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한국모자보건학회> 한국모자보건학회지> 난임 여성의 난임 관련 삶의 질 영향 요인

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난임 여성의 난임 관련 삶의 질 영향 요인

Factors Affecting the Infertility-Related Quality of Life among the Infertility Women

이영희 ( Young Hee Lee ) , 박정숙 ( Jung Suk Park )
  • : 한국모자보건학회
  • : 한국모자보건학회지 23권3호
  • : 연속간행물
  • : 2019년 07월
  • : 191-201(11pages)
한국모자보건학회지

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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.

UCI(KEPA)

I410-ECN-0102-2021-500-000226094

간행물정보

  • : 의약학분야  > 예방의학및보건학
  • : KCI등재
  • :
  • : 계간
  • : 1226-4652
  • : 2384-440X
  • : 학술지
  • : 연속간행물
  • : 1997-2022
  • : 572


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1임신이나 수유 중 엄마가 섭취한 음식과 자녀의 알레르기질환 발생이나 예방 효과

저자 : 김자경 ( Ja Kyoung Kim )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 3호 발행 연도 : 2022 페이지 : pp. 121-131 (11 pages)

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The increasing prevalence of allergic diseases in the past decades has been caused by environmental rather than genetic factors. Recent research has focused on the relationship between the mother's environmental exposure, especially during pregnancy, and allergic outcomes in the offspring. Intervention studies to prevent allergic diseases have also been conducted. Environmental factors, such as diet induce changes in the mother's intestinal flora, and the signals generated have a permanent effect on the fetal immune development through an epigenetic mechanism, which may be involved in disease development. This review outlines whether dietary patterns in mothers are related to allergic diseases, and it summarizes whether supplementation with micronutrients, such as omega-3 unsaturated fatty acids, vitamin D, and folic acid can prevent allergic diseases. Studies have found that a westernized diet is associated with an increase in the prevalence of allergic diseases; however, intervention studies conducted with micronutrients or probiotics do not provide clear results regarding its preventive effect. A mother's diet during pregnancy or lactation may affect the health of the child. Well-designed intervention studies are warranted to attempt to prevent allergic diseases. Consequently, good dietary patterns based on high-quality evidence are recommended for pregnant and lactating mothers.

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2통일의학적 관점에서 본 모자보건의 현재와 미래

저자 : 김지영 ( Ji Young Kim ) , 최은샘 ( Eun Saem Choi ) , 안기훈 ( Ki Hoon Ahn )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 3호 발행 연도 : 2022 페이지 : pp. 132-139 (8 pages)

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As North Korea's healthcare sector loses functionality under the collapsing socialist system, the gap in medical care between North and South Korea is widening. As a result, we expect that the social safety network will disintegrate in the medical field after unification, and in view of this, our study analyzes the infants and mothers who are likely to be most affected at this time to establish a direction for the promotion of unification in the future. Maternal health in North and South Korea was analyzed by the prevalence of anemia, maternal mortality ratio, prenatal and postpartum visits, and child health was analyzed by chronic malnutrition, vaccination penetration rate, and infant mortality rate to evaluate North Korea's poor nutritional conditions and medical system. The introduction of the legal system related to maternal and child health in North and South Korea includes prenatal and postpartum management and labor. Under this legal system, North Korea includes accessibility to hospitals and children's nutrition management issues, and South Korea includes subfertility treatment and postpartum care centers. As a countermeasure to the low birth rate problem emerging in both countries, the governments are providing work leave and economic support. In order to make effective use of the maternal health indicators from a unified scientific perspective, they should be calculated and codeveloped by both North and South Korea, and a multifaceted approach is needed through the setting of additional indicators such as the perinatal mortality rate.

