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JOURNAL OF THE KOREAN SOCIETY OF MATERNAL AND CHILD HEALTH

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수록범위 : 1권1호(1997)~25권3호(2021) |수록논문 수 : 545
한국모자보건학회지
25권3호(2021년 07월) 수록논문
최근 권호 논문
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KCI등재

1민간 산후조리원 공공성 제고를 위한 산후조리서비스 체계 고찰 및 개선 방안

저자 : 김희선 ( Hee-Sun Kim ) , 이재희 ( Jae Hee Lee ) , 이정림 ( Jeong Rim Lee ) , 엄지원 ( Ji-Won Eom ) , 구자연 ( Ja Yeun Koo ) , 박병록 ( Byoung Lok Park ) , 박현수 ( Hyun Soo Park ) , 손인숙 ( In Sook Sohn )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 25권 3호 발행 연도 : 2021 페이지 : pp. 153-161 (9 pages)

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The study aimed to review the current postpartum care service system and suggest measures of improvement for the public reinforcement of the private-postpartum care center (PCC). We conducted a review of literature, including an internet search, and we analyzed the in-depth interviews using questionnaires answered by workers from the 6 private-PCCs operated in Goyang city. Using these data, we derived possible measures which could improve the publicity of private-PCCs. It was found that the 11 nationwide public-PCCs had serious operating deficits, and its utilization by the vulnerable was insufficient. In areas where private-PCCs are concentrated, we can propose the following policies to strengthen publicity, rather than establishing another public-PCC. First, it is important to provide support for private-PCCs to apply cost reductions for vulnerable groups, similar to the maternal and newborn medical care of public- PCCs. Second, publicity would be strengthened by reorganizing the pregnancy and childbirth education program, while also offering additional services for mothers with stillbirths and abortions. For the integrated management of postpartum care services, this should be shifted towards reinforcing the publicity of private-PCCs, rather than operating a public-PCC in relative ly concentrated private-PCC areas. Through these policies, it is expected that financial and administrative waste will be reduced, and an integrated management system for postpartum care services will be established.

KCI등재

2신생아 코로나바이러스감염증-19 대응지침: 2021 업데이트

저자 : 김도현 ( Do-Hyun Kim )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 25권 3호 발행 연도 : 2021 페이지 : pp. 162-168 (7 pages)

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Since the first report of neonatal case on March 29, 2020, a small number of coronavirus disease 2019 (COVID-19) cases in newborn infants have been reported in Korea. The COVID-19 pandemic in Korea has urged the development of response guidelines for newborn infants born to mothers with suspected or confirmed COVID-19. These guidelines have been revised following further updates on COVID-19. The Korean Society of Pediatric Infectious Diseases and the Korean Society of Neonatology issued updated guidelines for COVID-19 in newborn infants on December 31, 2020. The present review introduces the management of newborn infants born to mothers with suspected or confirmed COVID-19, based on current updated guidelines for COVID-19. The management includes infection precautions for healthcare workers, neonatal resuscitation, neonatal isolation and medical care, breastfeeding, testing for COVID-19, and mother/baby contact.

KCI등재

3난임 치료를 받는 여성의 난임 스트레스, 감사 성향 및 부부관계 변화의 관련성 연구

저자 : 김미옥 ( Miok Kim ) , 박점미 ( Jummi Park ) , 홍주은 ( Ju-Eun Hong ) , 반민경 ( Minkyung Ban )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 25권 3호 발행 연도 : 2021 페이지 : pp. 169-176 (8 pages)

