대한한방부인과학회지 (The Journal of Korean Obstetrics and Gynecology)

  • 제34권4호
  • /
  • Pages.111-130
  • /
  • 2021
  • /
  • 1229-4292(pISSN)
  • /
  • 2508-3619(eISSN)
대한한방부인과학회 (The Society of Korean Medicine Obstetrics and Gynecology)
권호 표지
DOI QR코드

DOI QR Code

임신 중 일개 한방병원 한방부인과에 내원한 환자에 대한 후향적 분석

A Retrospective Analysis on Pregnant Patients Visiting Korean Gynecology Clinic of Korean Medicine Hospital

  • 조시윤 (대전대학교 한의과대학 한방부인과학교실) ;
  • 유정은 (대전대학교 한의과대학 한방부인과학교실)
  • Cho, Si-Yoon (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Dae-Jeon University) ;
  • Yoo, Jeong-Eun (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Dae-Jeon University)
  • 투고 : 2021.10.15
  • 심사 : 2021.11.26
  • 발행 : 2021.11.26
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives: The purpose of this study was to identify the current status of Korean medicine clinical practice for pregnant patients. Methods: The study is conducted by searching medical records of 209 pregnant patients using Korean Standard Classification of Diseases related pregnancy at the Korean Gynecology Clinic of traditional Korean medicine hospital from March 1, 2016 to February 28, 2021. We retrospectively investigated characteristics, symptoms, pregnancy outcomes of the patients and treatments for the patients. Results: The most frequent symptoms of pregnant patients were musculoskeletal symptoms (60.63%) followed by neuropsychiatric symptoms (14.55%) and genital symptoms (10.82%). The most common contributory factor of the symptoms was the motor vehicle accident (74.64%). Acupuncture (94.94%) and moxibustion (90.91%) were performed to most pregnant patients. Cupping (86.60%), herbal medicine (52.63%), Chuna therapy (30.62%), and pharmacopuncture (21.05%) were performed to the patients. Normal pregnancy maintenance and delivery were reported by 147 patients (91.30%). Premature birth was reported by 11 patients (6.83%), and miscarriage was reported by 3 patients (1.86%). Conclusions: Most patients were the patients with musculoskeletal symptoms injured by motor vehicle accidents. Various Korean medicine treatments were performed during pregnancy with safety outcomes. This study could be used as basic data to provide instructions for the development of traditional Korean medicine in the obstetric clinical fields.