KCI등재

3북한 어린이 건강과 모자보건 전문가들의 역할

저자 : 최성우 ( Seong-woo Choi )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 3호 발행 연도 : 2022 페이지 : pp. 140-145 (6 pages)

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According to the World Health Organization (WHO), the health indicators and nutritional status of North Korean children have improved steadily since 2010. However, malnutrition remains a serious condition, with 19.1% of children stunted. in addition, although the nutritional status of North Korean refugee children has gradually improved since they settled in South Korea, a rapid increase in obesity rates has put them under a double burden of malnutrition and obesity. For the health of North Korean children who are at risk because of the recent rapid increase in coronavirus disease 2019 cases in North Korea, maternal and child health experts should work together to request immediate humanitarian assistance from the international community and the South Korean government. Furthermore, it is necessary to develop a maternal and child health program in preparation for the resumption of inter-Korean exchanges and cooperation in the future.

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4난임·우울증상담센터 대상자 특성에 근거한 서비스 체계 고찰 및 개선방안 - 임산부 및 양육모 중심으로

저자 : 김장래 ( Jangrae Kim ) , 추경진 ( Kyungjin Chu ) , 전승주 ( Seung Joo Chon ) , 조서은 ( Seo-eun Cho ) , 이택후 ( Taek Hoo Lee ) , 이승재 ( Seung Jae Lee ) , 태철민 ( Chul Min Tae ) , 임준영 ( Jun Young Lim ) , 양정보 ( Jung Bo Yang ) , 최안나 ( Anna Choi )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 3호 발행 연도 : 2022 페이지 : pp. 146-163 (18 pages)

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Purpose: This study examined the current status of counseling services provided by the Korea Counseling Center for Fertility and Depression, analyzing the characteristics of peripartum women and baby-rearing mothers and establishing guidelines for providing psychological support, and suggesting measures for improving the system.
Methods: Data on 3,660 peripartum women & their spouses and baby-rearing mothers counseled through the service over the last 4 years were collected and a demographic analysis was conducted. By analyzing the clinical information of 216 peripartum women and 219 baby-rearing mothers who have registered with the Center and received routine counseling services, factors affecting depression were identified. Finally, a paired sample t-test was conducted to verify the effect of counseling services.
Results: An overall 20.4% of pregnant women & their spouses were screened for high risk for depression, of whom 27.3% received registered counseling services; further, 26.2% of baby-rearing parents were at high-risk group for depression, of whom 25% received registered counseling services. Results of a logistic regression analysis suggested that, for peripartum women, level of education and conflicts with partner and family were the crucial factors predicting moderate or severe depression. For baby-rearing mothers, obstetric history of spontaneous abortion was the crucial predicting factor.
Conclusion: For the early detection and prevention of peripartum depression, screening tests that start from early pregnancy should be routinely administered. Further, continuous management―covering the periods before and after childbirth―should be provided by establishing organic ties between domestic projects.

KCI등재

5임신 중 영양제 복용의 효과

저자 : 정진하 ( Jinha Chung )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 3호 발행 연도 : 2022 페이지 : pp. 164-170 (7 pages)

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Quality nutrition is vital for fetal growth and maternal health, because the nutritional status of the fetus is directly affected by the mother's nutritional intake. A lack of certain nutrients can lead to unfavorable consequences for both the fetus and mother. The intake of nutritional supplements is increasing worldwide. Korea has been experiencing population aging and low birth rate and has shown an increasing interest in nutritional supplements for pregnant women. This review discusses the 5 critical nutrients for pregnant women as determined by the Ministry of Food and Drug Safety in 2021, namely folic acid, iron, omega-3, vitamin D, and calcium. This review determined the upper safety limits of these nutritional supplements for pregnant women based on previous researches. Obstetricians and other physicians should be consulted regarding the nutritional supplements recommended for pregnant women.

