The Journal of Korean Obstetrics and Gynecology (대한한방부인과학회지)

The Society of Korean Medicine Obstetrics and Gynecology (대한한방부인과학회)
권호 표지
DOI QR코드

DOI QR Code

A Retrospective Analysis of Inpatients who Received Traditional Korean Medicine Treatment after a Traffic Accident during Pregnancy

임신 중 교통사고로 한방 치료를 받은 입원 환자에 대한 후향적 분석

  • Yoon, Hee-Jae (Dept. of Korean Medicine Obstetrics & Gynecology, College of Korean Medicine, Daejeon University) ;
  • Yoo, Jeong-Eun (Dept. of Korean Medicine Obstetrics & Gynecology, College of Korean Medicine, Daejeon University)
  • 윤희재 (대전대학교 한의과대학 부인과교실) ;
  • 유정은 (대전대학교 한의과대학 부인과교실)
  • Received : 2021.04.09
  • Accepted : 2021.05.28
  • Published : 2021.05.28
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: This study aimed to report the effectiveness and outcome on the prognosis of pregnancy of traditional Korean medicine treatment for inpatients who had a traffic accident during pregnancy. Methods: The study is conducted by analyzing the medical records of hospitalized patients in a Korean medicine hospital. Seventy-six pregnant patients who got into car accidents from March 2015 to February 2020 were included. We performed statistical analysis by using Statistical Package for the Social Sciences(SPSS) ver. 25.0. To verify the effect of traditional Korean medicine treatment for traffic accidents during pregnancy, we analyzed improvement of symptoms. Also, we analyzed the prognosis of pregnancy and signs of premature birth or miscarriage during treatment to verify the applicability of traditional Korean medicine treatment for traffic accidents during pregnancy. Results: Among the symptoms of pain, there was a statistically significant decrease in lower back pain, post neck pain, headache, pelvic pain, knee pain, lower limb pain, wrist pain, and upper limb pain. Other systemic symptoms showed statistically significant improvement in nausea, abdominal pain, dizziness, and lower limb numbness. All confirmed cases reported normal pregnancy maintenance and delivery, and no miscarriage was reported. Two cases that showed signs of premature birth or miscarriage during treatment were unrelated or unclear with traditional Korean medicine treatment. Conclusions: Traditional Korean medicine treatment is effective and applicable for pregnant women injured by traffic accidents. Further studies are needed to identify the effectiveness and safety of traditional Korean medicine treatment for the sequelae of traffic accidents during pregnancy.