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Purpose: We aim to assess infertility stress, gratitude, and changes in couple relationship of the women under reproductive treatments and to identify the relationships between variables.
Methods: The subjects were 212 infertile women receiving reproductive treatments. The data were collected by self-administered questionnaires from June to August in 2019. The questionnaire consisted of the questions about infertility stress, gratitude and changes in their couple relationships. Descriptive statistics, t-tests, 1-way analysis of variance, and correlation coefficient were analyzed using the SPSS 26.0 Windows program.
Results: The level of Infertility stress, gratitude, and changes in couple relationship averaged 3.23±0.59 (range of 1 to 6), 4.85±1.06 (range of 1 to 6), 3.03±0.55 (range of 1 to 5), respectively. Infertility stress had a negative correlation with gratitude (r=-0.322, p<0.001) and changes in couple relationship (r= -0.371, p<0.001). Gratitude also had a negative correlation with changes in couple relationship (r=-0.370, p<0.001).
Conclusion: The results revealed that infertility stress has a negative correlation with gratitude and changes in couple relationship. Thus, psychological interventions that can alleviate negative emotions should be provided.

KCI등재

4초산모의 그릿(Grit), 배우자 지지와 연령 수준에 따른 양육 열정, 산후 우울, 행복의 차이

저자 : 정예림 ( Yerim Jeong ) , 김예본 ( Yaebon Kim ) , 양수진 ( Sujin Yang )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 25권 3호 발행 연도 : 2021 페이지 : pp. 177-183 (7 pages)

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Purpose: This study aimed to examine whether first-time mothers' grit, spousal support, and age can make significant differences in latent means of child-rearing passion, postpartum depression, and happiness.
Methods: Data were collected from April 2 to July 16, 2019. Two hundred sixteen first-time mothers of infants and toddlers aged 0-2 years participated in a self-reported questionnaire study in which scales of nurturing passion, postpartum depression, happiness, grit, and spousal support were included. The collected data were analyzed with IBM SPSS ver. 18.0 (IBM Co., Armonk, NY, USA) for descriptive statistics and Pearson correlation analyses. In addition, Mplus (ver. 7.0) was used for the Multiple Indicators Multiple Causes (MIMIC) model approach.
Results: The MIMIC model yielded an appropriate fit to the data (χ2=103.74, degrees of freedom=53, comparative fit index=0.96, root mean square error of approximation=0.07, standardized root mean square residual=0.05). The paths from grit and spousal support all had significantly positive beta coefficients (p<0.05) to child-rearing passion (β=0.3 and β=0.26, respectively) and happiness (β=0.22 and β=0.39, respectively), while the corresponding paths to postpartum depression were all negatively significant (β= -0.24 for both). These results suggest that unlike chronological maturity (i.e., age), grittier individuals with stronger spousal support display greater passion for child-rearing, as well as greater happiness. In a similar vein, they suffered less from postpartum depression.
Conclusion: These results imply that grit can be employed to enhance first-time mothers' child-rearing passion and happiness as it can also concurrently offset the effects of a negative labor and child-birth experience on first-time mothers' mental health, e.g., in terms of reducing postpartum depression.

KCI등재

5초산모의 모유수유 이행 구조모형

저자 : 박설희 ( Seol Hui Park ) , 류세앙 ( Seang Ryu )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 25권 3호 발행 연도 : 2021 페이지 : pp. 184-196 (13 pages)

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Purpose: This study aimed to develop a structural model to explain breastfeeding behavior of primipara based on information-motivation-behavioral skills. Variables were breastfeeding knowledge, breastfeeding motivation, breastfeeding self-efficacy, and parenting stress.
Methods: Participants were first-time mothers who were breastfeeding infants from birth to 6 months. Data were collected from 5 pediatric hospitals and 1 public health center in Jeollanam-do from December 24, 2018 to February 28, 2019. A total of 285 questionnaires were included in the analysis. Data were analyzed using IBM SPSS Statistics ver. 20.0 and AMOS 20.0 programs.
Results: Fitness statistics for the hypothetical model were appropriate (χ2=48.30 [degrees of freedom= 14, p<0.001], goodness of fit index=0.96, normed fit index=0.89, comparative fit index=0.92, standardized root mean square residual=0.06). Breastfeeding self-efficacy had the most direct and total impact on breastfeeding behaviors (β=0.38, p=0.01). Breastfeeding self-efficacy was directly and totally influenced by breastfeeding knowledge (β=-0.18, p=0.01), breastfeeding motivation (β=0.26, p=0.01). Parenting stress showed a direct effect on breastfeeding self-efficacy (β=-0.14, p=0.02) and breastfeeding behavior (β=0.20, p=0.01), confirming its modulating effect on both variables.
Conclusion: Since breastfeeding self-efficacy was the most important variable for the breastfeeding behavior in first-time mothers, nursing interventions should be developed to promote breastfeeding self-efficacy including accurate breastfeeding information and enhanced breastfeeding motivation. Strategies that could relieve or adjust parenting stress should be considered since parenting stress had a causal relationship with breastfeeding self-efficacy and breastfeeding behavior.

