종합병원 출산아의 성비에 관련된 요인

The purpose of this study was to find out the factors affecting birth sex ratio which had revealed alarmingly higher in recent years. This study was conducted to get hold of the basic data such as the sex ratio of live births which had been delivered at 5 general hospitals in Taegu from 1982 to 1986. And author chose Dongsan Medical Center from those 5 hospitals for further detailed study, and reviewed 1,286 medical records of mothers who had birth in each February and March from 1984 to 1987. Of these 1,286 deliveries, 30 cases were twin deliveries, which added the total children numbers to 1,316. The findings of this study were as follows: The average of birth sex ratio( 114.5) for 5 years at five general hospitals in Taegu was slightly higher than the traditional birth sex ratio( 102-107) and the highest was 123.4 in 1985. There was no significant difference in birth sex ratio by mother's educational level, her religion nor father's occupation. The birth sex ratio of the cases whose mother was above 35 years old was significantly high(400.0), that of the cases who were born to the mothers who had more than 3rd parity was significantly high(309.5), and that of the cases whose mother had more than two daughters and no son was also significantly high (330.7). The birth sex ratio of the cases who did not have ultrasonogram on their prenatal visits was 87.8. In contrast to this, that of the cases who had ultrasonogram was significantly higher( 135.5). Of the mothers who have more than two daughters and no son' 80.4% (45 cases) had ultrasonogram and their newborn's birth sex ratio was significantly high(542.9). Of the cases who were born to more than 3rd parity mothers, 75.6%(65 cases) of their mothers had ultrasonogram and their sex ratio was significantly high(441.6). It was revealed by this study that the birth sex ratio is changed to significantly high due to sex confirmation of the fetus by ultrasonogram. Thus it is recommended that the value related to having equality of sexes must be ingrained by changing the various social systems and value systems which is now aggrevating the son preference and should provide controlling system which can prohibit the ultrasonogram for sex confirmation only.