Journal of the Korea Convergence Society (한국융합학회논문지)

Korea Convergence Society (한국융합학회)
권호 표지
DOI QR코드

DOI QR Code

Comparison of Obstetric Outcomes between Married Immigrant and Korean Pregnant Women in University Hospital

일 대학병원 결혼이주여성과 한국여성의 산과적 결과 비교

  • Lee, Eun-Sook (College of Nursing, Chonnam National University) ;
  • Moon, Hee (Department of Nursing, Sunchon National University)
  • 이은숙 (전남대학교 간호대학) ;
  • 문희 (순천대학교 간호학과)
  • Received : 2018.01.11
  • Accepted : 2018.03.20
  • Published : 2018.03.28
Download PDF
⟨ Previous Next ⟩

Abstract

This study was to investigate the factors affecting the obstetric outcomes of married immigrant women and to compare the results with the Korean women's and to provide basic data for establishing effective nursing interventions for the married immigrant women. The subjects were 302 married immigrant women and Korean women who were delivered in the university hospital from 2011 to 2015. Data were analyzed using frequency, mean, standard deviation and logistic regression using SPSS WIN 24.0 program. Factors affecting obstetric outcome were premature rupture of membranes, gestational hypertension, amniotic fluid abnormalities, and medical illness in both married immigrant women and Korean women. In addition, age, spouse's age, occupation, hemoglobin level, and placental abnormality were found to have an effect on obstetrical outcome in married immigrant women. Therefore, in order to improve the obstetric outcome of married immigrant women, a prenatal care program considering these influencing factors will be needed.

본 연구는 결혼이주여성의 산과적 결과에 미치는 요인을 파악하고 이를 한국여성의 결과와 비교하여 결혼이주여성의 출산건강에 효과적인 간호중재 수립을 위한 기초자료를 제공하고자 수행된 조사연구이다. 연구대상자는 2011년부터 2015년까지 일 대학병원 분만실에서 분만한 결혼이주여성과 한국여성 총 302명으로 하였으며 후향적으로 의무기록을 조사하였다. 자료분석은 SPSS WIN 24.0 프로그램을 이용하여 빈도, 평균과 표준편차, 로지스틱 회귀분석을 실시하였다. 산과적 결과에 영향을 미치는 요인은 결혼이주여성과 한국여성 모두 조기양막파열, 임신성고혈압, 양수이상, 내과적 질환으로 나타났으며, 결혼이주여성의 경우에는 연령, 배우자의 연령, 직업, 헤모글로빈 수치, 태반이상 등이 추가적으로 영향을 미치는 것으로 나타났다. 따라서 결혼이주여성의 산과적 결과를 향상시키기 위해서는 이들 영향 요인들을 고려한 산전관리프로그램이 필요하다.

