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한국모자보건학회> 한국모자보건학회지> 코로나바이러스감염증-19의 팬데믹 시기 영유아 어머니의 양육 행동 변화 영향 요인

KCI등재

코로나바이러스감염증-19의 팬데믹 시기 영유아 어머니의 양육 행동 변화 영향 요인

Factors Influencing Changes in Parenting Behavior during Coronavirus Disease 2019 Pandemic

김미라 ( Mi-ra Kim ) , 채선미 ( Sun-mi Chae )
  • : 한국모자보건학회
  • : 한국모자보건학회지 26권2호
  • : 연속간행물
  • : 2022년 04월
  • : 80-90(11pages)
한국모자보건학회지

DOI


목차

서 론
대상 및 방법
결 과
고 찰
결 론
이해관계(CONFLICT OF INTEREST)
감사의 글 및 알림(ACKNOWLEDGMENTS)
REFERENCES

키워드 보기


초록 보기

Purpose: This study aimed to examine the effects of maternal coronavirus disease 2019 (COVID-19) impact, parental stress, parenting behavior, and spousal support on changes in parenting behavior during the COVID-19 pandemic.
Methods: A total of 162 mothers who raised infants and toddlers under 24 months of age participated in this descriptive study via a web survey. The researchers collected data, which included demographic variables about mothers and babies, COVID-19 impact, parenting stress, spousal support, parenting behavior, and changes in parenting behavior after the pandemic. Data were analyzed using IBM SPSS Statistics ver. 24.0 using descriptive statistics, paired t-tests, analysis of variance, Pearson correlation, and multiple regression tests.
Results: With the spread of COVID-19, mothers with infants and toddlers appeared to be affected in the order of psychological burden, resources, and financial burden, and their parenting stress increased compared to that before the pandemic. The change in mothers’ parenting behaviors during the COVID-19 pandemic increased significantly as the mothers were significantly influenced by COVID-19. In addition, it was confirmed that the change in parenting behavior significantly decreased as mothers’ parenting stress increased.
Conclusion: Change in infants’ and toddlers’ mothers’ parenting behavior was associated with both COVID- 19 impact and parenting stress in South Korea during the pandemic.

UCI(KEPA)

간행물정보

  • : 의약학분야  > 예방의학및보건학
  • : KCI등재
  • :
  • : 계간
  • : 1226-4652
  • : 2384-440X
  • : 학술지
  • : 연속간행물
  • : 1997-2022
  • : 564


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26권2호(2022년 04월) 수록논문
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KCI등재

1가임기 여성의 자궁근종의 보존적 치료와 임신 예후

저자 : 엄지수 ( Gi Soo Um ) , 고현선 ( Hyun Sun Ko )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 2호 발행 연도 : 2022 페이지 : pp. 45-51 (7 pages)

다운로드

(기관인증 필요)

초록보기

Uterine myomas are the most common benign tumors in reproductive aged women. There have been concerns about fertility and obstetric complications in pregnant women with myomas. Currently, maternal age for pregnancy is increasing, and uterine-preserving therapeutic procedures of uterine fibroids such as myomectomy, high-intensity focused ultrasound (HIFU), or uterine artery embolization (UAE) have increased. However, it is unclear whether those treatments can improve fertility and pregnancy outcomes. Recent data suggest that pregnancies after uterus-preserving procedures are associated with obstetric complications such as cesarean section, placenta previa, preterm labor, premature birth, and low birth weight. The biggest obstetric concern in pregnancies after uterine-preserving procedures is uterine rupture during pregnancy, which can threaten the survival of fetuses. Moreover, uterine rupture after myomectomy is more likely to occur before labor onset. Most international guidelines suggest that myomectomy be considered for a woman with uterine myomas who has undergone several unsuccessful in vitro fertilization cycles despite appropriate ovarian response and good-quality embryos or for a woman with symptomatic myomas. In addition, HIFU or UAE treatments are relative contraindications in women with a future pregnancy plan, because there are limited data about associated pregnancy outcomes, and UAE can affect fertility after the procedure. The risks of uterine rupture and of obstetric complications in pregnancies after myomectomy should be discussed in affected women with a future pregnancy plan.

