저자 : 강정화 ( Jeong Hwa Gang ) , 박호란 ( Ho Ran Park )
발행기관 : 한국모자보건학회
간행물 :
한국모자보건학회지
23권 3호
발행 연도 : 2019
페이지 : pp. 147-154 (8 pages)
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Purpose: This study aims to investigate the effects of waterbirth on the maternal delivery process and its safety on the newborn babies.
Methods: This study is a retrospective study, analyzing the medical records of pregnant women who gave birth at a natural birthing center in Seoul, Republic of Korea. The study compared and analyzed a total of 1,907 medical records of pregnant women, composed of 539 women who used a birthing pool and 1,160 women who did not use a birthing pool from 2015 to 2017. The collected data were analyzed by the chi-square test, Mann-Whitney U-test and Fisher exact test using SPSS ver. 22.0. The results are shown in the table below.
Results: The cesarean section rate was lower in the birthing pool use group, compared to the non-birthing pool use group (p=0.038), with the significantly lower cesarean section rate in birthing pool use group among primigravida women in particular (p=0.002). The birthing pool use group also used oxytocin less frequently than the non-birthing pool use group (p=0.001) And especially in primigravida women, the second stage of delivery in birthing pool use group was found to be shorter than that of the non-birthing pool use group (p=0.045). There were no significant differences in the neonatal Apgar score and the neonatal intensive care unit admission rate between the 2 groups.
Conclusion: This study has its meaning as the first report in Korea that analyzes the effects of waterbirth on the maternal delivery process and its safety on the newborn babies.
저자 : 박해용 ( Haeyong Pak ) , 윤지선 ( Ji Sun Yoon ) , 백혜원 ( Hae Won Baek ) , 정재은 ( Jae Eun Chung )
발행기관 : 한국모자보건학회
간행물 :
한국모자보건학회지
23권 3호
발행 연도 : 2019
페이지 : pp. 155-161 (7 pages)
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Purpose: This study aims to investigate the effects of smoking on the development of placenta-associated syndromes, including preeclampsia, abruptio placentae, and placenta previa, which share the common pathophysiology of vascular compromise of the placenta.
Methods: A total of 966,629 pregnancies identified from the Korean National Insurance Claims Database and the National Health Information Database were analyzed from 2010 to 2014. The adjusted odds ratio and attributable risk of smoking for the development of placenta-associated syndromes, such as preeclampsia, placenta previa, and abruptio placentae, were analyzed. Maternal age, alcohol consumption, exercise habit, and economic status were controlled as confounding variables. A binary logistic regression model was used, and simple and multiple logistic regression analyses were performed.
Results: Among 966,629 pregnancies, 11.86% of women were ever smokers. Ever smokers had a higher risk of developing placenta previa (adjusted odds ratio, 1.23; 95% confidence interval [CI], 1.18-1.29; adjusted attributable risk, 18.70%). The adjusted odds ratio of developing placenta-associated syndromes in ever smokers compared to nonsmokers over the age of 35 years with a low economic status was 1.32 (95% CI, 1.18-1.47), with an adjusted attributable risk of 23.95%.
Conclusion: The risk of developing placenta-associated syndromes, such as preeclampsia, placenta previa, and abruptio placentae, is high in ever smokers. Pregnant ever smokers who are >35 years and belong to the lower one-third of the economic division require special care to prevent the development of placenta-associated syndromes.
저자 : 이채연 ( Chae Yeon Lee ) , 조헌하 ( Hun Ha Cho )
발행기관 : 한국모자보건학회
간행물 :
한국모자보건학회지
23권 3호
발행 연도 : 2019
페이지 : pp. 162-174 (13 pages)
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Purpose: This study aimed to provide preliminary data for a nursing intervention plan for puerperal women to reduce postpartum depression by investigating factors that affect depressive disorder during the puerperal period.
Methods: A total of 153 pregnant women were recruited from a university hospital in Gimhae city in Korea. Data were collected using self-report questionnaires.
