• 한국융합학회논문지
• /
• 제12권12호
• /
• pp.305-313
• /
• 2021

본 연구는 1995년부터 2020년까지 기간의 '미혼모', '싱글맘', '비혼모' 키워드를 중심으로 시기별 빅데이터를 수집, 분석하여, 미혼모에 대한 관점 변화에 따른 적절한 정부의 지원정책 방향성을 제시하고자 한다. 자료수집을 위해 빅데이터 수집 플랫폼인 텍스톰을 활용하여 포털검색 사이트 네이버, 다음에서 데이터 수집 후, 데이터를 정제하는 과정을 거쳤다. 최종 정제된 데이터는 텍스톰에서 제공하는 단어빈도분석, TF-IDF 분석, N-gram 분석, UCINET6 프로그램을 통한 Network 분석과 CONCOR 분석을 진행하였다. 연구결과, 단어빈도분석, TF-IDF 분석에서는 유사한 단어들이 출현하였으나 연도별로 차이를 보였고, N-gram 분석에서는 단어 출현의 유사점은 있었으나 빈도수와 연쇄적으로 출현되는 단어들의 형태에 많은 차이가 있었으며 CONCOR 분석결과, 연도별로 다른 군집을 이루는 것을 볼 수 있었다. 본 연구는 미혼모의 관점 변화를 빅데이터의 분석을 통해 확인하고, 독립적인 여성들의 다양한 선택권을 위한 미혼모 정책, 그리고 그에 맞는 차별 없는 임신, 출산, 양육이 새로운 가족의 형태 내로 포용 되는 정책의 필요성을 제언한다.

• 한국산학기술학회논문지
• /
• 제22권5호
• /
• pp.221-228
• /
• 2021

최근 자궁근종에 대한 치료방법으로서 비수술적 고강도 집속 초음파 (High-Intensity Focused Ultrasound, HIFU)한 인식이 증대되고 있다. 본 논문에서는 한국에서 자궁근종의 HIFU 치료에 대한 부인과 의사들의 인식을 평가해 보고자 하였다. 우리는 162명의 한국의 부인과 의사들에게 인구통계학적 특성, 자궁근종에 대한 실제 진료의 패턴, 자궁근종의 HIFU 치료에 대한 의견에 대하여 설문을 시행하여 분석하였다. 162명 중, 2.8 %에서 HIFU를 자궁근종의 1차 치료로 고려하였다. HIFU는 응답자의 19 %에서만 이용가능 하였고, 이중 58 %에서는 HIFU에 대한 의뢰를 경험하였다. 자궁근종 치료로서 HIFU에 대한 인식을 살펴보았을 때, 응답자의 19 %에서만 효과적이라고 답하였다. 가장 흔한 부작용으로 생각되는 것은 자궁육종의 적절한 치료가 늦어지는 것 (59 %) 이었고, 그 다음이 장 손상 (52 %) 이었다. 응답자들이 HIFU를 고려하기에 적합하다고 생각한 경우로는 연령이 40세부터 49세 사이이며, 추후 임신 계획이 없고, 중간 크기 (5-6 cm)의 자궁근종이 2개까지 일 때였다. 자궁근종 치료로서 HIFU에 대한 한국의 부인과 의사들의 인식은 여전히 호의적이지 않으며, 근무하는 병원에서 HIFU를 이용 가능할 때, HIFU에 대한 인식이 좀 더 긍정적인 경향을 보였다. 여러 나라에서 더 많은 수의 부인과 의사들을 대상으로 한 연구뿐만 아니라, HIFU의 장기적인 결과에 대한 추가적인 연구가 더 필요하다.