KCI등재

2산후우울증 관리 체계에 대한 고찰

저자 : 김희선 ( Hee-sun Kim ) , 박현수 ( Hyun Soo Park ) , 최안나 ( Anna Choi )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 2호 발행 연도 : 2022 페이지 : pp. 52-60 (9 pages)

다운로드

(기관인증 필요)

초록보기

Pregnancy is a period of various hormonal changes; furthermore, since pregnancy and childbirth itself are major stressors, pregnant women are inevitably vulnerable to psychiatric disorders. The emotional changes during postpartum blues, the anxiety experienced by about half of all mothers in the first week after childbirth, are usually temporary; they peak 4-5 days after delivery and then normalize after 10 days. Postpartum depression, however, is a disease that occurs frequently in mothers, and its incidence has been increasing due to sociocultural changes. In Korea, interest in postpartum depression is growing due to the government's efforts to promote maternal health. The national policy provides support to overcome the low fertility rate and to change social perceptions, but there is still insufficient medical intervention for mothers at high risk of postpartum depression. Considering the negative effects of mental health disorders on mothers and childrearing, we propose plans for more active, early intervention and the prevention of prenatal and postpartum depression.

KCI등재

3부모의 영아 안전사고 경험과 안전 요구도 내용 분석

저자 : 한수연 ( Soo-yeon Han ) , 채선미 ( Sun-mi Chae )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 2호 발행 연도 : 2022 페이지 : pp. 61-71 (11 pages)

다운로드

(기관인증 필요)

초록보기

Purpose: This study investigated the experiences of parents with infant safety accidents. In addition, this study analyzed the safety education required by the parents.
Methods: A total of 21 parents with 6- to 12-month-old infants participated in the study. Data were gathered by one-on-one interviews with the parents using a semi-structured interview guide that included experiences with safety accidents and safety education. Content analysis was used.
Results: Most safety accidents involving infants occurred at home, and the most common type of accident was falls. Because infant safety accidents occurred suddenly, it was difficult for parents to predict them. Parents reported a lack of first aid information or the ability to deal with safety accidents. They felt guilty for the safety accidents. The safety education contents they requested were first aid practice and home environment management. Home visits, group education, and mobil e applications were the preferred methods for providing the safety education.
Conclusion: To reduce the difficulties that parents face in safety accidents, infant safety education for parents is needed that provides a parental education program about first aid practices and home environment management. Additionally, to meet the needs of the parents, various modes of delivery for the safety education course should be developed.

KCI등재

4신생아 집중치료실에서의 비계획적 기도발관 발생 현황과 인공기도 재삽관 관련 요인

저자 : 임희문 ( Hee Moon Lim ) , 이혜정 ( Hyejung Lee ) , 박미정 ( Mi Jung Park ) , 신정은 ( Jeong Eun Shin )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 2호 발행 연도 : 2022 페이지 : pp. 72-79 (8 pages)

다운로드

(기관인증 필요)

초록보기

Purpose: This descriptive study aimed to identify the incidence and related factors of reintubation after unplanned extubation in the neonatal intensive care unit.
Methods: A secondary data analysis was conducted using electronic medical records. All events of unplanned extubation were audited from January 2020 to August 2021. The data were analyzed by chi-square test using IBM SPSS Statistics ver. 24.0 program.
Results: Fifty-eight unplanned extubation events were identified for 20 months. The incidence was 2.6 per 100 ventilation days during the study period. After unplanned extubation, 35 neonates (60.3%) were immediately reintubated. There was a statistically significant difference between the gestational age (p=0.018) and postconceptional age at unplanned extubation (p=0.044) and the total intubation period (p=0.003) between the reintubation and nonreintubation groups.
Conclusion: These findings indicate that the incidence of unplanned extubation was significantly higher than that of an adult in South Korea. According to this study, targeting interventions are required to prevent unplanned extubation and ensure patient safety.