Results: Mothers' quality of sleep, breast-feeding confidence, discomfort with breastfeeding, depressive feeling during pregnancy, and baby's feeding capability and growth were significant predictors of postpartum depression. These variables explained 36.1% of the variance in postpartum depression in puerperal women.
Conclusion: The aforementioned results indicate that puerperal women are less likely to experience postpartum depression when their quality of sleep is higher, breast-feeding confidence is higher, discomfort with breast-feeding is lower, when they did not feel depressed during pregnancy, and when baby's feeding capability and growth is better. Therefore, to decrease puerperal women's depression, a nursing intervention program and a research study to verify the effects of the program are necessary to increase mother's sleep quality and breast-feeding adaptation and prevent depression during pregnancy.
저자 : 이석구 ( Sok Goo Lee ) , 전소연 ( So Youn Jeon ) , 박광숙 ( Kwang Suk Park )
발행기관 : 한국모자보건학회
간행물 :
한국모자보건학회지
23권 3호
발행 연도 : 2019
페이지 : pp. 175-184 (10 pages)
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Purpose: The vaccination level of rotavirus vaccine not supported by the government is not known. As vaccines not included in the national immunization schedule are not registered in the computerized national immunization registry system, their vaccination rate cannot be calculated according to the same method used in government-supported vaccines. Therefore, this study aimed to measure the status of the vaccination rate of rotavirus not included in the national immunization schedule.
Methods: The target population is the 0-year-old cohort. The survey population was composed of registered children born in 2017 enrolled in the Immunization Registry Information System. The survey was conducted through a computerized telephone survey method. The survey variables were as follows: vaccination order and date, provider, and data source. Factors related to complete vaccination were the child's sex, residence, birth order, and parents' age, educational level, and job status.
Results: Children's vaccination rates for the rotavirus vaccine by 2017 were 88.0%, 86.9%, and 96.6% for the first, second, and third doses, respectively. The rate of complete vaccination was 85.6%. The factors related to rotavirus complete vaccination were the child's sex and birth order, area of residence, parents' age and job status, and father's education level.
Conclusion: In the future, it is necessary to conduct regular investigations on the rate of rotavirus vaccination as a tool for the development of the rotavirus infectious diseases control policy or as an evaluation tool for vaccine programs.
저자 : 전혜지 ( Hyeji Jeon ) , 주성홍 ( Sung Hong Joo ) , 최안나 ( Anna Choi ) , 한정열 ( Jung Yeol Han ) , 정의식 ( Eui Shik Jeong ) , 신혜정 ( Hye-jung Shin ) , 김재윤 ( Jae Youn Kim )
발행기관 : 한국모자보건학회
간행물 :
한국모자보건학회지
23권 3호
발행 연도 : 2019
페이지 : pp. 185-190 (6 pages)
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Purpose: The purpose of this study is to clarify the relevance of breastfeeding and its preventive effect on maternal hypertension as well as to evaluate the theoretical mechanism behind of it through systematic evaluation of existing articles.
Methods: For systematic evaluation of literatures in recent 5 years, 5 most suitable articles were selected with the key words, (breastfeeding or breastfeed or lactation) AND (hypertension or high blood pressure or hypertensive disorders) from PubMed, EMBASE, and Cochran Library, and carefully reviewed by 2 researchers.
Results: Breastfeeding women have less frequently developed hypertension in their later life. Depending on the duration of breastfeeding, compared to nonbreastfeeding women, breastfeeding women's odds ratio for developing hypertension are 0.87 (95% confidence interval [CI], 0.76-0.99), 0.83 (95% CI, 0.68-1.00), and 0.79 (95% CI, 0.65-0.97) each for 0-6 months, 6-12 months, and greater than 12 months of breastfeeding. As the number of breastfeeding children increases, the incidence of maternal hypertension decreases. In addition, both partial and exclusive breastfeeding lower the risk of developing maternal hypertension. Though the mechanism of prophylactic effect of breastfeeding on hypertension is not conclusive, reset hypothesis, oxytocin release, the increase of ghrelin and protein peptide YY, as well as epigenetic programming are considered to be relevant to the etiology of the condition.
