• 대한한방부인과학회지
• /
• 제15권4호
• /
• pp.149-162
• /
• 2002

The fetus is greatly influenced by mother's health condition and her environment. So in our traditional society, the prenatal care is regarded as important for generations to birth of sound baby in mind and boy. Purpose : We aimed to reserch what kind of mother's conditions can be more influential to infant allergic disease among traditional prenatal care. Method : We investigated 91 patients who answered by a questionnaire at Dept. of Pediatrics, Oriental Hospital of Dae-jeon University. We divided patients into two groups, A(normal group;43) and B(allergic disease group;48) and analyzed those. Results : The pregnant women in the group B, generally have worse health conditions and are under the stress mentally and cannot get enough nutrition because of morning sickness and digestive trouble, but take more pungent and powdered food than the group A. Specially, the result is significant in anger and worry among other mental stresses and in digestive trouble and threatened abortion among other health conditions(according to order: p<0.001, p<0.05, p<0.01, p<0.001). We can see that pregnant woman's peaceful mentality and enough nutrition intake are most important to birth of sound baby in mind and also we can see that pregnant woman's regimen has influence on not only infant disease but also character and the infant allergic diseases are related to inheritable factor.

• Journal of the Korean Association of Oral and Maxillofacial Surgeons
• /
• 제49권1호
• /
• pp.21-29
• /
• 2023

Objectives: Dental or maxillofacial emergencies are uncommon during pregnancy, but if they occur, they are challenging to treat due to potential risks. The mother should not be denied necessary medical or dental care because of pregnancy. The aim of the study is to observe outcomes of pregnancy in patients requiring emergency minor oral surgical procedures during gestation and to determine the safety of the pregnant woman undergoing the procedure and the fetus. Materials and Methods: The study was conducted on 52 pregnant women requiring emergency oral surgical procedures. A standard treatment protocol for treatment of specific entities was followed. Close monitoring and observation were the primary goal of treatment. All patients were followed postoperatively until complete recovery from the surgical procedures and then until birth of the baby. A control group of 52 healthy pregnant patients who did not require oral surgical procedures was considered for statistical analysis. The measurements to calculate observation were fetal loss (spontaneous abortion), preterm birth, low-birth weight, or incidence of any congenital anomalies in the baby and its association with surgical procedures. Results: No fetal loss occurred in any of the cases. However, four patients experienced preterm birth and seven neonates exhibited low birth weights. No congenital abnormalities were discovered. In one instance, a patient who underwent surgery for a mandibular symphysis fracture under general anesthesia in the 31st week of pregnancy experienced labor pain on the fourth postoperative day, requiring an emergency Caesarean section. Conclusion: The results of our study demonstrate that, compared to the control group, minor emergency surgeries performed during pregnancy have no discernible negative effects on the fetus. These procedures can safely be performed by adhering to our described protocols.

• 대한한방부인과학회지
• /
• 제35권2호
• /
• pp.1-15
• /
• 2022

Objectives: The purpose of this study is to report the results of Korean medicine treatment infertility support program in Gwang-ju Metropolitan City in 2021. Methods: Participants of Korean medicine treatment infertility support program were provided Herbal medicine, acupuncture, pharmacopuncture and Counseling for 3 months and followed up for 3 months after the treatments. The project was carried out for 100 infertile women under the age of 42 living in Gwang-ju Metropolitan City, of which 91 completed treatment until the end. Collected data of 91 women containing pregnancy rates, characteristics of subjects, treatments, and satisfaction of the program were analyzed. Results: After the treatment, 23 out of 91 subjects were pregnant, two of whom were miscarried, and 21 were maintained. The average age of pregnant women in 23 pregnant subjects was 33.8 years old, of which the average age of those who maintained pregnancy was 32.4 years old, and the age of one miscarried person was 39 years old. More than 85% of subjects answered that they were satisfied with the program in the satisfaction survey. Conclusions: Based on this report, the clinical data were obtained from the infertility treatment program. This study can be used as basic data to help establish infertility support programs and subsequent policies like support for men in the future Korean medicine infertility project and extension of the herbal medicine treatment period.