Keywords

References

  1. Korea Law Information Center. Road Traffic Law Article 2[cited Jun 10, 2021]. Available from:URL:https://www.law.go.kr/%EB%B2%95%EB%A0%B9/%EA%B5%90%ED%86%B5%EC%82%AC%EA%B3%A0%EC%B2%98%EB%A6%AC%ED%8A%B9%EB%A1%80%EB%B2%95.
  2. Traffic Accident Analysis System. [cited Jun 10, 2021]. Available from:URL:http://taas.koroad.or.kr/sta/acs/exs/typical.do?menuId=WEB_KMP_OVT_UAS_ASA.
  3. Connolly AM, et al. Trauma and pregnancy. Am J Perinatol. 1997;14(6):331-6. https://doi.org/10.1055/s-2007-994155
  4. Harper M, Parsons L. Maternal deaths due to homicide and other injuries in North Carolina: 1992-1994. Obstet Gynecol. 1997;90(6):920-3. https://doi.org/10.1016/S0029-7844(97)00485-7
  5. Cho SW, et al. Review on the Tendencies of Diagnosis and Treatment of Traffic Accidental Patients. J Korea Chuna manual Med Spine Nerves. 2009;4(2):197-209.
  6. Choi MS, et al. A study on clinical managements of traffic accident victims during pregnancy. J Korean Obstet Gynecol. 2004;17(2):157-67.
  7. Muench MV, Canterino JC. Trauma in pregnancy. Obstet Gynecol Clin North Am. 2007;34(3):555-83. https://doi.org/10.1016/j.ogc.2007.06.001
  8. Farmer D, et al. Fetal trauma: relation to maternal injury. J Ped Surg. 1990; 25(7):711-4. https://doi.org/10.1016/S0022-3468(05)80002-8
  9. Shin SJ, et al. Effects of Korean Medicinal Treatments Including Antaeeum-gamibang on Posterior Neck Pain and Lower Back Pain Caused by Traffic Accidents During Pregnancy: Five Case Reports. J Korean Obstet Gynecol. 2017;30(3):146-57. https://doi.org/10.15204/JKOBGY.2017.30.3.146
  10. Baek SH, et al. The clinical study on one case of cervical sprain patient due to traffic accident in pregnancy. J Korean Obstet Gynecol. 2005;18(1):207-17.
  11. O KW, et al. Cases Series of Low Back Pain and Pelvic Pain Caused by Traffic Accident during Pregnancy. J Korean Obstet Gynecol. 2009;22(4):195-205.
  12. Lee SH, Park YS, Kim DC. Three Cases Report of Patients Caused by Traffic Accident during Early Pregnancy. J Korean Obstet Gynecol. 2010;23(4):187-95. https://doi.org/10.15204/JKOBGY.2010.23.4.187
  13. Park EJ, Yoo JE. A Report of Elderly Gravida Suffered from Traffic Accidents during Pregnancy. Journal of Haehwa Medicine. 2016;25(1):165-71.
  14. Kim NH, et al. Research Trends of Korean Medicine Treatment for Traffic Accidents during Pregnancy. J Korean Obstet Gynecol. 2019;32(3):73-85. https://doi.org/10.15204/JKOBGY.2019.32.3.073
  15. Kim SA, et al. Analysis of the Treatment and Adverse Events of Whiplash Associated Disorder Patients During Pregnancy in a Korean Medicine Hospital. J Korean Obstet Gynecol. 2019;32(4):39-54.
  16. Spilker B. Interpretation of adverse reactions. In: Guide to Clinical Trials. 1st ed. New York:Raven Press, Ltd.. 1991:565-87.
  17. Azar T, et al. Motor vehicle collision-related accidents in pregnancy. J Obstet Gynaecol Res. 2015;41(9):1370-6. https://doi.org/10.1111/jog.12745
  18. Crothers E, et al. Safe use of transcutaneous electrical nerve stimulation for musculoskeletal pain during pregnancy. Journal of the Association of Chartered Physiotherapists in Women's Health. 2012;111:22-6.
  19. Li DK, et al. Use of nonsteroidal antiinflammatory drugs during pregnancy and the risk of miscarriage. Am J Obstet Gynecol. 2018;219(3):275.e1-e8. https://doi.org/10.1016/j.ajog.2018.06.002
  20. Liew Z, et al. Maternal use of acetaminophen during pregnancy and risk of autism spectrum disorders in childhood: a Danish national birth cohort study. Autism Research. 2016; 9(9):951-8. https://doi.org/10.1002/aur.1591
  21. Snijder CA, et al. Intrauterine exposure to mild analgesics during pregnancy and the occurrence of cryptorchidism and hypospadia in the offspring: the generation R study. Human Reproduction. 2012;27(4):1191-201. https://doi.org/10.1093/humrep/der474
  22. Shin JH, Oh MS. The Retrospective Analysis of 1,162 Traffic Accident Inpatients in Korean Medicine Hospital. J Korean Acad Rehabil Med. 2013; 23(4):233-50.
