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

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

Clinical Manifestations and Maternal and Perinatal Outcomes in Pregnancy Following Laboratory-Confirmed SARS-CoV-2 Infection in South Korea

이여진 ( Yeojin Lee ) , 윤지선 ( Ji Sun Yoon ) , 김영근 ( Young Keun Kim ) , 김의혁 ( Eui Hyeok Kim )
  • : 한국모자보건학회
  • : 한국모자보건학회지 26권2호
  • : 연속간행물
  • : 2022년 04월
  • : 104-111(8pages)
한국모자보건학회지

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대상 및 방법
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이해관계(CONFLICT OF INTEREST)
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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.

UCI(KEPA)

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


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KCI등재

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.

KCI등재

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.

KCI등재

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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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)

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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)

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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)

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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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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)

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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.

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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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