• 여성건강간호학회지
• /
• 제7권2호
• /
• pp.212-228
• /
• 2001

This is a cross-sectional descriptive correlation study that aimed to understand the relationship between the level of sexual contacts during the dates and psycho-social factors in teenage girls who have or had boyfriends. The purpose of this study was to describe the relationship between sexual contacts and self-esteem and self- assertiveness. The subjects of the study were 6,130 teenage girls who have or had boyfriends. They were selected convienently 12,733 teenage girls from 254 secondary schools located in 7 large cities and 9 provinces in Korea. A structured questionaire was used it included items one general characteristics, the levels of sexual contacts, self-esteem and self-assertiveness. Seven levels of sexual contacts were rated they were holding a hand, putting arms around each other's shoulders, kiss, french kiss, touching breast, petting genitalia, and sexual intercourse during the dates. Self-esteem and self-assertiveness were measured by the "Self-esteem scale" of Rogenberg (1971) and the questionaires developed by S. B. Chang et al(2000), respectively. The self-reported questionaires were collected from October 2, to October 28, 2000 and analyzed by using SPSS 10.0 Program. The data were analyzed by descriptive statistics, reliability, One-way ANOVA with Duncan method & Scheffe method. The results of the analysis were as follows. 1.An average Percentage of the respondents who have (46.1%) or had (53.9%) boyfriends was 48.1% (n=6,130) and the most common sexual contact during the dates was french kiss (26.7%, n=1,634). While 7.5%(458) of respondents had a sexual intercourse, 13.7%(842) of respondents didn't have any sexual contact during the dates. 2. Distribution of starting point of the first sexual contact demonstrates that 1,950 respondents (31.8%) held partner's hand at the first date and 1,367 respondents (22.3%) put arms around each other's shoulders at the 2nd or 3rd date. Sexual contacts such as kiss, french kiss, touching breast, petting genitalia, or sexual intercourse were experienced mostly at the later than the 10th date. However, surprisingly large number(1.7%) of respondents had genital contact and sexual intercourses at the first date. 3. The means of self-esteem and self-assertiveness socres of the respondents who have or had boyfriends are 27.43$({\pm}4.03)$ and 17.96$({\pm}2.55)$, respectively. The range of scores for self esteem was 10-40, 40 with most self esteem. The range of scores for self assertiveness was 7-21, 21 with most self assertiveness. 4. As sexual contacts proceeded, the means of self-esteem and self-assertiveness values decreased. In detail, the respondents having no or light sexual contacts (kiss, putting arms around each other's shoulder, holding a hand) had similar self-esteem values($p{\leq}0.05$). However, ones having relatively intensive sexual contacts (french kiss, touching breast) showed significantly lower self-esteem values($p{\leq}0.05$). Same trend has been obtained for self-assertiveness value. 5. The higher values of self-esteem and self-assertiveness values the respondents had, the later they started the moderate sexual contact (kiss, french kiss) during the dates. Interestingly, among the respondents having intensive sexual contacts (petting genitalia, sexual intercourse) during the dates, those who experienced the such contacts at the first date or later than 10th date have higher self-esteem and self-assertiveness values than one experienced the such contacts during the 2nd$\sim$9th dates, giving U-shape curve. 6. There was a significant relationship between self-esteem and self-assertiveness in girls who have or had boyfriends($P{\leq}.001$). In conclusion, the research shows that self-esteem and self-assertiveness values are significantly related with the sexual contacts of the teenage girls who have or had boyfriends. These results strongly suggest that proper sex education program for teenage girls should contain the program on improving the self-esteem and self-assertiveness. We believe that sex education program is the one of the best ways to prevent the unwanted sexual contacts and pregnancy of teenage girls.

