Journal of the Korean Academy of Family Medicine 1990;11(3):17-23.
Published online March 1, 1990.

의료보험 자료에 의한 정상분만 양상의 변천 (A Changing Trend of Normal Delivery Pattern Based on Medical Insurance Data)

황의정(Hwang Eui Jung),홍명호(Hong Myung Ho),박영규(Yong Kyu Park),박종석(Jung Seok Park),홍성봉(Sung Bong Hong)

고려대학교의과대학부속 구로병원 가정의학과 고려대학교의과대학 산부인과학교실

Abstract

This study has been designed to understand the trend of normal delivery pattem based on the data of the annual statistical reports from medical insurance statistical year book of industrial establishment medical insurance and medical insurance for government employees and private school teachers for the period of 8 years from 1980 to 1987.
The results are as follow :
1. Yearly beneficiary rate of health insurance among general population has been markedly increased from 29.8% in 1980 to 60.9% in 1987.
Also it is increased significantly that the enrollment of medical insurance for government employees and private school teachers and Industrial establishment medical insurance from 24% in 1980 to 46.5% in 1987.
2. The number of normal delivery increased proportionately with the increasing number of women in reproductive ages, 15 to 44 years old in the period of 8 years from 1980 to 1987.
However the rate of normal delivery was statistically decreased disproportionately to the increasing rate of fertile women in those years. Also the fertility rate per 1,000 reproductive women decreased.
3. Highest childbirth rate was occured in women of age group between 25-29 yrs with statistical significance.
Childbirth rate was observed predominantly in women age group of 25-29yrs and 30-35yrs, whereas it was decreasing in the rate of childbirth in women under 20yrs of age and 20-24yrs of age.
4. The number of family which has more than 3 children has reduced from 29% in 1980 to 8% in 1987.
It is very significant fact that the most significant reduction of 3 or more children family have occured in the year of 1982 and 1983(from 23% to 17%) when the new insurance policy which rules reject to cover for the delivery of third child or more has applied.
5. In other hand, the rate of cesarean section has increased from 15% of total delivery in 1985 to 17.1% in 1987.