KCI등재

6고위험 임산부의 조산위험 사정도구 개발 과정: 1단계 예비도구 개발

저자 : 김증임 ( Jeung-im Kim )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 3호 발행 연도 : 2022 페이지 : pp. 171-182 (12 pages)

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Purpose: To pool preliminary items based on nine domains as the first phase of developing a preterm birth risk assessment scale (PBRAS).
Methods: Item generation was performed using deductive methods, such as literature review and related scales, and inductive methods through in-depth interviews with 11 preterm birth (PTB) women, and experts validated the content. The experts were clinical nurses who worked in delivery rooms, and professors who taught on the subject of women's health nursing. Preliminary survey for 32-item was conducted among 27 women with PTB.
Results: After item generation and pooling for the PBRAS, a total of 84 items were developed. A 32- item questionnaire was integrated with rigorous review by experts. Internal consistency of the 32-item PBRAS had a Cronbach alpha of 0.90. The PBRAS was significantly correlated with pregnancy stress (r= 0.77, p<0.001), somatic awareness scale (r=0.72, p<0.001), and risk scoring for PTB (r=0.44, p<0.001).
Conclusion: The 32-item PBRAS has content validity, but exploratory and confirmatory factor analyses for the 2nd phase of scale development needs to be performed.

KCI등재

7초산모의 자녀 양육 관련 온라인 커뮤니티 참여와 아동 건강증진행위의 관계: 양육효능감의 매개효과

저자 : 우민영 ( Minyoung Woo ) , 채선미 ( Sun-mi Chae )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 3호 발행 연도 : 2022 페이지 : pp. 183-193 (11 pages)

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Purpose: To examine the mediating effects of parental efficacy on the relationship between participating in online parenting communities and health-promoting behaviors for children among first-time mothers with infants and toddlers.
Methods: The participants were 174 first-time mothers who used online parenting communities. Data were collected through self-report online questionnaires. Descriptive statistics, independent t-test, 1- way analysis of variance, Pearson correlation coefficient and multiple linear regression analysis were performed. The significance of the mediating effect was verified using the Sobel test and PROCESS macro.
Results: Significant predictors for health-promoting behaviors for children among first-time mothers were maternal age, maternity leave, monthly income, weekly use of online communities, daily use of online communities, satisfaction with online communities, and parental efficacy, which explained 51.0% of maternal health-promoting behaviors for children. Parental efficacy partially mediated the relationship between mothers' satisfaction with using online communities and their health-promoting behaviors for children.
Conclusion: Interventions to enhance satisfaction with online parenting communities and parental efficacy should be developed to promote the health of infants and toddlers. Therefore, it is necessary to consider the needs of mothers for child rearing and health care, and develop online parenting communities that can provide qualitative health information and enable safe online interactions between mothers.

KCI등재

8척수성 근위축증 아동 부모의 자녀 양육 경험

저자 : 김효진 ( Hyo Jin Kim ) , 채선미 ( Sun-mi Chae )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 3호 발행 연도 : 2022 페이지 : pp. 194-203 (10 pages)

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Purpose: This study aims to describe the experiences of parenting children with spinal muscular atrophy.
Methods: Participants consisted of 11 parents of children diagnosed with spinal muscular atrophy, more than 6 months prior to the study. Data were collected through one-on-one interviews and between 1 and 3 interviews were conducted per participant, between August and November 2021. Braun and Clarke's thematic analysis was used to analyze collected data.
Results: This study described that the experience of parenting children with spinal muscular atrophy was based on four major themes: “a difficult journey from diagnosis to acceptance,” “changed life while parenting children,” “comfort even in the difficult parenting,” and “preparing for child's future happiness.”
Conclusion: There is a need to provide comprehensive information about child rearing problems experienced by parents of children with spinal muscular atrophy. It is also necessary to develop supportive healthcare and social-welfare interventions to support the needs of children and families with spinal muscular atrophy.

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1수중 출산에서 산모와 신생아의 성과; 일개 자연출산병원의 3년간 자료를 바탕으로

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.

KCI등재

2흡연이 임신 여성의 태반 혈류 장애에 미치는 영향에 대한 연구

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.
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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.

KCI등재

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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.

KCI등재

4어린이 로타바이러스 예방접종률과 관련 요인

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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.

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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 )

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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.

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6난임 여성의 난임 관련 삶의 질 영향 요인

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.

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7우리나라 다태아 출생률 추이에 관한 연구: 1981-2017

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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