키워드

참고문헌

  1. Korean Society of Obstetrics and Gynecology. Obstetrics. 6th rev. ed. Seoul:Koonja Publishing Inc. 2019:95-114, 160.
  2. Tendais I, et al. Physical activity, health-related quality of life and depression during pregnancy. Cad Saude Publica. 2011;27(2):219-28. https://doi.org/10.1590/S0102-311X2011000200003
  3. Haas JS, et al. Changes in the health status of women during and after pregnancy. J Gen Intern Med. 2005;20(1):45-51. https://doi.org/10.1111/j.1525-1497.2004.40097.x
  4. Koblinsky M, et al. Quality maternity care for every woman, everywhere: a call to action. The Lancet. 2016;388(10057):2307-20. https://doi.org/10.1016/S0140-6736(16)31333-2
  5. Lee YJ, et al. A review of the study on complementary and alternative medicine in obstetrics. J Korean Oriental Med. 2009;30(1):137-49.
  6. Zaaba NAAB, Roy A, Lakshmi T. Perception of women on the adverse effect of drugs on the fetus during pregnancy. J Adv Pharm Educ Res. 2017;7(2):72-5.
  7. Hall HR, Jolly K. Women's use of complementary and alternative medicines during pregnancy: a cross-sectional study. Midwifery. 2014;30(5):499-505. https://doi.org/10.1016/j.midw.2013.06.001
  8. Nordeng H, Havnen GC. Use of herbal drugs in pregnancy: a survey among 400 Norwegian women. Pharmacoepidemiol Drug Saf. 2004;13(6):371-80. https://doi.org/10.1002/pds.945
  9. Hollyer T, et al. The use of CAM by women suffering from nausea and vomiting during pregnancy. BMC Complement Altern Med. 2002;2(1):1-6. https://doi.org/10.1186/1472-6882-2-1
  10. Hughes C, et al. The use of complementary and alternative medicine (CAM) for pregnancy related low back and/ or pelvic girdle pain: An online survey. Complement Ther Clin Pract. 2018;31:379-83. https://doi.org/10.1016/j.ctcp.2018.01.015
  11. Deligiannidis KM, Freeman MP. Complementary and alternative medicine therapies for perinatal depression. Best Pract Res Clin Obstet Gynaecol. 2014;28(1):85-95. https://doi.org/10.1016/j.bpobgyn.2013.08.007
  12. Hall HG, McKenna LG, Griffiths DL. Complementary and alternative medicine for induction of labour. Women and Birth. 2012;25(3):142-8. https://doi.org/10.1016/j.wombi.2011.03.006
  13. 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
  14. 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
  15. Kim JA, Kim DC. A Case Report of a Triplets Pregnant patient by in Vitro Fertilization with Hyperemesis Gravidarum. J Korean Obstet Gynecol. 2015;28(4):118-25. https://doi.org/10.15204/JKOBGY.2015.28.4.118
  16. Park SH, et al. 4 Cases of Hyperemesis Gravidarum Patients Treated by Herbal Medicine and Auricular Acupuncture, and Safety of These Medical Interventions. J Korean Obstet Gynecol. 2013;26(3):133-42. https://doi.org/10.15204/JKOBGY.2013.26.3.133
  17. Kim SJ, et al. A Case Report inculding Pharmacopuncture Therapy at Lumbar Facet joints for a Patient with Lumbar Disc Herniation with Lower Back Pain and Leg Radiating Pain that Worsen during Pregnancy. J Korean Obstet Gynecol. 2021;34(1):93-103. https://doi.org/10.15204/JKOBGY.2021.34.1.093
  18. Kim SK, et al. A Clinical Case Report on Traditional Korean Medical Treatment Including Hwangryunhaedok-tang 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
  19. Song MH, Lee JH, Choi CM. A Case Report of Atopic Eruption of Pregnancy by Traditional Korean Medicine. J Korean Obstet Gynecol. 2016;29(3):91-9. https://doi.org/10.15204/JKOBGY.2016.29.3.091
  20. Choi SH, Kim TW, Kim KB. Five cases of Pruritus Gravidarum through treatment with Saengshik and Application of Hwangryunhaedok-tang on skin. J Korean Med Ophthalmol Otolaryngol Dermatol. 2014;27(4):251-60. https://doi.org/10.6114/JKOOD.2014.27.4.251
  21. Yun YJ, et al. A Case Report of Threatened Abortion. J Korean Obstet Gynecol. 2015;28(1):167-74. https://doi.org/10.15204/JKOBGY.2015.28.1.167
  22. Choi YJ, Jeon SH, Lee IS. Four Cases of Bell's Palsy Patients during Pregnancy Treated with Sasang Constitutional Medicine. J Korean Obstet Gynecol. 2014;27(1):193-205. https://doi.org/10.15204/JKOBGY2014.27.1.193
  23. 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.