• Journal of Nutrition and Health
• /
• 제35권3호
• /
• pp.322-331
• /
• 2002

본 연구는 정상만기분만 임신부 (30명)와 그들의 신생아를 대상으로 임신부와 비타민$B_{6}$ 섭취양상과 모체와 신생아 제대혈장 및 태반조직내의 비타민$B_{6}$ 농도를 측정하고 이들 농도와 임신결과와의 상관성을 조사하며, 모체에서 태아로 비타민$B_{6}$가 이동될 때, 태반의 역할을 규명하고자 하였다. 임신부의 평균 연령과 임신 전 체중 및 신장은 각각 25.9세, 53.8kg 및 161 cm 였으며, 임신 전 체중 및 신장은 각각 25.9세, 53.8 kg 및 161cm 였으며, 임신 전 BMI는 20.7kg/$m^2$로 정상 범위였다. 수축기와 이완기 평균 혈압은 122.5 mmHg 와 75.2mmHg의 결과로 안정적인 수준이었으며 헤모글로빈 농도와 헤마토크리트치는 12.1g/dl와 36.1%로 양호하였다. 연구대상자 중 93.3%에 해당하는 임신부가 영양보충제를 복용했으며 이 중 85.7%가 엽산과 철분이 포함된 빈혈 치료제를 이용한 것으로 조사되었다. 영양보충제의 평균 복용기간은 16.3주였다. 임신부가 1일 평균 열량 섭취량은 2189.5kcal로 권장량의 93.2%였으며, 단백질은 79.3g(113.3%)으로 권장량을 상회하였다. 비타민 B$_{6}$의 평균 섭취량은 권장량은 91.4%인 1.7mg이었고, 비타민 $B_{6}$의 평균 섭취량은 권장량은 91.4%인 1.7mg이었고, 비타민 $B_{6}$ 영양밀도와 단백질 g 당 섭취량은 각각 0.8와 0.02mg으로 양호한 결과였다. 그러나, 비타민$B_{6}$의 주된 공급식품이 곡류 및 전분류 (50%)와 야채 및 과일류 (33%)로 식물성 식품이 대부분이었다. 임신 말 모체 혈장과 신생아 제대혈장의 PLP 농도는 각각 16.7$\pm$4.1 nmol/l와 61.3$\pm$19.8 nmol/l로 제대혈장의 PLP 농도가 유의적으로 높았으며, 태반조직의 PLP 농도는 898.6$\pm$159.2ng/g으로 혈장의 PLP 농도에 비해 매우 높은 값을 보였다. 모체와 태반조직 및 신생아 제대혈장간 PLP 농도의 상관성을 조사한 결과, 모체 혈장과 태반 조직간 (p<0.0001), 태반 조직과 신생아 제대혈장간 (p<0.05), 모체 혈 장과 제대혈장간(p<0.05) 유의적인 양의 상관관계가 있었다.

• 대한간호
• /
• 제30권3호
• /
• pp.49-65
• /
• 1991

This study was carried out to assess the problems with the pregnant women, and check out the risk-factors in the high-risk pregnancies, using a simplified antepartum risk-scoring system, which was revised from Edwards' scoring system to be suitable for Korean situaition. This instrument was included 4 categories, demographic, obstetric, medical and miscellaneous factors. This survey was based on the 1300 pregnant women who were admitted, $x^2$-test, F-test, Pearsons correation, using statistical package SAS in NAS computer system, KIST. The results of the study were as follows; 1. 1313 infants were deliveried of these 560 infants(42.7%) were born to mothers with risk-scores > 7, and 753 infants(57.3%) were born to mothers risk-scores <7. 2. Maternal age" parity, education level, of the demographic factors were significant relation statistically to identify the high risk pregnancies($X^2$=20.88, 42.87, 15.60 P < 0.01). 3. C-section, post term, incompetent cervix, uterine anomaly, polyhydramnios, congenital anomaly, sensitized RH negative, abortion, preeclampsia, excessive size infant, premature, low birth weight infanl, abnormal presentation, perinatal loss, multiple pregnancy, of the obstetric factors were significant relation statistically to identify the high risk-pregnancies. ($X^2$ = 175.96, 87.5, 16.28, 21.78, 9.46, 8. 10, 6.75, 22.9, 64.84, 6.93, 361.43, 185.55, 78.65, 45.52, P < 0.01). 4. Abnormal nutrition, anemia, UTI, other medicalcondition(pulmonary disease, severe influenza), heart disease, V.D., of the miscellaneous and medical factors, were significant relation statistically to identify the high risk-pregnancies. 5. Premature, low birth weight infant, contracted pelvis, abnormal presentation, of the risk factors were significantly related with Apgar score at 1 '||'&'||' 5 minute after birth and neonatal body weight. 6. Apgar score at 1 '||'&'||' 5 minute after, birth and neonatal body weight were significantly negative correlated with risk-score. 7. There were statistically significant difference between risk-score and Apgar score at 1 '||'&'||' 5 minute after birth, 3 group(0-3, 4-6, above 7), and neonatal body weight, 2 group(below 2.5kg, the other group) (F=104.65, 96.61, 284.92, P<0.01). 8. Apgar score at 1 '||'&'||' 5 minute after birth(below 7), and neonatal body weight(below 2.5kg), were significant relation statistically with risk score.($x^2$=65.99, 60.88, 177.07, P<0.01) were 60.8 %, 60% . 9. Correct classifications of morbid infants(l '||'&'||' 5 minute Apgar score < 7) were 77.8%, 83.8% and that of nonmorbid infants(l '||'&'||' 5 minute Apgar score > 7) were 60.8%, 60%. 10. There were statistically significant difference between dislribution of maternal risk-score among the morbid infants(l '||'&'||' 5 minute Apgar score < 7) and non morbid infants(l '||'&'||' 5 minute Apgar score> 7) ($x^2$=64.8, 58.8, P < 0.001). 11. There were statistically significant difference between distribution of morbid infants(l '||'&'||' 5 minute Apgar score < 7) and fetal death. 12. The predictivity for classifying high.risk cases was 12 % and for classifying low-risk cases was 98.3 % in 5 minute Apgar score. Suggestions for further studies are as follows; 1. Contineous prospective studies, using this newly revised scoring system are strongly recommended in the stetric service. 2. Besides risk facto~s used in this study, assessmenl of risks by factors in another scoring system and paralled studies related to perinatal outcome are strongly recommended.