KCI등재

5코로나바이러스감염증-19의 팬데믹 시기 영유아 어머니의 양육 행동 변화 영향 요인

저자 : 김미라 ( Mi-ra Kim ) , 채선미 ( Sun-mi Chae )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 2호 발행 연도 : 2022 페이지 : pp. 80-90 (11 pages)

다운로드

(기관인증 필요)

초록보기

Purpose: This study aimed to examine the effects of maternal coronavirus disease 2019 (COVID-19) impact, parental stress, parenting behavior, and spousal support on changes in parenting behavior during the COVID-19 pandemic.
Methods: A total of 162 mothers who raised infants and toddlers under 24 months of age participated in this descriptive study via a web survey. The researchers collected data, which included demographic variables about mothers and babies, COVID-19 impact, parenting stress, spousal support, parenting behavior, and changes in parenting behavior after the pandemic. Data were analyzed using IBM SPSS Statistics ver. 24.0 using descriptive statistics, paired t-tests, analysis of variance, Pearson correlation, and multiple regression tests.
Results: With the spread of COVID-19, mothers with infants and toddlers appeared to be affected in the order of psychological burden, resources, and financial burden, and their parenting stress increased compared to that before the pandemic. The change in mothers' parenting behaviors during the COVID-19 pandemic increased significantly as the mothers were significantly influenced by COVID-19. In addition, it was confirmed that the change in parenting behavior significantly decreased as mothers' parenting stress increased.
Conclusion: Change in infants' and toddlers' mothers' parenting behavior was associated with both COVID- 19 impact and parenting stress in South Korea during the pandemic.

KCI등재

6북한의 여성과 아동의 질환에 대한 연구 현황 분석: 학술지를 통한 문헌 분석 연구

저자 : 박예주 ( Ye Ju Park ) , 김재우 ( Jae Woo Kim ) , 안기훈 ( Ki Hoon Ahn )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 2호 발행 연도 : 2022 페이지 : pp. 91-103 (13 pages)

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Purpose: Since the division of the Korean Peninsula into South and North Korea in 1948, the gaps in the medical system and the socioeconomic status between these 2 countries has expanded. The purpose of this study was to analyze the distribution of different areas of research, as well as the types of research that was conducted in the North Korean medical journal, 'Pediatrics, Obstetrics and Gynecology.' This study aimed to specifically investigate the medical research status of healthcare in women and children.
Methods: This study analyzed a total of 949 papers that were published in the North Korean medical journal, 'Pediatrics, Obstetrics and Gynecology.' Papers from January 2015 to December 2019 were included. For the analysis, the 8th Korean Standard Classification of Diseases, disease name, subspecialty classification, and research classifications were extracted from the papers.
Result: Of the 949 papers included in the analysis, 495, 366, and 88 studies were conducted in the major fields of obstetrics and gynecology, pediatrics, and on breast surgery, respectively. Within the field of obstetrics and gynecology, the most studied subspecialties were maternal and fetal medicine, general gynecology, and gynecologic oncology. To a lesser extent, the following subspecialties were reported: gynecologic endocrinology (6.7%), infertility (6.3%), and urogynecology (approximately 1%).
Conclusion: Although North Korean papers differ from those published worldwide (due to government intervention), they are still a useful source of information as they are easier to access than alternative data sources. The results from this study have implications for understanding the distribution of research on different areas of healthcare, as well as the burden of healthcare in North Korea.