  23. Kim HR, et al. Survey on Satisfaction and Symptom Improvement of Korean Medicine Treatment in 122 Cases by Traffic Accident. J Korean Med. 2018; 39(3):61-72. https://doi.org/10.13048/jkm.18025
  24. Mogren IM, Pohjanen AI. Low back pain and pelvic pain during pregnancy: prevalence and risk factors. Spine. 2005;30(8):983-91. https://doi.org/10.1097/01.brs.0000158957.42198.8e
  25. Sabino J, Grauer JN. Pregnancy and low back pain. Curr Rev Musculoskelet Med. 2008;1(2):137-41. https://doi.org/10.1007/s12178-008-9021-8
  26. Kim EG, et al. The Clinical Study on 500 Cases with Traffic Accident Patients Admitted in Oriental Medical Hospital. J Acupunct Res. 2009;26(5):29-38.
  27. Shin YS, et al. Korean Medicine approach to traffic accident victims. J Acupunct Res. 2002;19(6):1-11.
  28. Zhang ZJ. Synopsis of Prescriptions of the Golden Chamber. Seoul:Awoolos Publishing Company. 1994:573.
  29. Shin YW, et al. Clinical study on seven case of diseases and complications of pregnancy with Kami-Dangkwi-San. J Korean Obstet Gynecol. 2003;16(4):180-8.
  30. Moon YS, et al. Effect of Keumgyedanggwisan Decoction on Female Genital System of white rats. J Korean Obstet Gynecol. 1995;8(1):141-59.
  31. The compilation committee of Herbology. Herbology. 3rd ed. Seoul:Younglim publisher. 2013:156, 188, 231, 242-3, 240, 336, 345, 389, 396, 573, 577, 584, 603, 605, 633, 645, 655, 683.
  32. The compilation committee of Gyunglak hyunghyulhak. Daehakgyunglakhyunghyulhakgakron sang, ha. 6th ed. Daejeon:Jongryeonamu. 2012:98, 213, 424, 1093.
  33. Carr DJ. The safety of obstetric acupuncture: forbidden points revisited. Acupunct Med. 2015;33(5):413-9. https://doi.org/10.1136/acupmed-2015-010936
  34. Levett KM, Sutcliffe KL, Betts D. Using Forbidden Points in Pregnancy: Adverse Outcomes and Quality of Evidence in Randomized Controlled Trials-A Systematic Narrative Review. Med Acupunct. 2019;31(6):346-60. https://doi.org/10.1089/acu.2019.1391
  35. Ternov NK, et al. Acupuncture for Lower Back and Pelvic Pain in Late Pregnancy: A Retrospective Report on 167 Consecutive Cases. Pain Medicine. 2001;2(3):204-7. https://doi.org/10.1046/j.1526-4637.2001.01031.x
  36. Guerreiro da Silva JB, Nakamura MU, Cordeiro JA. Acupuncture for tension-type headache in pregnancy: A prospective, randomized, controlled study. Eur J Integr Med. 2012;4(4):e366-70. https://doi.org/10.1016/j.eujim.2012.04.002
  37. Wedenberg KA, Moen B, Norling A. A prospective randomized study comparing acupuncture with physiotherapy for low-back and pelvic pain in pregnancy. Acta Obstet Gynecol Scand. 2000; 79(5):331-5. https://doi.org/10.1080/j.1600-0412.2000.079005331.x
  38. Jungukhaneuigwadahak Gongdonggyoje-pyoenchanwiwonhui. Bangjehak. 1st rev. ed. Seoul:Younglimsa. 2014:180.
  39. Kwon KR, Kang DI. A report on the manufacturing process of Korean herbal acupuncture prepared with KGMP. J Pharmacopuncture. 2001;4(1):87-101. https://doi.org/10.3831/KPI.2001.4.1.087
  40. Im JG, et al. Effects of the Acupuncture Therapy in Combination with Soyeom Pharmacopuncture Therapy on Acute Whiplash Injury by Traffic Accident. J Acupunct Res. 2011;28(4):9-18.
  41. Jeong JT, Kang HS, Song BK. A Literature Research on Contraindicated Drugs in Pregnancy. J Korean Obstet Gynecol. 1987;1(1):47-68.
  42. Kim SK, et al. A Clinical Case Report on Traditional Korean Medical Treatment including Hwangryunhaedoktang Pharmacopuncture for low back pain with sciatica during pregnancy. J Korean Obstet Gynecol. 2019;32(2): 138-47. https://doi.org/10.15204/JKOBGY.2019.32.2.138
  43. Lee HE, Heo DS. An Analysis of Comparison between Blood-letting Puncture and Cupping Therapy with Cupping Therapy. J Korean Acad Rehabil Med. 2012;22(3):173-92.
  44. Peuker E, Filler T. Guidelines for case reports of adverse events related to acupuncture. Acupunct Med. 2004; 22(1):29-33. https://doi.org/10.1136/aim.22.1.29