• 대한간호
• /
• 제34권3호
• /
• pp.85-98
• /
• 1995

The purpose of this study is to provide basic data regarding effective learning opportunities in childbirth education classes. Also analysis of the data indicates the optimum conditions for the welfare and improvements in the promotion of health in childbearing mothers. The results of this study are as follows; 1) The average age of the subjects in this study was 30.6 years and the total number of subjects was 58 pregnant women. The average number of children was one and 84.5% of the subjects were unemployed even though 63.8% of them held over bachelor's degrees. It was found that 22.4% of the subjects were living in an extended family. Also 61.5% of them were living with parents-in-law. The number of pregnancies were calssified as one, two, or three to nine times with the percentages of 58.7%, 22.4% and 18.9%, respectively. Further, 72.4% of the subjects had no abortion experience and 15.5% had one aborion experience. While 89.7% of the subjects planned to feed their babies with breastmilk, mixed feeding were used by only 22.4% of the sample. These data were collected at about 6 months after delivery. Thus one can see that a low rate of breastfeeding was common. 2) The length of one period of childbirth education is four weeks. It was found that 36.2% of the subjects participated in childbirth education only once, where as 13.8% participated four times and 19% of the subjects participated in this class more than four times. pregnant at least once. Further, 75.9% of the participants were participated in this education through their own will. Their motivation for participation developed through information, advertisement and posters which contained information on childbirth education. Those with unplanned pregnancies 92.9% participated after a suggestion by the nurses. The number of participants in terms of percentage according to the childbirth education contents can be classified as following. The most active participation was shown in preparation of delivery(77.6%), postpartrm management(56.9%) fetal development(37.6%) and physiology of pregnancy(17.2%). It was found that 75.9% of the subjects were willing to participate again if they were given a chance. The reason can be summarized as following: The content of the education is very helpful(47.7%). Scientific knowledge can be obtained through this program(20.5%). Participation helps in achieving psychological stability(9.1%). Participation enables one to establish a friendly relationship with other participants(6.8%) of the sample. 24.1% of the participants did not want to participate again. The reasons can be as following: They do not want another baby(42.9%). The first paricipation in childbirth education gave enough knowledge about childbirth(21.4%). Another reason for not want to participate again was because they had a cesarean birth(14.3%). Only 7.1% of them responded with a negative view. A response that they do not need childbirth education after their operation can be traced back to the general belief that childbirth education is the place where one prepares for natural birth through the Lamaze breathing technique. Of the subjects, 91.4% suggested that this program could be recommended to other childbearing mothers, because this program gave educational content along with psychological stability for childbearing women. Of the subjects 41.4% did not see any efforts towards the welfare of the baby, where as 88.2% did. Among the subjects 58.6% made some effort to eliminate the discomfort of labor by breathing and imagination and breathing and walking. Further 41.7% of the 24 subjects did not do anything toward the welfare of the baby, because they did have a cesarean section so that they didn't have a chance even though they had been educated about childbirth. Also 33.3% of the subjects did not do anything toward the welfare of the baby, because they lacked a willingness. After leaving the hospital, only 75.9% of the subjects did some exercises. The subjects who tried participate this program with their husband accounted for 20.7% of the sample. Interviewing with the subjects solved some of the uneasiness and. fear of delivery, increased self-confidence in parenting and active coping in the delivery process.

