deliveries were experienced before the infants with retinopathy were born, and 2 natural abortions and preterm deliveries, one artificial abortion and 8 full-term deliveries were experienced after the infants with retinopathy had been born. That is, after the infants with retinopathy were born the rate of full-term delivery in total pregnancies was higher than before the infants with retinopathy were born.<br>(3) It was revealed that in all cases the explanations from the medical personnel on the cases to the families had been ill-timed and/or inappropriate.

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