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JOURNAL OF THE KOREAN SOCIETY OF MATERNAL AND CHILD HEALTH

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수록정보
수록범위 : 1권1호(1997)~25권4호(2021) |수록논문 수 : 551
한국모자보건학회지
25권4호(2021년 10월) 수록논문
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KCI등재

1임신과 Coronavirus Disease 2019 백신

저자 : 이성현 ( Seong Hyeon Lee ) , 안기훈 ( Ki Hoon Ahn )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 25권 4호 발행 연도 : 2021 페이지 : pp. 231-238 (8 pages)

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Several vaccines have been developed to combat the coronavirus disease 2019 (COVID-19), including messenger Ribonucleic acid (mRNA, Pfizer-BioNtech, and Moderna) and viral vector (AstraZeneca and Janssen) types. Unfortunately, reports of COVID-19 exposure during pregnancy are scarce, as pregnancy and breastfeeding were among the exclusion criteria in the efficacy and safety studies of major COVID-19 vaccines. The U.S. Centers for Disease Control and Prevention recently included pregnancy as a risk factor for severe COVID-19 infection, although the absolute risk is low. Previous experience in pregnant women with mRNA vaccines is lacking despite such vaccines not using live viruses, being unable to cause disease, not interacting with an individual's DNA, and being unable to cause genetic mutations. In addition, previous studies in animals have not revealed any safety issues with such vaccine types for female reproduction or fetal development. Vaccine-induced antibody titers were equivalent in pregnant and lactating women versus non-pregnant women. Given the data on increased mortality and morbidity associated with COVID-19 during pregnancy, it may be unethical to withhold vaccinations based on a theoretical risk and a lack of clinical research in this population. Additionally, a careful review of the vaccination recommendations for pregnant women by the academic community and government through additional efficacy and safety studies tailored to the situation in Korea is needed.

KCI등재

2임신·출산 위기 상황에 대응하기 위한 낙태상담시스템 구축 방안

저자 : 김희선 ( Hee-sun Kim ) , 최안나 ( Anna Choi )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 25권 4호 발행 연도 : 2021 페이지 : pp. 239-249 (11 pages)

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As the perception on abortion changes into a social problem, it is high time to also change the notion of criminalizing abortion. This necessitates the creation of societal structures that will respond to it. This study aimed to review the abortion counseling system that responds to the pregnancy and childbirth crisis. We conducted a review of the literatures and documentations made available through search engines, including cases overseas. In addition, we analyzed the currently operating pregnancy and childbirth-related service systems and reviewed the issues being discussed in Korea regarding artificial abortion. Based on these analyses, we suggest steps that can be taken for the revision of the law as Constitutional Discordance determining on abortion clause of criminal law. In addition, we propose a plan to establish an appropriate abortion counseling system that will respond to the domestic pregnancy and childbirth crisis.

KCI등재

3분만 의료전달체계의 한계와 발전방안

저자 : 황종윤 ( Jong Yun Hwang )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 25권 4호 발행 연도 : 2021 페이지 : pp. 250-259 (10 pages)

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The Korean healthcare delivery system has been operating for over 30 years since 1989. Despite a positive performance providing quality medical services to the people by distributing medical resources there are limitations to the maternity healthcare delivery system. If the maternity healthcare delivery system was operating successfully, there should have been sufficient delivery hospitals so that pregnant women can access the appropriate maternity medical services whenever needed. Unfortunately, according to the National Health Insurance Service, the number of maternity health facilities in Korea reduced from 1,371 in 2003 to 541 in 2019. Regrettably, a larger number of obstetric hospitals and clinics have closed in medically vulnerable areas, such as farming and fishing areas, than urban areas with sufficient medical infrastructure, creating obstetrically underserved areas. In 2020, 65 out of a total of 250 cities, counties, and districts had no obstetric hospitals or clinics. To improve the collapsing maternity healthcare delivery system, a different approach is required; one in which policy support to stop the closure of delivery hospitals is emphasized. New maternity-related medical insurance payments, such as delivery labor management fees, fetal heart monitoring reading fees, and newborn care in delivery rooms fees, and active support policies are needed to prevent the closure of delivery hospitals. In this era of low fertility, because the maternity healthcare system is essential to maintain the nation, a healthcare delivery system different from the existing one must be established.