• 보건교육건강증진학회지
• /
• 제14권1호
• /
• pp.73-95
• /
• 1997

Elderly problem from being aging society, especially health related problem of the elderly is very serious in many parts of this country. The reason is that most of geriatric disease are chronic and debilitating. The cause of chronic and debilitating disease are bad lifestyle and wrong health habit. Health is affected by a result of interaction of environment and human being. Because of difference of lifestyle between a city and a farm village, health behavior and health status of urban elderly and rural elderly may be dissimilar. Thus the purpose of this study was to grasp health behavior and health status, to identify the factors that effect on health status of the elderly. The subfects for this study, 488 persons aged 60 and over who live in Seoul or Cheonbuk Province. The preliminary survey was carried out from Aug. 19, to Aug. 22, 1996. With complement of questions, main survey was carried out from Sep. 29, to Oco. 10, 1996. The data was analysed by using in SPSS/PC+ program. The results were as follows. 1. General Characteristics 1) In the individual characteritics of the respondents, Seoulites aged 80 and over were 24.7%, the average age was 73.14 years old and rural residents aged 60-69 were 63.7%, the average age was 68.90 years old. In Seoul, 142 men and 101 women were respondents. In Cheonbuk Province, 101 men and 144 women were answered. In Seoul, those who graduated form elementary school were 35.4%, in farming region, illiteracy persons were 44.9%. In Seoul, 47.7% of respondents had spouse and in farming village, 66.1% of respondents had spouse. 39.0% of respondents who's imcome type was independent were Seoulite, and 66.1% of respondents who's income type was independent were rural residents. Employed persons in Seoul and in rural region were 16.9% and 62.0%. 2. Health Behavior 1) For the health behavior total score, the difference by region was not statistically significant. But the score of individual item was different and statistically significant. 2) For the Seoulites, younger person(p〈0.01), the female(p〈0.001) showed better health behavior and for the farming village residents, younger person(p〈0.01), the female(p〈0.01), independent income type(p〈0.05), employed person(p〈0.05) showed better health behavior. 3. Health Status 1) For the self-rated health status total score, the difference by region was statistically significant and individual item score was different and statistically significant. For ADL and IADL total score, the difference by region was not statistically significant, but individual item score was different and statistically significant. 2) For the Seoulites, woman(p〈0.05), lower education(p〈0.00l), independent income type(p〈0.05) showed higher score in self-rated health status. For rural residents, woman(p〈0.05), lower education(p〈0.01), independent Income type(p〈0.001) showed higher score in self-rated health status. For the Seoul residents, younger person(p〈0.001), employed(p〈0.05) showed higher score in ADL and IADL, and for the farm area residents, younger person(p〈0.001), higher education(p〈0.01), having spouse(p〈0.001), family type(p〈0.01) showed higher score In ADL and IADL. 3) For the Seoulites, drinking(p〈0.05), breakfast(p〈0.05), exercise(p〈0.05) and for the rural residents, drinking(p〈0.05), deep sleeping(p〈0.05), exercise(p〈0.01), washing hands before meal(p〈0.01) showed higher score In self-rated health status. For the Seoulites, deep sleeping(p〈0.05), exercise(p〈0.05) and for the farm village residents, fruit(p〈0.05), deep sleeping(p〈0.05), exercise(p〈0.001) showed higher score in ADL and IADL. We carried out this study to analyze the effectiveness through health education program in short term which was performed to use the special subject activities. This study was conducted on 63 students who were first grade in S Junior High School from Dec. 1995 to Feb. 1996. To analyze the effectiveness, we performed the Pretest, 1st Posttest, and 2nd Posttest for learned health knowledge. The results were as follows: 1. Most of the students(69.8%) responded that their health were good, and they got the information for health through Mass Com.. The students who had experience of health education were 15.9%, and the 77.8% of the respondents needed the health education. 2. The means of health knowledge on tests were 18.2(Pretest), 21.5(1st Posttest), and 21.4(2nd Posttest). Increase of health knowledge between Pretest and 1st Posttest was 10.9%. 3. The mean of differences between Pretest and 1st Posttest was 3.26, it was significant(p〈0.01). And the mean of differences between Pretest and 2nd Posttest was 3.19, it was significant(p〈0.01);however, the mean of differences between 1st Posttest and 2nd Posttest was not significant(p=0.2514). 4. The significant main contents were Health Facilities(d=0.42), Pregnancy and Labor(d=0.39), Hygiene(d=0.35), Safety Education(d=0.66), and Drug Abuse(d=0.60)(p〈0.01).