KCI등재

7한국의 임산부에서 실험실에서 확인된 SARS-CoV-2 감염에 따른 임상 양상 및 산모와 신생아의 결과

저자 : 이여진 ( Yeojin Lee ) , 윤지선 ( Ji Sun Yoon ) , 김영근 ( Young Keun Kim ) , 김의혁 ( Eui Hyeok Kim )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 2호 발행 연도 : 2022 페이지 : pp. 104-111 (8 pages)

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Purpose: To determine the clinical manifestations and maternal and perinatal outcomes in pregnant women with coronavirus disease 2019 (COVID-19).
Methods: We conducted a retrospective observational study of pregnant women with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection who were admitted to National Health Insurance Service (NHIS) Ilsan Hospital between August 2020 and October 2021. The maternal and perinatal outcomes were investigated.
Results: Among 184 pregnant women infected with SARS-CoV-2, 79 women delivered. Of the women who delivered, with 36 women giving birth during the quarantine period. At delivery, 45 women were positive for SARS-CoV-2 by polymerase chain reaction (PCR), whereas 34 women were negative. The most common clinical manifestations were cough (65.2%), fever (38.0%), and myalgia (33.2%). Regarding perinatal outcomes, none of the babies had an Apgar score < 7 at 5 minutes, and none were intubated following the delivery. The preterm birth rate and small-for-gestational-age (SGA) rate were 15.2% and 16.5%, respectively. All babies who was delivered at NHIS Ilsan Hospital were negative for SARS-CoV-2 infection by PCR, which was evaluated using amniotic fluid, cord blood, neonatal nasopharyngeal and oropharyngeal swabs in the 1st and 2nd days following delivery, although 45 women were positive for SARS-CoV-2 infection by PCR at the time of delivery.
Conclusion: Most pregnant women with COVID-19 in South Korea were unlikely to manifest symptoms or present with a severe disease progression. The observed preterm birth rate and SGA rate were higher in women with COVID-19 than in those without COVID-19. However, there was no evidence of vertical transmission, and all babies were negative for SARS-CoV-2 infection during pregnancy.

KCI등재

8한국의 관내 분만율 현황

저자 : 이세진 ( Se Jin Lee ) , 김연진 ( Yeon Jin Kim ) , 신한수 ( Hansu Shin ) , 이태호 ( Taeho Lee ) , 이보람 ( Boram Lee ) , 홍희주 ( Hee Joo Hong ) , 황종윤 ( Jong Yun Hwang )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 2호 발행 연도 : 2022 페이지 : pp. 112-119 (8 pages)

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Purpose: This study aimed to analyze the rate of delivery within the jurisdiction of local governments in Korea.
Methods: Information regarding the population, number of women of childbearing age, and number of births was extracted from the Korean Statistics Information Service, National Health Insurance Service, and health map of the National Medical Center. We defined the rate of delivery within the jurisdiction of the local government as the ratio of the number of deliveries delivered by maternity facilities in the region to the total number of deliveries of pregnant women living in the region.
Results: The average nationwide delivery rate in the jurisdiction of local governments was 48.0%. The Si area was the highest at 54.9%, and the Gun area was the lowest at 22.1%. Compared to 2014, the national average delivery rate in the jurisdiction decreased by 4.3%; however, the gun area increased by 4.9%. The geographic maternity service area was 122 in 2014; however, this number decreased to 104 in 2020.
Conclusion: The national average rate of delivery in the jurisdiction of local governments was 48.0%, and the rate decreased between 2014 and 2020.

1
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KCI등재

1가임기 여성의 자궁근종의 보존적 치료와 임신 예후

저자 : 엄지수 ( Gi Soo Um ) , 고현선 ( Hyun Sun Ko )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 2호 발행 연도 : 2022 페이지 : pp. 45-51 (7 pages)

다운로드

(기관인증 필요)