Conclusion: Breastfeeding prevents maternal hypertension later in life. Studies show dose-response relationship of breastfeeding as the duration matters. In addition, both partial and exclusive breastfeeding have preventive effect on maternal hypertension. Numerous mechanisms are continuously being reported and further studies are needed for clarification.
저자 : 이영희 ( Young Hee Lee ) , 박정숙 ( Jung Suk Park )
발행기관 : 한국모자보건학회
간행물 :
한국모자보건학회지
23권 3호
발행 연도 : 2019
페이지 : pp. 191-201 (11 pages)
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Objectives: The purpose of this study is to determine the infertility stress, resilience, intimacy and infertility-related quality of life of infertility women in an infertility clinic, and to reveal associated factors of infertility-related quality of life.
Methods: As a descriptive study, data was collected from 92 infertility women in an infertility clinic. Data was analyzed using t-test, analysis of variance, Pearson correlation coefficients and stepwise multiple regression.
Results: Infertility stress, resilience, intimacy and infertility-related quality of life averaged 3.1±0.5, 3.7±0.3, 3.3±0.3, 3.2±0.5 respectively. The infertility-related quality of life varied with a statistical significance by marital period, the presence of a burdensome person and burdensome person. Infertility-related quality of life had a negative correlation with infertility stress (r=-0.69, p<0.001), and a positive correlation with resilience (r=0.23, p=0.28) and intimacy (r=0.22, p=0.030). Meaningful variables that influenced infertility-related quality of life were 'need for parenthood,' 'social concern in infertility stress' and 'positive factor in resilience,' and infertility-related quality of life was explained 56.6% by the variables.
Conclusion: It is suggested to highlight the importance of the infertility-related quality of life and to develop and execute the nursing intervention program for enhancing resilience and decreasing infertility stress of infertility women in infertility clinics.
저자 : 박상화 ( Sang Hwa Park ) , 임달오 ( Dar Oh Lim )
발행기관 : 한국모자보건학회
간행물 :
한국모자보건학회지
23권 3호
발행 연도 : 2019
페이지 : pp. 202-208 (7 pages)
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Purpose: To determine the secular trend of the multiple birth rate in Korea from 1981 to 2017.
Methods: This study used birth certificate data covering the years 1981-2017 (20,948,901 births), provided by Statistics Korea. The impact of assisted reproductive technologies (ART) on multiple birth was analyzed by examining data prior to and after the introduction of ART and the national support program for infertile couples in South Korea. The odds ratio (OR) and 95% confidence intervals were calculated to describe the secular trend in the multiple birth rate per 100 births.
Results: During this period, the multiple birth rate per 100 births increased by 277 percent from 1.031 to 3.891, the twin birth rate increased from 1.013 to 3.807 (275%), and the triplet birth rate increased from 0.018 to 0.084 (363%). The secular trend of the multiple birth rate remained in the 1.000 level during 1981-1991, but has been rising steadily since 1992. The average increment of the multiple birth rate was 3.9% annually from 1981 through 2017 (peaking at more than 10 percent during 2006-2007). Prior to the introduction of ART in Korea (1981-1984), the multiple birth rate was 1.007, but after its introduction, the multiple birth rate was 1.005 in 1985-1989 (OR, 0.998; 95% confidence interval, 0.982-1.014), 1.084 in 1990-1994 (1.007; 1.060-1.094), 1.891 in 2000-2004 (1.894; 1.866-1.922), 3.127 in 2010-2014 (3.173; 3.129-3.217), and 3.811 in 2015-2017 (3.893; 3.835-3.952).
Conclusion: Over the past three decades, multiple births have risen dramatically in Korea, primarily due to the increasingly widespread use of fertility therapies, and the delayed age of childbearing. There is a need for more research to understand the factors contributing to multiple births, and the national birth registration systems ought to be reformed to monitor whether multiple births originated spontaneously or from assisted-conception.
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