  24. Yoon HJ, Yoo JE. A Retrospective Analysis of Inpatients who Received Traditional Korean Medicine Treatment after a Traffic Accident during Pregnancy. J Korean Obstet Gynecol. 2021;34(2):31-47. https://doi.org/10.15204/JKOBGY.2021.34.2.031
  25. 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
  26. Jung EH, et al. A Retrospective Study of Patients that Used Herbal Medicine During Pregnancy. J Korean Obstet Gynecol. 2014;27(3):79-93. https://doi.org/10.15204/JKOBGY.2014.27.3.079
  27. Jo HJ, et al. A Clinical Analysis of Patients that Used Herbal Medicine during Pregnancy for Medical Treatment. J Korean Obstet Gynecol. 2008;21(4):150-8.
  28. Choi MS, Kim DI. A Clinical Analysis of Patients that Used Herbal Medicine in Pregnancy and Retrospective Survey of Patient's Treatment Satisfaction. J Korean Obstet Gynecol. 2005;18(3):127-38.
  29. Kim YG, Kim DC, Baek SH. A Clinical Analysis of 50 fetus that using Herbal Medication during Pregnancy. J Korean Obstet Gynecol. 2003;16(4):136-43.
  30. Hong KK, et al. A Review of the Domestic Study Trends on Dermatosis Gravidarum Treated with Herbal Medicine. J Korean Obstet Gynecol. 2020;33(1):59-75. https://doi.org/10.15204/JKOBGY.2020.33.1.059
  31. Moon HY, et al. Safety of acupuncture during pregnancy: a retrospective cohort study in Korea. BJOG. 2020;127(1):79-86. https://doi.org/10.1111/1471-0528.15925
  32. Park JM, et al. The safety of acupuncture during pregnancy: a systematic review. Acupunct Med. 2014;32(3):257-66. https://doi.org/10.1136/acupmed-2013-010480
  33. Ha JY, et al. A Review of Recent Studies on Acupuncture and Moxibustion Treatment Associated with Pregnancy. J Orient Med Thermo. 2010;8(1):39-47.
  34. Ryu SH, et al. A Review Study of Researches on Acupuncture Therapy to Pregnant Women. J Korean Obstet Gynecol. 2013;26(4):107-22. https://doi.org/10.15204/JKOBGY.2013.26.4.107
  35. Kim YS, Lee DN, Lim EM. Reviewing Gravid Patients in Dept. Gynecology Clinic of Hospital, College of Oriental medicine, Kyung-won university. J Korean Obstet Gynecol. 2001;14(1):380-92.
  36. Weiss HB, Sauber-Schatz EK, Cook LJ. The epidemiology of pregnancy-associated emergency department injury visits and their impact on birth outcomes. Accid Anal Prev. 2008;40(3):1088-95. https://doi.org/10.1016/j.aap.2007.11.011
  37. Li DK, et al. Use of nonsteroidal antiinflammatory drugs during pregnancy and the risk of miscarriage. Am J Obstet Gynecol. 2018;219(3):275.e1-8. https://doi.org/10.1016/j.ajog.2018.06.002
  38. Crothers E, et al. Safe use of transcutaneous electrical nerve stimulation for musculoskeletal pain during pregnancy. J Assoc Chart Physiother Women's Health. 2012;111:22-6.
  39. Car Insurance Medical expenses Statistics 2019. The Health Insurance Review and Assessment Service [serial online]. 2019 Jan-Dec[cited June 30, 2020]; 1(1):[57 screens]. Available from: URL:https://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA020045010000&brdScnBltNo=4&brdBltNo=2332&pageIndex=1
  40. The Society of Korean Medicine Obstetrics and Gynecology. Korean Medicine Obstetrics and Gynecology (Vol 2). 4th rev. ed. Seoul:Euiseongdang Publishing Company. 2021:479-82, 563-70, 684-6.
  41. Zhang ZJ. Synopsis of Prescriptions of the Golden Chamber. Seoul:Awoolos Publishing Company. 1994:573.
  42. 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.
  43. 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
  44. 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
  45. Yao X, et al. Effect of acupuncture on pregnancy related low back pain and pelvic pain: a systematic review and meta-analysis. Int J Clin Exp Med. 2017;10(4):5903-12.
  46. Nicolian S, et al. Cost-effectiveness of acupuncture versus standard care for pelvic and low back pain in pregnancy: A randomized controlled trial. PLoS One. 2019;14(4):e0214195. https://doi.org/10.1371/journal.pone.0214195
  47. Lee EH. A Clinical Study of Acute Low Back Pain treated by Chuna & General Oriental Therapy during Pregnancy. J Korean Obstet Gynecol. 2016;29(3):110-20. https://doi.org/10.15204/JKOBGY.2016.29.3.110
  48. Rhew KY. Drug Safety Perception and Medication Adherence in Pregnancy. Korean J Clin Pharm. 2013;23(3):197-205.