KCI등재

4소아 진정 요법에 대한 간호사의 지식과 수행

저자 : 김나연 ( Na Yeon Kim ) , 주현옥 ( Hyeon Ok Ju ) , 박소연 ( So Yeon Park )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 25권 4호 발행 연도 : 2021 페이지 : pp. 260-268 (9 pages)

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Purpose: This study aimed to examine the pediatric sedation knowledge and performance of nurses in tertiary hospitals.
Methods: Altogether 120 nurses working in the Pediatric Departments of 4 tertiary hospitals in Busan and Kyungnam participated in this descriptive survey. The questionnaire was developed based on domestic and international guidelines and consisted of 40 questions including 18 questions on knowledge and 22 on the performance level of sedation nursing.
Results: The mean score regarding the knowledge of pediatric sedation care was 3.14 points and the mean performance level score was 3.44 points. Questions that received low scores in terms of pediatric sedation care knowledge included items regarding the latest policies, level of sedation, and fasting before sedation. Questions that received low scores in the performance level included items regarding psychological preparation before sedation, sedation education considering developmental level and disease, and items related to blood pressure measurement. Pediatric sedation knowledge scores were higher in the groups with higher age, longer clinical experience, higher educational experience, and awareness of sedation guidelines. Performance scores were significantly higher in the groups having educational experience in pediatric sedation and in those exhibiting awareness of sedation guidelines.
Conclusion: Sedation education was significantly associated with both knowledge and performance of sedation nursing, conducting educational programs on pediatric sedation nursing.

KCI등재

5불쾌증상완화 프로그램이 입원한 고위험 임부의 조기진통스트레스, 불안, 신체적 및 상황적 불편감에 미치는 효과: 비동등성 대조군 전후 시차 설계

저자 : 김귀남 ( Guy Nam Kim ) , 전은영 ( Eun-young Jun )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 25권 4호 발행 연도 : 2021 페이지 : pp. 269-281 (13 pages)

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Purpose: This study aimed to develop and evaluate the effects of the Unpleasant Symptom-Relief Program to mitigate preterm labor stress, anxiety, physical discomfort, and situational discomfort in hospitalized high-risk pregnant women.
Methods: This study used a nonequivalent control group nonsynchronized design and analyzed 23 participants from the experimental group and 23 from the control group. The participants from both the groups were matched and diagnosed with preterm labor, incompetent internal os of the cervix, preterm premature rupture of membrane, placenta previa, or gestational diabetes mellitus. The effects of the Unpleasant Symptom-Relief Program were measured using tools such as preterm labor stress, anxiety, physical discomfort, and situational discomfort. The data were analyzed with IBM SPSS Statistics ver. 21.0 using descriptive statistics, t-test, chi-square test, paired t-test, and repeated measures analysis of variance.
Results: The Unpleasant Symptom-Relief Program was effective in reducing preterm labor stress (F= 8.24, p=0.001), anxiety (F=17.80, p≤0.001), and situational discomfort (F=5.95, p=0.004). However, it was not effective in reducing the physical discomfort (F=1.20, p=0.311). Post hoc analysis between time points revealed effective reduction in the preterm labor stress and anxiety in both the groups immediately after the end of the program and at 7 days after the program. Situational discomfort was reduced at 7 days after the end of the program in both the groups.
Conclusion: The Unpleasant Symptom-Relief Program can be applied in practice by nurses. It can con-tribute to alleviating the symptoms and discomfort of high-risk pregnant women.

KCI등재

62019년 국민건강영양조사 자료에 기반한 가임기 여성의 건강관련 삶의 질에 미치는 영향 요인

저자 : 이정임 ( Jeongim Lee )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 25권 4호 발행 연도 : 2021 페이지 : pp. 282-291 (10 pages)

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Purpose: This study was conducted to identify the influencing factors on health-related quality of life in childbearing women.
Methods: This study used data from the 2019 Korea National Health and Nutrition Examination Survey. The participants were 1,348 women aged 1949 years.
Results: Health-related quality of life in childbearing women affecting factors are stress level, depression recognition, self-related health, and current smoking, having 40.1% explaining power (F=59.94, p=0.05).
Conclusion: Personal mental health care programs and nonsmoking programs should be developed to improve health-related quality of life in childbearing women. There is a need to establish a section dedicated to women's health promotion, and the section makes a policy for women's health care according to the life cycle dedicated to women's health promotion.

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