초록보기

Uterine myomas are the most common benign tumors in reproductive aged women. There have been concerns about fertility and obstetric complications in pregnant women with myomas. Currently, maternal age for pregnancy is increasing, and uterine-preserving therapeutic procedures of uterine fibroids such as myomectomy, high-intensity focused ultrasound (HIFU), or uterine artery embolization (UAE) have increased. However, it is unclear whether those treatments can improve fertility and pregnancy outcomes. Recent data suggest that pregnancies after uterus-preserving procedures are associated with obstetric complications such as cesarean section, placenta previa, preterm labor, premature birth, and low birth weight. The biggest obstetric concern in pregnancies after uterine-preserving procedures is uterine rupture during pregnancy, which can threaten the survival of fetuses. Moreover, uterine rupture after myomectomy is more likely to occur before labor onset. Most international guidelines suggest that myomectomy be considered for a woman with uterine myomas who has undergone several unsuccessful in vitro fertilization cycles despite appropriate ovarian response and good-quality embryos or for a woman with symptomatic myomas. In addition, HIFU or UAE treatments are relative contraindications in women with a future pregnancy plan, because there are limited data about associated pregnancy outcomes, and UAE can affect fertility after the procedure. The risks of uterine rupture and of obstetric complications in pregnancies after myomectomy should be discussed in affected women with a future pregnancy plan.

KCI등재

2산후우울증 관리 체계에 대한 고찰

저자 : 김희선 ( Hee-sun Kim ) , 박현수 ( Hyun Soo Park ) , 최안나 ( Anna Choi )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 2호 발행 연도 : 2022 페이지 : pp. 52-60 (9 pages)

다운로드

(기관인증 필요)

초록보기

Pregnancy is a period of various hormonal changes; furthermore, since pregnancy and childbirth itself are major stressors, pregnant women are inevitably vulnerable to psychiatric disorders. The emotional changes during postpartum blues, the anxiety experienced by about half of all mothers in the first week after childbirth, are usually temporary; they peak 4-5 days after delivery and then normalize after 10 days. Postpartum depression, however, is a disease that occurs frequently in mothers, and its incidence has been increasing due to sociocultural changes. In Korea, interest in postpartum depression is growing due to the government's efforts to promote maternal health. The national policy provides support to overcome the low fertility rate and to change social perceptions, but there is still insufficient medical intervention for mothers at high risk of postpartum depression. Considering the negative effects of mental health disorders on mothers and childrearing, we propose plans for more active, early intervention and the prevention of prenatal and postpartum depression.

KCI등재

3부모의 영아 안전사고 경험과 안전 요구도 내용 분석

저자 : 한수연 ( Soo-yeon Han ) , 채선미 ( Sun-mi Chae )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 2호 발행 연도 : 2022 페이지 : pp. 61-71 (11 pages)

다운로드

(기관인증 필요)

초록보기

Purpose: This study investigated the experiences of parents with infant safety accidents. In addition, this study analyzed the safety education required by the parents.
Methods: A total of 21 parents with 6- to 12-month-old infants participated in the study. Data were gathered by one-on-one interviews with the parents using a semi-structured interview guide that included experiences with safety accidents and safety education. Content analysis was used.
Results: Most safety accidents involving infants occurred at home, and the most common type of accident was falls. Because infant safety accidents occurred suddenly, it was difficult for parents to predict them. Parents reported a lack of first aid information or the ability to deal with safety accidents. They felt guilty for the safety accidents. The safety education contents they requested were first aid practice and home environment management. Home visits, group education, and mobil e applications were the preferred methods for providing the safety education.
Conclusion: To reduce the difficulties that parents face in safety accidents, infant safety education for parents is needed that provides a parental education program about first aid practices and home environment management. Additionally, to meet the needs of the parents, various modes of delivery for the safety education course should be developed.

