04
Definitions of terminology in neonatal, infant, and perinatal epidemiology.,. (perinatal period),,,, (morbidity) (mortality).,,,.,,,.,., 2. (World Health Organization, WHO) International Statistical Classification of Diseases (ICD) and related Health Problems 1965(8) 1977(9), 1992 10 1, 2), ICD10th revision. National Center for Health Statistics(NCHS), Centers for Disease Control and Prevention(CDC) National Vital Statistics Reports (3),. (Statistics Korea). ICD 10th revision(who) 1, 2) NCHS, CDC, USA 3), 4), (5), 2009 6) 4
,,.,,, (expulsion) (extraction),, (life) (births)., (umbilical cord) (definite movement of voluntary muscles) (, ). (live born)....., (expulsion) (extraction)., (life)., (umbilical cord) (definite movement of voluntary muscles).,,.. 28 (28weeks of gestation or more) 20 (20weeks of gestation or more) 28 (28weeks of gestation or more) 22 (22weeks of gestation or more) NCHS I ICD10th revision,.,. (birth)., 1. 5
.. 28 6 (number of fetal deaths at 28weeks of gestation or more plus number of infant deaths under 7days of age). 20 27 (number of fetal deaths at 20weeks of gestation or more plus number of infant deaths under 28days of age). 20 6 (number of fetal deaths at 20weeks of gestation or more plus number of infant deaths under 7days of age). 28 6 (number of fetal deaths at 28weeks of gestation or more plus number of infant deaths less than 7days of age). 22 6 (number of fetal deaths at 22weeks of gestation or more plus number of infant deaths under 7days of age)., (accidental) (incidental), 42. (2005), 42.,.. (,, ), (intervention), (omission), (incorrect treatment).,. 42 1. 42.. ( / )1,000( 7 1, 10 1). ( / )1,000( 7 1, 10 1). ( / )1,000( 7 1 ). 8
( /)1,000( 7 1 ). ( 15~49 / 15~49 )1,000. (15~49). 1.. ( / )1,000. ( / )1,000. fetal death,.,. ( 1,000 / 1,000g )1,000. 27 (28 ) / 1,000. 6 (7 )/ 1,000. ( 1,000g / 1,000g )1,000. ( / )1,000( ). ( / )1,000 Number of fetal deaths at 28weeks of gestation or more(a) plus number of infant deaths under 7days of age/(a)number of total live births Number of fetal deaths at 20weeks of gestation or more(a) plus number of infant deaths under 28days of age/(a)number of total live births Number of fetal deaths at 20weeks of gestation or more(a) plus Number of infant deaths under 7days of age/(a)number of total live births Number of fetal deaths at 28weeks of gestation or more(a) plus number of infant deaths less than 7days of age/(a)number of total live births Number of fetal deaths at 22weeks of gestation or more(a) plus number of infant deaths under 7days of age/(a)number of total live births. 1996, 1996 2006 2007 NCHS I. 1979 NCHS I 9
14 28 37 47 52 62 69 77 80 88