Keywords

References

  1. L. S. Hong. (2017). A Convergence Study on Social Support and Life's Satisfaction oh the Marriage Immigrant Women. J. of the Korea Convergence Society, 8(6), 359-368. https://doi.org/10.15207/JKCS.2017.8.6.359
  2. J. R. Lim, Y. K. Han & H. H. Kim. (2017). The Relationship of Acculturative Stress, Self-esteem and Oral Management Ability of Vietnam Marriage Migrant Women. J. of the Korea Convergence Society, 8(6), 109-119. https://doi.org/10.15207/JKCS.2017.8.6.109
  3. Korea National Statistics. (2015). Office, Marriage rate of Korean men and foreign woumen Population movement study. http://www.kosis.kr.
  4. H. R. Kim. (2009). Maternal Health and Nutritional Status of Marriage Based Women Immigrant in Korea and Policy Directions. Health Welfare Policy Forum, 50-64.
  5. G. H. Jeong, H. J. Koh, K. S. Kim, S. H. Kim, H. H. Kim, H. S. Park, Y. S. Lee, Y. R. Han & K. W. Kim. (2009). A Survey on Health Management of during Pregnancy, Childbirth, and the Postpartum of Immigrant Women in a Multi-cultural Family. Korean J. Women Health Nurs, 15(4), 261-269.
  6. H. I. Jang, J. S. Choi, E. S. Song & Y. Y. Choi. (2013). Changes in Birth Rate, Perinatal Risk Factors and Outcome in Newborns in Multi-cultural Family: Ten-year Experience in One Center. Neonatal Med, 20(1), 146-154. https://doi.org/10.5385/nm.2013.20.1.146
  7. G. S. Pedersen, L. H. Mortensen, M. Gerster, J. R. Edwards & A. M. N. Andersen. (2012). Preterm Birth and Birth weight-for-Gestational Age among Immigrant Women in Denmark 1978-2007: A Nationwide Registry Study Nationwide Registry Study. Paediatric and Perinatal Epidemiology, 26, 534-542. https://doi.org/10.1111/ppe.12010
  8. P. Phadungkiatwattana, J. Rujiwetpongstorn, T. Tansathit & N. Srisantiroj. (2011). Pregnancy Outcomes of Southeast Asian Immigrant Pregnant Women Compared with Thai Pregnant Women in Rajavithi Hospital. J Med Assoc Thai, 94(2), 147-151.
  9. F. Diani, G. Zanconato, Fabiola Foschi, Anna Turinetto & M. Franchi. (2003). Management of the Pregnant Immigrant Woman in the decade 1992-2001. Journal of Obstetrics and Gynaecolog, 23(6), 615-617. https://doi.org/10.1080/01443610310001604367
  10. I. D. Jang, N. M. Hwang, M. S. Yoon & S. M. Park. (2010). Current Status and Factors Affecting Prenatal Care by Married Immigrant Women. Korean J Women Health Nurs, 16(4), 326-335.
  11. M. J. Kim. (2011). A Comparative Study on Birth Outcomes between Korean Women and Immigrant Women. Korean J Women Health Nurs, 17(4), 407-414. https://doi.org/10.4069/kjwhn.2011.17.4.407
  12. Ministry of Gender Equality and Family. (2017). National multicultural family survey in 2015. http://www.mogef.go.kr.
  13. D. H. Seol. (2005). Foreign Wive'sLife in Korea: Focusing on the Policy of Welfare and Health. Ministry of Health and Welfare, 101-148.
  14. I. H. Baek, C. S. Kim, S. L. Lee & J. I. Kim. (2011). Clinical Features of Marriage Immigrant Women and Their Babies in Perinatal Period :Comparison with Native Parturient Women and Neonates. Korean J Perinatol, 22(1), 14-21.
  15. H. Y. Lee, G. C. Park, M. K. Kim & O. K. Lee. (2013). Factors Influencing on Perinatal Outcomes of Asian Marriage Immigrant Women :Ten-year Experience in a Single Center. Korean J Perinato, 24(3), 168-179. https://doi.org/10.14734/kjp.2013.24.3.168
  16. J. H. Cho, H. S. Ahn & H. S. Bae. (2009). The Use of Iron Supplements of Pregnant Women and Pregnancy Outcome. Korean J Community Nutr., 14(3), 327-339
  17. Y. W. Song, J. H. Shin, Y. S. Yoon, H. C. Jeong, H. E. Yim, B. M. Choi, J. H. Lee, H. J. Kim, Y. S. Hong & J. W. Song. (2010). Perinatal Complications of Mothers and Neonates Resulting from Inadequate Prenatal Care. Korean J Perinatol. 21(4), 347-355.
  18. S. Gennaro. (2005). Overview of Current State of Research on Pregnancy Outcomes in Minority Populations. Am J Obstet Gynecol, 192, S3-S10.
  19. H. O. Park, J. W. Lim, H. S. Jin, J. W. Shim, M. H. Kim, C. S. Kim, E. R. Kim, S. Y. Kim, S. K. Park & J. J. Lee. (2009). Comparative Study of Newborns of Asian Immigrant and Korean Women. Korean Journal of Pediatrics, 52(10), 1119-1126. https://doi.org/10.3345/kjp.2009.52.10.1119
  20. M. S. Kramer. (1987). Determinants of Low Birth Weight: Methodological Assessment and Meta-analysis. Bull World Health Organ, 65(5), 663-737.
  21. R. L. Naey &, E. C. Peters. (1982). Working during Pregnancy: Effects on the Fetus. Pediatrics, 69, 724-727.
  22. Y. D. Shin, T. Y. Lee, Y. S. Lee & D. B. Lee. (1994). Effect of Maternal Job Activity on Preterm Delivery, Low Birth Weight and Spontaneous Abortion. The Korean Journal of Occupational and Environmental Medicine, 6(1), 69-84.
  23. D. A. Savitz, E. A. Whelan, A. S. Rowland & R. C. Kleckner. (1990). Maternal Employment and Reproductive Risk Factors. Am J Epidemiol.. 132(5), 933-945. https://doi.org/10.1093/oxfordjournals.aje.a115736
  24. R. L. Goldenberg, J. F. Culhane, J. D. Iams & R. Romero. (2008). Epidemiology and Causes of Preterm Birth. Lancet, 371, 75-84. https://doi.org/10.1016/S0140-6736(08)60074-4
  25. S. M. Kim. (2014). The Effect of Pre-pregnancy Body Mass Index, Weight Gain during Pregnancy on Birth Outcome. Chonnam National University, Master's thesis.
  26. L. Zeng, M. J. Dibley, Y. Cheng, S. Dang, S. Chang, L. Kong & H. Yan. (2008). Impact of micronutrient supplementation during pregnancy on birth weight, duration of gestation, and perinatal mortality in rural western China: double blind cluster randomised controlled tria. BMJ, 337, 1211-1214.
  27. S. M. Choi. (2016). Effect of Parental Foreign-Born Status on Birth Outcomes in Korea, 2010-2012. Health and Science, 41, 131-165.