KCI등재

6난임 여성의 출산에 미치는 영향 요인: 신체활동 강도를 중심으로

저자 : 한규은 ( Kyueun Han ) , 김민영 ( Min Young Kim )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 25권 3호 발행 연도 : 2021 페이지 : pp. 197-203 (7 pages)

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Purpose: The aim of this study was to investigate the intensity of physical activity predicting afterward childbirth for infertile women in order to improve the development of an infertility support.
Methods: The complete enumeration data of the National Health Insurance Service of Korea for women who had been diagnosed with infertility in 2016 were analyzed to investigate the predictors of childbirth in 2016-2017. The data were analyzed using descriptive statistics and linear regression with SPSS.
Results: When age and body mass index were controlled for, intermediate intense physical activity increased the rate of childbirth, but low or heavy intensity did not.
Conclusion: Women who have been diagnosed with infertility should be given advice to engage in intermediate levels of physical activity in order to increase their chances of having a child.

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7조기 선천성 매독: 10년간 단일 기관 연구

저자 : 이나래 ( Narae Lee ) , 정문희 ( Mun Hui Jeong ) , 정성희 ( Seong Hee Jeong ) , 배미혜 ( Mi-Hye Bae ) , 한영미 ( Young Mi Han ) , 박경희 ( Kyung-Hee Park )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 25권 3호 발행 연도 : 2021 페이지 : pp. 204-210 (7 pages)

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Purpose: Syphilis infections are becoming more prevalent in the Republic of Korea, and inadequately treated syphilis can lead to congenital syphilis (CS) in newborns. This study aimed to analyze the clinical manifestations of syphilis in mothers and newborns and to make suggestions to improve disease prognosis.
Methods: This single-center study was performed between August 2009 and August 2019 and included 29 newborns with CS. We retrospectively evaluated the clinical features, rapid plasma reagin (RPR) card test, fluorescent treponemal antibody absorption test (FTA-ABS), morbidity, and treatment regimen of all the syphilis-affected mothers and their newborns.
Results: At the time of delivery, mean maternal age was 29.0±6.1 years old, and newborn gestational age was 38.0 weeks. In cases when syphilis was confirmed during the second and third trimesters of pregnancy, the newborn with CS had morbidity (p=0.004). The mean RPR titer was related to morbidity (p= 0.036). Positive results of FTA-ABS IgM (p<0.001) and pleocytosis in the cerebrospinal fluid (CSF) (p= 0.020) also increase morbidity. The most common symptoms were desquamation and skin rash, followed by hepatomegaly, neurodevelopmental disability, and bone abnormalities. The highest number of CS cases per 1,000 live births in this hospital was in 2014.
Conclusion: CS is a preventable and treatable disease if physicians detect symptoms and provide appropriate treatment through RPR examinations during every trimester. General practitioners should be widely trained on various aspects including early detection, formal treatment, and regular follow-up. Additionally, medical services should be provided for the entire childbearing population regardless of the socioeconomic status.