1,006,645 31.2 4.53 1,024,773 31.2 4.54 952,780 28.4 4.12 965,521 28.3 4.07 922,823 26.6 3.77 874,030 24.8 3.43 796,331 22.2 3.00 825,339 22.7 2.99 750,728 20.3 2.64 862,669 23.0 2.90 862,835 22.6 2.82 867,409 22.4 2.57 848,312 21.6 2.39 769,155 19.3 2.06 674,793 16.7 1.74 655,489 16.1 1.66 636,019 15.4 1.58 623,831 15.0 1.53 633,092 15.1 1.55 639,431 15.1 1.56 649,738 15.2 1.57 709,275 16.4 1.71 730,678 16.7 1.76 715,826 16.0 1.654 721,185 16.0 1.656 715,020 15.7 1.634 691,226 15.0 1.574 668,344 14.4 1.520 634,790 13.6 1.448 614,233 13.0 1.410 634,501 13.3 1.467 554,895 11.6 1.297 492,111 10.2 1.166 490,543 10.2 1.180 472,761 9.8 1.154 435,031 8.9 1.076 448,153 9.2 1.123 493,189 10.0 1.250 465,892 9.4 1.192 444,849 9.0 1.149 470,171 9.4 1.226 2009 2010 0.7, 30 ). 2000 30 29, 30 89.5% [ 4], [ 2]. 1981 2010 [ 5], [ 6]. 2009 OECD [ 3]., (2000~ 2010),, 2009 2010, (2 5 3 ) 46.6%(1 1 8 ). 2009 2010 5 1, 8 [ 7]. 16
634,501 131,935 40,877 32,231 34,143 20,987 19,402 15,734 554,895 113,632 35,481 27,924 30,194 18,055 17,149 13,507 492,111 100,928 30,472 24,047 26,499 15,901 15,509 11,573 490,543 100,137 29,839 24,333 26,593 15,816 15,573 11,650 472,761 98,790 27,993 23,111 24,878 14,621 14,925 11,093 435,031 89,489 25,464 20,677 22,825 13,229 13,863 10,422 448,153 92,885 25,678 20,226 23,544 13,576 14,390 10,685 493,189 100,107 28,223 22,169 26,538 14,735 15,705 11,918 465,892 94,736 26,670 20,562 25,365 13,890 14,856 11,365 444,849 89,595 25,110 19,399 24,379 13,101 13,915 11,033 470,171 93,268 27,414 20,557 25,752 13,979 14,315 11,433 140,492 19,286 19,471 24,481 24,936 25,724 34,893 41,362 8,547 125,162 16,728 17,163 21,761 21,993 22,335 30,251 36,183 7,377 115,696 15,168 15,176 18,853 19,026 19,043 25,800 31,968 6,452 119,405 14,213 14,502 18,448 18,253 18,168 25,241 31,866 6,506 116,729 13,653 14,226 18,461 17,087 17,114 23,372 30,709 5,999 108,576 12,539 13,075 17,366 15,618 15,716 22,201 28,298 5,673 114,143 12,372 13,273 18,504 15,450 15,813 22,436 29,372 5,806 125,615 13,617 14,924 20,507 17,111 17,746 24,947 33,184 6,143 119,397 12,373 14,064 19,749 15,878 16,363 23,538 31,493 5,593 113,691 12,112 13,903 19,257 15,233 15,995 22,373 30,320 5,433 121,751 12,477 14,670 20,242 16,100 16,654 23,699 32,203 5,657 1.467 1.297 1.166 1.180 1.154 1.076 1.123 1.250 1.192 1.149 1.226 0.077 2.5 2.2 2.6 2.5 2.3 2.1 2.2 2.2 1.7 1.7 1.8 0.1 38.8 31.4 26.5 23.6 20.6 17.8 17.6 19.5 18.2 16.6 16.5 0.1 149.6 129.2 110.9 111.7 104.5 91.7 89.4 95.5 85.6 80.4 79.7 0.7 83.5 77.5 74.5 79.1 83.2 81.5 89.4 101.3 101.5 100.8 112.4 11.6 17.2 17.0 16.6 17.1 18.2 18.7 21.2 25.6 26.5 27.3 32.6 5.3 2.5 2.4 2.4 2.4 2.4 2.4 2.6 3.1 3.2 3.4 4.1 0.7 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.2 0.0 17
100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 47.2 47.6 48.7 49.5 51.1 51.7 52.0 53.5 52.3 52.1 50.4 1.7 42.4 42.3 41.3 41.0 39.3 38.7 38.5 37.1 38.1 38.5 38.9 0.4 10.4 10.1 10.0 9.5 9.6 9.6 9.5 9.4 9.6 9.5 10.7 1.2 2009 2010,. 50.4% 2009 2010 1.7%p,, 38.9% 0.4%p, 2004(39.3%), 10.7% 1.2%p, 1985 (10.9%) [ 8]. 1981 2010 [ 9]. (2000~2010) 2009(29.85 ) 2010 0.25 30.1 30 (, 2000 2.42, 32.01, 34.04 2009 0.21, 0.14, 2000 2.34, 1.81 ). 2010, 60% (62.8%) 30, 30 2009 58.7% 4.1%p [ 10], [ 4], [ 5]. 