• Clinical and Experimental Reproductive Medicine
• /
• 제31권2호
• /
• pp.133-139
• /
• 2004

Objective: To investigate the association of FSH receptor (FSHR) polymorphism at position 680 with outcomes of controlled ovarian hyper-stimulation for IVF-ET in Korean women. Design: Genetic polymorphism analysis. Materials and Methods: The FSHR polymorphism was analyzed by PCR-RFLP in 172 ovulatory women below the age of 40 year. Patients with polycystic ovary syndrome, endometriosis, or previous history of ovarian surgery were excluded. Results: Genotype distribution was 41.9% for the Asn/Asn, 47.7% for the Asn/Ser, and 10.5% for the Ser/Ser FSHR genotype group. There was no difference in age of subjects and infertility diagnosis between genotype groups. When the patients were grouped according to their FSHR genotype, the basal levels of FSH (day 3) were significantly different among the three groups ($6.0{\pm}0.3\;IU/L$ (mean $\pm$ SEM), $5.8{\pm}0.3\;IU/L$, and $8.6{\pm}1.2\;IU/L$ for the Asn/Asn, Asn/Ser, and Ser/Ser groups, respectively, p=0.002). The Ser/Ser group showed a higher total doses of gonadotropins required to achieve ovulation induction, and a lower serum estradiol levels at the time of hCG administration compared with other two groups, but the differences were of no statistical significance. The numbers of oocytes retrieved were significantly different among the three groups ($8.6{\pm}0.8$, $9.9{\pm}0.6$, and $6.3{\pm}0.9$, for the Asn/Asn, Asn/Ser, and Ser/Ser groups, respectively, p=0.049). Clinical pregnancy rates were 42.4%, 25.9%, and 29.4% for the Asn/Asn, Asn/Ser, and Ser/Ser groups, respectively. Conclusion: Homozygous Ser/Ser genotype of FSHR polymorphism at position 680 was associated with decreased ovarian response to gonadotropin stimulation for IVF-ET.

• Journal of Nutrition and Health
• /
• 제41권1호
• /
• pp.41-53
• /
• 2008

임신성 당뇨병의 발병에 영향을 미치는 식이 인자를 알아보고자 컴퓨터용 식품섭취 빈도조사지와 설문지 등을 이용하여 임신성 당뇨병의 환자군-대조군 연구를 시행한 결과는 다음과 같다. 임신성 당뇨병군이 대조군보다 연령과 BMI가 높았고, 당뇨병의 가족력이 많았다. 임신전의 식습관은 임신성 당뇨병군이 대조군보다 1일 식사횟수가 적었고, 식사시간이 불규칙하고 식사속도가 빨랐으며 채식을 적게 하고 기름진 음식을 싫어하는 경향이었으며, 식습관점수가 낮았다. 식품섭취빈도법으로 조사한 영양소 섭취량에서는 임신성당뇨병군이 대조군보다 탄수화물의 섭취량이 유의적으로 많았고 단백질의 에너지 섭취비율이 유의적으로 낮았다. 지방의 섭취량에는 두 군간에 차이가 없었으며 임신성 당뇨병군이 대조군보다 단백질과 칼슘, 인, 비타민 B,의 영양밀도가 유의적으로 낮았다. 두 그룹간에 섭취량에 유의적 차이를 보이는 식품 중 쌀, 중국국수, 돼지고기 등은 임신성 당뇨병군에서 대조군보다 많이 섭취하였고, 옥수수, 오징어채, 큰멸치, 수박, 포도, 복숭아, 밤, 땅콩, 호상 요구르트, 치즈, 검정콩, 당근 등은 대조군에서 섭취량이나 섭취빈도가 많았다. 두 군 사이에 섭취량에 유의적 차이를 보이는 음식 중 온면, 시루떡, 햄버거, 돼지고기편육, 삶은 계란 등은 임신성 당뇨병군에서 섭취량이 많았고, 전병, 두부조림, 오징어채무침, 깍두기, 야채샐러드, 김치국, 과일샐러드, 콩밥, 콩조림, 토마토쥬스 등은 대조군에서 섭취량이나 섭취빈도가 많았다. 특히 쌀의 경우에는 임신성 당뇨병군이 대조군보다 섭취량은 많았으나 섭취빈도는 적어 임신성 당뇨병군에서 1회의 섭취분량이 많았던 것으로 생각할 수 있다. 영양소 중에서는 탄수화물이나 에너지의 섭취량이 많을 때 임신성 당뇨병의 odds ratio가 증가하였고, 식품이나 음식은 쌀, 국수, 돼지고기, 온면, 시루떡, 햄버거, 삶은 계란, 돼지고기편육 등의 섭취량이 많을 때 임신성 당뇨병의 odds ratio가 증가하였다. 상관관계의 분석결과 에너지 섭취량, 탄수화물 섭취량 등이 혈액의 포도당농도와 상관관계가 있는 것으로 나타났다. 이상으로 본 연구 결과를 종합해 볼 때 임신성 당뇨병에 영향을 미치는 식이 인자는 지방보다는 탄수화물의 섭취량으로 생각되어지며 단백질을 포함한 식사의 질과 바람직하지 않은 식습관이 영향을 미칠 수 있음을 생각해 볼 수 있다.

