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The Jerusalem perinatal study: the first decade 1964--73.

S Harlap, A M Davies, N B Grover

    Israel Journal of Medical Sciences
    |November 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

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    This study analyzed 63,638 Jewish births from 1964-1973, revealing declining fertility and mortality rates. Demographic shifts and increased obstetric interventions were observed during this decade.

    Area of Science:

    • Perinatal epidemiology
    • Reproductive health
    • Public health

    Background:

    • The Jerusalem Perinatal Study collected data on births between 1964 and 1973.
    • This period saw significant demographic and medical changes.

    Purpose of the Study:

    • To summarize key findings on Jewish births during 1964-1973.
    • To analyze trends in birth weight, mortality, and obstetric interventions.
    • To explore demographic factors influencing perinatal outcomes.

    Main Methods:

    • Analysis of a record-linked database of 63,638 births (birth weight ≥ 1,000 g).
    • Examination of mortality rates (fetal, neonatal, infant) and their correlation with demographic variables.
    • Documentation of changes in obstetric interventions and congenital malformations.

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    Main Results:

    • Late fetal, neonatal, and infant mortality rates were 9.1, 10.1, and 15.5 per 1,000 births, respectively.
    • Demographic shifts included decreased high birth orders, lower maternal education, and fewer immigrant births from Asia/North Africa.
    • Fertility declined, particularly at reproductive age extremes; illegitimacy was 1.2%.
    • Obstetric interventions like induced labor and cesarean sections increased significantly.

    Conclusions:

    • The decade 1964-1973 witnessed evolving demographic profiles and declining perinatal mortality among Jewish births in Jerusalem.
    • Increased obstetric interventions reflect changing medical practices.
    • The Jerusalem Perinatal Study data bank provides a valuable resource for ongoing health research.