867,409 355,314 290,618 142,504 78,963 10 848,312 355,094 300,907 125,641 66,667 3 769,155 344,208 294,027 86,146 44,768 6 674,793 333,587 254,940 57,479 28,782 5 655,489 337,643 246,541 49,467 21,827 11 636,019 337,701 235,935 44,568 17,801 14 623,831 338,834 232,769 38,587 13,630 11 633,092 343,141 241,391 37,051 11,502 7 639,431 343,693 248,780 36,739 10,205 14 649,738 348,260 253,002 38,694 9,758 24 709,275 377,191 283,385 39,817 8,860 22 730,678 380,185 295,244 46,201 9,025 23 715,826 372,610 286,826 47,920 8,435 35 721,185 359,474 301,906 51,459 8,284 62 715,020 345,574 307,930 53,820 7,574 122 691,226 334,483 293,986 55,424 7,167 166 668,344 322,692 281,016 57,869 6,742 25 634,790 310,161 262,416 55,792 6,419 2 614,233 306,769 246,027 53,808 6,253 1,376 634,501 298,388 268,314 59,757 6,271 1,771 554,895 263,254 234,079 50,117 5,482 1,963 492,111 237,839 201,706 43,787 4,834 3,945 490,543 240,659 199,221 41,380 4,667 4,616 472,761 239,413 184,452 40,399 4,677 3,820 435,031 223,162 166,888 36,985 4,465 3,531 448,153 231,232 171,180 37,513 4,601 3,627 493,189 262,154 181,850 41,011 4,902 3,272 465,892 242,024 176,079 39,360 4,973 3,456 444,849 230,184 170,090 36,789 5,073 2,713 470,171 235,333 181,871 43,805 6,127 3,035 20
29.02 29.26 29.49 29.71 29.98 30.22 30.43 30.58 30.79 30.97 31.26 27.68 27.97 28.29 28.57 28.83 29.08 29.27 29.42 29.60 29.85 30.10 29.67 29.88 30.19 30.44 30.77 31.03 31.28 31.50 31.69 31.80 32.01 32.23 32.47 32.68 32.87 33.07 33.30 33.48 33.62 33.80 33.90 34.04 34.51 34.76 34.90 34.87 35.24 35.35 35.41 35.54 35.66 35.73 35.75 634.5 554.9 492.1 490.5 472.8 435.0 448.2 493.2 465.9 444.8 470.2 4.6 3.9 4.4 3.9 3.5 3.1 3.3 3.5 2.8 2.8 2.9 74.3 60.9 52.0 46.7 39.8 32.8 30.7 31.9 28.2 24.9 24.5 328.2 273.3 226.4 219.1 198.9 174.7 172.8 186.9 168.9 155.9 147.2 183.0 173.7 169.3 178.7 185.2 177.3 187.8 205.7 198.7 192.1 214.6 36.9 35.4 33.9 35.6 39.0 40.5 47.0 57.6 59.6 60.7 70.8 5.0 5.1 5.1 5.3 5.3 5.1 5.3 6.2 6.5 7.3 8.8 0.3 0.3 0.4 0.4 0.4 0.4 0.4 0.4 0.4 0.4 0.5 2008 OECD [ 6]., () (). 2010 3.52 2009 0.12, [ 11]. 2010 1.79 2009 0.03, 2 71.7% 2009 0.7%p. 21
, 105.8 2009, 110.9, [ 15]. 1981 2010 [ 16]. [ 7]. ( ) (2000~2010) 2010 12,841 2009 12,062 779. 2010 2.74% 2009 [ 17]. (2000~2010) 2010 5.8% 37 2009 0.1%p. 42 2010 0.3% 2009 0.1%p., 37 2010 4.5% 2009 0.2%p, ( ) 107.1 106.3 106.7 107.1 112.9 106.8 105.4 106.0 109.2 113.6 107.3 105.8 106.1 111.8 120.0 108.3 106.1 107.2 116.9 128.3 109.4 106.0 107.8 129.1 146.8 111.7 107.3 111.2 138.5 149.9 108.8 104.7 109.1 134.8 148.0 113.2 107.2 113.2 165.0 182.1 111.8 104.1 112.4 182.1 199.2 116.5 108.5 117.1 189.5 209.5 112.4 105.7 112.5 179.8 195.2 113.6 106.2 112.4 191.7 212.9 115.3 106.4 114.8 202.9 234.9 115.2 106.0 114.1 202.7 223.6 113.2 105.7 111.7 177.2 202.8 111.5 105.1 109.8 163.9 183.6 108.3 105.2 106.3 133.9 156.1 110.2 106.0 108.1 145.0 155.3 109.6 105.6 107.5 142.0 155.3 110.2 106.3 107.4 141.9 167.6 109.1 105.5 106.4 140.4 152.6 110.0 106.5 107.3 140.1 153.2 108.7 104.9 107.0 135.5 149.6 108.2 105.1 106.2 132.2 140.0 107.8 104.8 106.5 128.0 132.4 107.5 105.7 106.0 121.9 121.9 106.2 104.5 106.0 115.3 119.1 106.4 104.9 105.6 115.8 123.9 106.4 105.1 105.8 114.4 114.1 106.9 106.4 105.8 111.1 109.8 2010 53.7% 2009 1.2%p, 2000 15.4%p [ 18]. [ 19]. (2000~2010) 2010 3.27kg, 3.17kg 2009 [ 20], [ 21]. 24