KCI등재

4신생아 집중치료실에서의 비계획적 기도발관 발생 현황과 인공기도 재삽관 관련 요인

저자 : 임희문 ( Hee Moon Lim ) , 이혜정 ( Hyejung Lee ) , 박미정 ( Mi Jung Park ) , 신정은 ( Jeong Eun Shin )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 2호 발행 연도 : 2022 페이지 : pp. 72-79 (8 pages)

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(기관인증 필요)

초록보기

Purpose: This descriptive study aimed to identify the incidence and related factors of reintubation after unplanned extubation in the neonatal intensive care unit.
Methods: A secondary data analysis was conducted using electronic medical records. All events of unplanned extubation were audited from January 2020 to August 2021. The data were analyzed by chi-square test using IBM SPSS Statistics ver. 24.0 program.
Results: Fifty-eight unplanned extubation events were identified for 20 months. The incidence was 2.6 per 100 ventilation days during the study period. After unplanned extubation, 35 neonates (60.3%) were immediately reintubated. There was a statistically significant difference between the gestational age (p=0.018) and postconceptional age at unplanned extubation (p=0.044) and the total intubation period (p=0.003) between the reintubation and nonreintubation groups.
Conclusion: These findings indicate that the incidence of unplanned extubation was significantly higher than that of an adult in South Korea. According to this study, targeting interventions are required to prevent unplanned extubation and ensure patient safety.

KCI등재

5코로나바이러스감염증-19의 팬데믹 시기 영유아 어머니의 양육 행동 변화 영향 요인

저자 : 김미라 ( Mi-ra Kim ) , 채선미 ( Sun-mi Chae )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 2호 발행 연도 : 2022 페이지 : pp. 80-90 (11 pages)

다운로드

(기관인증 필요)

초록보기

Purpose: This study aimed to examine the effects of maternal coronavirus disease 2019 (COVID-19) impact, parental stress, parenting behavior, and spousal support on changes in parenting behavior during the COVID-19 pandemic.
Methods: A total of 162 mothers who raised infants and toddlers under 24 months of age participated in this descriptive study via a web survey. The researchers collected data, which included demographic variables about mothers and babies, COVID-19 impact, parenting stress, spousal support, parenting behavior, and changes in parenting behavior after the pandemic. Data were analyzed using IBM SPSS Statistics ver. 24.0 using descriptive statistics, paired t-tests, analysis of variance, Pearson correlation, and multiple regression tests.
Results: With the spread of COVID-19, mothers with infants and toddlers appeared to be affected in the order of psychological burden, resources, and financial burden, and their parenting stress increased compared to that before the pandemic. The change in mothers' parenting behaviors during the COVID-19 pandemic increased significantly as the mothers were significantly influenced by COVID-19. In addition, it was confirmed that the change in parenting behavior significantly decreased as mothers' parenting stress increased.
Conclusion: Change in infants' and toddlers' mothers' parenting behavior was associated with both COVID- 19 impact and parenting stress in South Korea during the pandemic.

KCI등재

6북한의 여성과 아동의 질환에 대한 연구 현황 분석: 학술지를 통한 문헌 분석 연구

저자 : 박예주 ( Ye Ju Park ) , 김재우 ( Jae Woo Kim ) , 안기훈 ( Ki Hoon Ahn )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 2호 발행 연도 : 2022 페이지 : pp. 91-103 (13 pages)

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Purpose: Since the division of the Korean Peninsula into South and North Korea in 1948, the gaps in the medical system and the socioeconomic status between these 2 countries has expanded. The purpose of this study was to analyze the distribution of different areas of research, as well as the types of research that was conducted in the North Korean medical journal, 'Pediatrics, Obstetrics and Gynecology.' This study aimed to specifically investigate the medical research status of healthcare in women and children.
Methods: This study analyzed a total of 949 papers that were published in the North Korean medical journal, 'Pediatrics, Obstetrics and Gynecology.' Papers from January 2015 to December 2019 were included. For the analysis, the 8th Korean Standard Classification of Diseases, disease name, subspecialty classification, and research classifications were extracted from the papers.
Result: Of the 949 papers included in the analysis, 495, 366, and 88 studies were conducted in the major fields of obstetrics and gynecology, pediatrics, and on breast surgery, respectively. Within the field of obstetrics and gynecology, the most studied subspecialties were maternal and fetal medicine, general gynecology, and gynecologic oncology. To a lesser extent, the following subspecialties were reported: gynecologic endocrinology (6.7%), infertility (6.3%), and urogynecology (approximately 1%).
Conclusion: Although North Korean papers differ from those published worldwide (due to government intervention), they are still a useful source of information as they are easier to access than alternative data sources. The results from this study have implications for understanding the distribution of research on different areas of healthcare, as well as the burden of healthcare in North Korea.

