DOI QR코드

DOI QR Code

A Study on the Maternal Characteristics and Clinical Changes After Korean Medicine Postpartum Care - A Comparative Study with Pre-Study in 2010 -

한방 산후조리 이용 산모의 특성과 치료결과 보고 - 2010년 선행 연구와의 비교 고찰 -

  • Noh, Eun-Ji (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Dong-Guk University) ;
  • Choi, Su-Ji (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Dong-Guk University) ;
  • Lee, Dong-Nyung (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Se-Myung University) ;
  • Kim, Dong-Il (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Dong-Guk University)
  • 노은지 (동국대학교 한의과대학 부인과교실) ;
  • 최수지 (동국대학교 한의과대학 부인과교실) ;
  • 이동녕 (세명대학교 한의과대학 부인과교실) ;
  • 김동일 (동국대학교 한의과대학 부인과교실)
  • Received : 2019.05.31
  • Accepted : 2019.08.29
  • Published : 2019.08.30

Abstract

Objectives: This study aims to assess the maternal characteristics and changes of body among patients who received Korean medicine postpartum care compared to pre-study. Methods: From January 1, 2018 to February 28, 2019, we included 31 postpartum patients who had body composition analysis at admission and discharge among 34 patients who received postpartum care in ${\square}{\square}$ University Hospital. We used SPSS 21.0 for window to test for statistical significance. Results: The average age, weight, and caesarean section rate increased compared to previous study. The average period of postpartum care has decreased. After postpartum care, abdominal circumference, body weight and Body Mass Index (BMI) was significantly decreased, but not as much as pre-study. The coefficient of determination was derived to predict the effects of postpartum care and calculated as "$Abdominal\;circumference\;change=2.745+0.593{\times}admission\;period$", "$weight\;change=0.214+0.345{\times}admission\;period$" and "$BMI\;change=0.198+0.120{\times}admission\;period$". Conclusions: Compared to previous study, as the maternal age increased and admission period decreased, the weight loss after childbirth decreased. It is necessary to provide individual treatment through coefficient of determination.

Keywords

References

  1. Han JY, Lee NY. The Study to Actual Condition on Postpartum Care using Korean Health Panel Data. Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology. 2017;7(12):533-43.
  2. Jeong MY, Cho SH. A Study on the Condition and the Recognition of Postpartum Care on Women with Postpartum Disease. J Korean Obstet Gynecol. 2018;31(3):79-96. https://doi.org/10.15204/JKOBGY.2018.31.3.079
  3. Kang JG, Lee IS, Cho HS. A Study on Awareness of Postnatal Care and San Huo Pung. J Korean Obstet Gynecol. 2008;21(3):143-66.
  4. Lee TK. A literary study of the postpartum care. J Korean Obstet Gynecol. 2001;14(1):209-28.
  5. Park JK, Kim DI. A Study about Change of Body Weight and Body Composition during Early Puerperium. J Korean Obstet Gynecol. 2010;23(4):95-108. https://doi.org/10.15204/JKOBGY.2010.23.4.095
  6. Kim MJ, Kang KJ. Effects of Sanhujori and Menopausal Adaptation on Healthrelated QOL in Middle-aged Women. Korean J Women Health Nurs. 2014;20(1):62-71. https://doi.org/10.4069/kjwhn.2014.20.1.62
  7. Utilization rate of postpartum care location for 6 weeks after childbirth [Internet]. Statistics Korea, 1996 [cited 2019 March 31]. Available from: URL:http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_117101_001&vw_cd=MT_ZTITLE&list_id=D1_001_001&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=MT_ZTITLE.
  8. The average age of childbirth for Korean women [Internet]. Statistics Korea, 1996 [cited 2019 March 31]. Available from: URL:http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1B81A20&vw_cd=MT_ZTITLE&list_id=A21&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=MT_ZTITLE.
  9. Jang EC, et al. A Clinical Study in Pregnant Women Over the Age of 35. Obstetrics & Gynecology Science. 2002;45(5):816-22.
  10. Heo H, et al. A Clinical Study of Pregnancy and Delivery in Pregnant Women 35 Years and Older. Obstetrics & Gynecology Science. 2004;47(3):458-63.
  11. Management Manual for postpartum care centers in 2019 [Internet]. Minisry of Health and Welfare, 2010 [cited 2019 March 31]. Available from: URL:http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&CONT_SEQ=347550&page=1.
  12. Delivery evaluation in relation to the parity [Internet]. Statistics Korea, 1996 [cited 2019 April 30]. Available from: URL:http://kosis.kr/statHtml/statHtml.do?orgId=354&tblId=DT_LEE_56&vw_cd=MT_ZTITLE&list_id=354_1_F&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=MT_ZTITLE.
  13. Service HIRA. National Health Insurance Statistical Yearbook. Health Insurance Review & Assessment Service; 2010;390-7.
  14. Chung CW, Kim HW, Kin HJ. Body Weight Changes and Lifestyle in Women within 1 year after Childbirth. Perspectives in Nursing Science. 2016;13(2):88-95. https://doi.org/10.16952/pns.2016.13.2.88
  15. Stang J, Huffman LG. Position of the Academy of Nutrition and Dietetics: Obesity, Reproduction, and Pregnancy Outcomes. Journal of the Academy of Nutrition and Dietetics. 2016;116(4):677-91. https://doi.org/10.1016/j.jand.2016.01.008
  16. Kim KH, et al. Factors related to postpartum weight retention. Obstetrics & Gynecology Science. 2005;48(2):275-84.
  17. Kim MK. The Explanatory Model for Postpartum Weight Retention : Focused on Perinatal and Postpartum Health related Factors. The Graduate School of Inha University. 2016.
  18. Jeon YK, et al. Effects of a Postnatal Care Program on Self-efficacy, Self-management, and Glycemic Control in Women with Gestational Diabetes Mellitus. Korean Journal of Women Health Nursing. 2018;24(4):367-78. https://doi.org/10.4069/kjwhn.2018.24.4.367
  19. Kim YH, Shin JC. Management of chronic hypertension in pregnancy. Journal of the Korean Medical Association. 2015;58(10):897-904. https://doi.org/10.5124/jkma.2015.58.10.897