632,922 553,089 488,367 486,196 469,239 431,881 445,170 490,787 463,743 443,045 468,150 622,230 543,123 478,709 476,388 459,359 422,422 434,403 477,331 450,953 430,983 455,309 10,692 9,966 9,658 9,808 9,880 9,459 10,767 13,456 12,790 12,062 12,841 10,586 9,865 9,580 9,736 9,818 9,393 10,683 13,280 12,653 11,905 12,633 106 101 78 72 62 66 84 176 137 157 208 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 98.31 98.20 98.02 97.98 97.89 97.81 97.58 97.26 97.24 97.28 97.26 1.69 1.80 1.98 2.02 2.11 2.19 2.42 2.74 2.76 2.72 2.74 1.67 1.78 1.96 2.00 2.09 2.17 2.40 2.71 2.73 2.69 2.70 0.02 0.02 0.02 0.01 0.01 0.02 0.02 0.04 0.03 0.04 0.04 599,486 521,257 460,645 458,192 441,868 405,622 418,084 460,300 435,793 416,131 439,156 23,914 23,797 21,519 21,997 21,749 20,498 21,654 25,286 25,654 25,020 27,304 8,997 7,507 5,670 5,264 4,486 4,326 3,694 3,348 1,970 1,641 1,455 19,818 19,882 17,634 17,833 17,391 16,255 16,968 18,859 19,117 18,693 20,411 592,906 515,220 454,888 452,574 436,355 400,444 412,033 453,317 429,546 410,403 433,217 8,984 7,497 5,665 5,245 4,482 4,316 3,691 3,341 1,970 1,638 1,451 4,096 3,915 3,885 4,164 4,358 4,243 4,686 6,427 6,537 6,327 6,893 6,580 6,037 5,757 5,618 5,513 5,178 6,051 6,983 6,247 5,728 5,939 13 10 5 19 4 10 3 7 0 3 4 3.8 4.3 4.4 4.5 4.6 4.8 4.9 5.2 5.5 5.7 5.8 94.8 94.3 94.4 94.4 94.4 94.2 94.3 94.1 94.0 94.0 93.9 1.4 1.4 1.2 1.1 1.0 1.0 0.8 0.7 0.4 0.4 0.3 3.2 3.7 3.7 3.7 3.8 3.9 3.9 4.0 4.2 4.3 4.5 95.4 95.0 95.1 95.1 95.2 95.1 95.2 95.3 95.3 95.3 95.2 1.4 1.4 1.2 1.1 1.0 1.0 0.9 0.7 0.4 0.4 0.3 38.3 39.3 40.3 42.5 44.1 45.0 43.6 47.9 51.1 52.5 53.7 61.6 60.6 59.7 57.3 55.8 54.9 56.3 52.0 48.9 47.5 46.3 0.1 0.1 0.1 0.2 0.0 0.1 0.0 0.1 0.0 0.0 0.0 29.02 29.26 29.49 29.71 29.98 30.22 30.43 30.58 30.79 30.97 31.26 29.72 30.01 30.23 30.51 30.72 30.96 31.04 31.31 31.47 31.55 31.86 29.00 29.23 29.50 29.74 29.99 30.23 30.44 30.57 30.79 30.96 31.25 28.67 28.84 29.17 29.23 29.67 29.83 30.01 30.08 30.42 30.80 31.08 25
Changes in statistical birth data related to maternity and newborn over the past 15years in Korea(1995~2010) 1995, 35.,,. 1) 35. 2) 2000 2018, 2026. 2). 2,500g (low birth weight infant, LBWI),. 4~8).. 9) 1995~2010 15,,, (, LBWI),... 1995~2010, 2009 (raw data), 2010 (raw data) 2010 (). 10), 28
( /, 71 )1,000,. 1995 26.5, 2010 30.1 30 [ 2]. ( 15~49 ),,,, LBWI, ( 37 ),,,. 26.5 27.7 29.1 29.9 30.1 28.7 29.7 31.0 31.8 32.0 31.6 32.2 33.3 33.9 34.0 34.2 34.5 35.3 35.7 35.7 27.9 29.0 30.2 31.0 31.3, (1995~2010) 1995 72 1, 2000 63 45 2005 43 5 2010 47. 1995 16.0, 2000 13.3, 2005 8.9, 2010 9.4 2005 1995 1.63, 2000 1.47, 2005 1.08 2010 1.22 [ 1]. (1995~2010) 1995 25~29 54.2% 2000 51.8%, 2005 40.2%, 2009 35.1%. 30~34 1995 20.8%, 2000 28.9%, 2005 40.8%, 2009 43.2% 2000 30~34 [ 3]. 35 1995 4.7%, 2000 6.6%, 2005 10.6%, 2010 15.3% 15 3 721 634.5 435 470 16.0 13.3 8.9 9.4 1.63 1.47 1.08 1.22. 2010 [ 1]. (1995~ 2010) 1995 48.3%, 2000 47.0%, 2005 51.3%, 2009 51.7%, 2010 50.0% 1995 43.1% (1995~2010) 1995 27.9 2005 2010 38.7%. 1995 7.5%, 2000 9.4%, 2005 8.5%, 2009 8.3%, 2010 10.6% 1% [ 4]. 30.2 30 2010 31.3 29