KCI등재

7한국의 임산부에서 실험실에서 확인된 SARS-CoV-2 감염에 따른 임상 양상 및 산모와 신생아의 결과

저자 : 이여진 ( Yeojin Lee ) , 윤지선 ( Ji Sun Yoon ) , 김영근 ( Young Keun Kim ) , 김의혁 ( Eui Hyeok Kim )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 2호 발행 연도 : 2022 페이지 : pp. 104-111 (8 pages)

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Purpose: To determine the clinical manifestations and maternal and perinatal outcomes in pregnant women with coronavirus disease 2019 (COVID-19).
Methods: We conducted a retrospective observational study of pregnant women with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection who were admitted to National Health Insurance Service (NHIS) Ilsan Hospital between August 2020 and October 2021. The maternal and perinatal outcomes were investigated.
Results: Among 184 pregnant women infected with SARS-CoV-2, 79 women delivered. Of the women who delivered, with 36 women giving birth during the quarantine period. At delivery, 45 women were positive for SARS-CoV-2 by polymerase chain reaction (PCR), whereas 34 women were negative. The most common clinical manifestations were cough (65.2%), fever (38.0%), and myalgia (33.2%). Regarding perinatal outcomes, none of the babies had an Apgar score < 7 at 5 minutes, and none were intubated following the delivery. The preterm birth rate and small-for-gestational-age (SGA) rate were 15.2% and 16.5%, respectively. All babies who was delivered at NHIS Ilsan Hospital were negative for SARS-CoV-2 infection by PCR, which was evaluated using amniotic fluid, cord blood, neonatal nasopharyngeal and oropharyngeal swabs in the 1st and 2nd days following delivery, although 45 women were positive for SARS-CoV-2 infection by PCR at the time of delivery.
Conclusion: Most pregnant women with COVID-19 in South Korea were unlikely to manifest symptoms or present with a severe disease progression. The observed preterm birth rate and SGA rate were higher in women with COVID-19 than in those without COVID-19. However, there was no evidence of vertical transmission, and all babies were negative for SARS-CoV-2 infection during pregnancy.

KCI등재

8한국의 관내 분만율 현황

저자 : 이세진 ( Se Jin Lee ) , 김연진 ( Yeon Jin Kim ) , 신한수 ( Hansu Shin ) , 이태호 ( Taeho Lee ) , 이보람 ( Boram Lee ) , 홍희주 ( Hee Joo Hong ) , 황종윤 ( Jong Yun Hwang )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 2호 발행 연도 : 2022 페이지 : pp. 112-119 (8 pages)

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Purpose: This study aimed to analyze the rate of delivery within the jurisdiction of local governments in Korea.
Methods: Information regarding the population, number of women of childbearing age, and number of births was extracted from the Korean Statistics Information Service, National Health Insurance Service, and health map of the National Medical Center. We defined the rate of delivery within the jurisdiction of the local government as the ratio of the number of deliveries delivered by maternity facilities in the region to the total number of deliveries of pregnant women living in the region.
Results: The average nationwide delivery rate in the jurisdiction of local governments was 48.0%. The Si area was the highest at 54.9%, and the Gun area was the lowest at 22.1%. Compared to 2014, the national average delivery rate in the jurisdiction decreased by 4.3%; however, the gun area increased by 4.9%. The geographic maternity service area was 122 in 2014; however, this number decreased to 104 in 2020.
Conclusion: The national average rate of delivery in the jurisdiction of local governments was 48.0%, and the rate decreased between 2014 and 2020.

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