• Clinical and Experimental Pediatrics
• /
• 제45권5호
• /
• pp.575-587
• /
• 2002

목 적 : 모유수유를 위한 상담과 교육이 언제 이루어지는 것이 좋은지 알기 위하여 임신시 모유수유에 관한 인식을 조사하였다. 방 법: 2000년 7월부터 8월까지의 기간동안 서울과 근교도시(일산, 안산), 충주와 청주, 부산지역의 12개 병 의원의 산부인과에서 산전진찰을 받기 위해 내원한 임신부를 대상으로 본 위원회에서 개발한 설문지를 작성하도록 하였으며 설문요원이 설문기입을 확인하고 회수한 총 1,481매에서 기록이 충실한 1,290 명의 설문을 분석하였다. 결 과 : 1) 임신부의 87.4%가 모유수유를 계획하였으며 분유 6.2%, 혼합수유 4.5%, 결정 못함 1.9%로 임신시 수유계획으로 모유가 가장 많았다. 임신부의 43.0%에서 4-6개월간 수유하려고 계획하였다. 2) 모유수유를 선택한 이유는 모유가 아기에게 좋다고 생각되어서 97.7%로 가장 많았으며 주위에서 권하여 0.9%이었다. 모유수유를 선택하지 않은 이유는 직장 또는 일 41.3%, 모유수유실패경험 17.4%, 모유가 부족할 것 같아서 10.9%, 함몰유두 등 유방의 문제 10.3%, 엄마의 질병 9.4% 등이다. 3) 모유수유에 관한 정보원은 친정어머니 또는 시어머니 33.1%, 육아 출산 전문 잡지와 책 27.1%, 형제 자매 친구 등 18.6%, 신문 텔레비전 라디오 등 대중매체 18.2% 순이었다. 모유수유의 정보원에 따른 모유수유 계획률의 유의한 차이는 없었다(P>0.05). 4) 모유수유에 대한 인식은 100점으로 환산하여 평균 59.7점으로 매우 낮았다. 장점에 대한 7항목의 정답률은 62.0-97.1%, 평균 86.1점이었다. 반면 수유의 실제적인 방법에 대한 13항목은 정답률 17.4-76.2%, 평균 45.3점이었다. 모유수유 계획률은 모유의 장점과 수유방법에 대한 인식의 중앙값 6점 이상인 군에서 유의하게 높았다(P<0.05). 가장 낮은 정답률은 '물젖이라도 계속 수유하는 것이 좋다' 17.4%이었다. 5) 산후조리 도우미로는 친정 식구가 52.3%로 가장 많았고, 산후조리원 22.4%, 시집 식구 10.6% 순이었다. 모유수유 계획률은 유의한 차이가 없었다(P>0.05). 6) 다변량 로지스틱 회귀분석에서 임신부의 취업여부, 모유수유력, 수유법 결정시기와 결정한 사람, 모유 수유의 장점에 대한 인식 등이 모유수유 계획의 중요한 결정인자이었다. 결 론 : 임신부의 대부분이 모유수유를 계획하고 있었으나 수유기간이 4-6개월로 짧았으며 모유의 장점은 충분히 인식하고 있었으나 수유의 방법에 대하여는 올바로 이해하고 있지 못하였다. 모유수유율을 높이기 위하여 국가 정책적으로 모자동실, 출산 휴가 연장, 직장에서의 수유 등 모성복지를 위한 개선책이 필요하며 소아과 의사는 육아 상담시 모유수유로 어려움을 겪고 있는 어머니를 올바르게 이끌고 격려하여야 한다.