KCI등재

8난임 남성의 피로, 사회 심리적 스트레스 및 내분비계 장애물질 노출 저감 행동 간의 관계

저자 : 김성주 ( Sung Ju Kim ) , 최소영 ( So Young Choi )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 25권 3호 발행 연도 : 2021 페이지 : pp. 211-220 (10 pages)

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Purpose: This study aimed to identify the relationships between fatigue, psychosocial stress, and behavior of infertile males that reduces endocrine-disrupting chemical (EDC) exposure and to provide baseline data needed for nursing intervention.
Methods: A total of 110 infertile males were recruited from a special fertility hospital in Gwangju city in Korea. The participants were administered a self-reported questionnaire.
Results: The mean scores were as follows: for fatigue, 59.1 out of 133; for psychosocial stress, 20.3 out of 54; and for behavior that reduced EDC exposure, 52.6 out of 85. Fatigue and psychosocial stress had a positive correlation(r=0.68, p<0.001), behavior that reduces EDC exposure was negatively correlated with fatigue and psychosocial stress(r=-0.54, p<0.001; r=-0.61, p<0.001)
Conclusion: Fatigue and stress were higher in infertile males. Our findings suggest that a nursing intervention program should focus on reducing fatigue and stress in infertile males and induce behaviors that decrease EDC exposure.

KCI등재

9국내 산과 전문의의 임신 중 고혈압성 질환 임상진료패턴 분석

저자 : 안태규 ( Tae Gyu Ahn ) , 김연희 ( Yeon Hee Kim ) , 김윤숙 ( Yun Sook Kim ) , 신재은 ( Jae Eun Shin ) , 오영림 ( Young-Lim Oh ) , 이순애 ( Soon Ae Lee ) , 이민아 ( Mina Lee ) , 이귀세라 ( Gui Se Ra Lee ) , 김석영 ( Suk Young Kim ) , 김수미 ( Su-Mi Kim ) , 황종윤 ( Jong Yun Hwang )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 25권 3호 발행 연도 : 2021 페이지 : pp. 221-229 (9 pages)

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Purpose: The purpose of this study was to investigate the clinical practice patterns of Korean obstetricians and gynecologists the diagnosis and management of hypertensive disease in pregnant women.
Methods: From April 2015 to October 2015, questionnaire was distributed via email to obstetricians who were members of the Society for Maternal and Fetal Medicine. The survey consisted of 37 questions in 6 categories. Responses to the questions on the management of hypertensive disorders of pregnancy, from diagnosis to treatment, were evaluated.
Results: A total of 93 obstetricians and gynecologists responded to the survey. High blood pressure was allocated the highest priority as an index mainly used when deciding to hospitalize patients with hypertensive disease during pregnancy, followed by pregnancy symptoms, proteinuria, and blood test results. Calcium channel blocker (CCB) for oral administration and hydralazine for injection were preferred as antihypertensive drugs mainly used to control severe hypertension. Regarding the delivery method for hypertensive disease during pregnancy, in cases of preeclampsia, 63% of the respondents chose the delivery method according to the cervical status, and in cases of hemolysis, elevated liver enzymes and low platelets (HELLP) syndrome and eclampsia, which increased in severity, 52% and 31% responded that the delivery method was determined according to the cervical status, respectively. In cases of mild preeclampsia, the 70% of respondents preferred 37-38 weeks of gestation for the delivery time. Regarding the use of aspirin in patient with hypertension during pregnancy, 52% of the respondents occasionally administered aspirin, and in patients with a history of hypertensive disease during pregnancy, only 43% were administered prophylactic aspirin.
Conclusion: Domestic obstetricians regarded blood pressure as the most meaningful factor when treating women with hypertension during pregnancy and considered blood pressure control as important. The preferred antihypertensive agents were oral CCB and hydralazine injections, and the choice of delivery method was determined according to the condition of the cervix and severity of the disease. Even in women with high risk factors for preeclampsia, prophylactic aspirin was administered in as low as 50%, of patients, possibly may due to the absence of domestic guidelines for aspirin use during pregnancy. Korean guidelines for prophylactic aspirin administration during pregnancy is needed based on additional research on the efficacy of aspirin for domestic women in the future.

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