• 한국콘텐츠학회논문지
• /
• 제15권3호
• /
• pp.252-264
• /
• 2015

본 연구의 목적은 블로그에 나타난 임신 여성의 산전 기형아 검사 및 양수검사 관련 교육요구를 파악하기 위하여 총 7개의 국내 인터넷 블로그를 분석하였다. 본 연구는 두 단계로 이루어졌다. 1 단계는 2011년 10월 31일까지 6년간 7개 블로그 중 6개 블로그에 게시된 내용 중 산전 기형아 검사 389건을 통하여 연구의 분석틀을 마련하였다. 2 단계에서는 '맘스홀릭 베이비'에 게시된 산전 기형아 검사에 관한 질문 100건, 양수 검사에 관한 질문 200건과 댓글 1,665건을 2011년 12월 텍스트화하고 산전 기형아 검사와 양수검사의 건수, 검사 이유 및 검사와 관련된 문제점을 분석하였다. 그 결과, 임신부들은 산전 기형아 검사와 양수검사와 관련하여 검사의 용어, 목적 및 임신 주수에 따른 검사 지식이 부족하였고, 양수 검사를 권유 받은 임신부 중 56.5%가 불안과 두려움을 호소하였다. 양수검사에 관한 찬성과 반대 건수를 분석한 결과, 찬성 보다는 반대 건수가 더 많았고, 양수검사를 권유 받은 자 중 33.9%는 양수검사를 받지 않았다. 이상의 결과에서 보듯이 의료 기관 서비스 안에서 임신 여성과 가족들에게 임신 주수에 따른 산전 기형아 검사에 관한 교육 및 지지가 강화될 필요가 있다. 이를 위하여 산전 클리닉 외래의 상담 및 교육 서비스 기능을 강화하고, 유전 상담 전문가를 추가로 배치할 필요가 있으며 인터넷 보급률 증가와 현대 임신 여성이 선호하는 커뮤니케이션 방식을 고려하여 온라인 건강 정보 사이트 운영 및 콘텐츠 개발에 관심을 기울일 필요가 있다. 또한 본 연구결과는 기형아 검사 후 낙태 허용범위 기준에 대한 논의 시 기초자료로 활용될 수 있을 것이다.

• Clinical and Experimental Reproductive Medicine
• /
• 제49권1호
• /
• pp.2-8
• /
• 2022

Humanity is in the midst of the coronavirus disease 2019 (COVID-19) pandemic, and vaccines-including mRNA vaccines-have been developed at an unprecedented speed. It is necessary to develop guidelines for vaccination for people undergoing treatment with assisted reproductive technology (ART) and for pregnancy-related situations based on the extant laboratory and clinical data. COVID-19 vaccines do not appear to adversely affect gametes, embryos, or implantation; therefore, active vaccination is recommended for women or men who are preparing for ART. The use of intravenous immunoglobulin G (IVIG) for the treatment of immune-related infertility is unlikely to impact the effectiveness of the vaccines, so COVID-19 vaccines can be administered around ART cycles in which IVIG is scheduled. Pregnant women have been proven to be at risk of severe maternal and neonatal complications from COVID-19. It does not appear that COVID-19 vaccines harm pregnant women or fetuses; instead, they have been observed to deliver antibodies against severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) to the fetus. Accordingly, it is recommended that pregnant women receive COVID-19 vaccination. There is no rationale for adverse effects, or clinical cases of adverse reactions, in mothers or neonates after COVID-19 vaccination in lactating women. Instead, antibodies to SARS-CoV-2 can be delivered through breast milk. Therefore, breastfeeding mothers should consider vaccination. In summary, active administration of COVID-19 vaccines will help ensure the safe implementation of ART, pregnancy, and breastfeeding.

• 한국지역지리학회지
• /
• 제2권1호
• /
• pp.25-38
• /
• 1996

본 연구는 최근들어 여성의 경제활동참여가 활발해짐에 따라 맞벌이 부부가 증가되고 핵가족화에 따른 자녀 양육의 문제가 심각하게 사회문제화 됨에 따라 대구 광역시의 보육시설 현황과 입지선정을 하고자 한 것이다. 먼저 대구의 보육 시설의 분포를 보고 동별 요보육아동수, 요보육아동비율을 현재의 시설수와 대비시켜서 보육시설이 우선적으로 필요한 지역을 선정하였다. 그리고 보육아동현황을 설립주체별로도 구분해 보고 보육아동의 비율과 보육아동의 수와 가입여자인구수 및 가입여자인구비율과의 관계도 고려하여 Arc/Info(GIS software)를 이용해 지도화했다. 그 결과 요보육아동의 비율도 높으면서 가임 여자인구의 비율도 높은 지역으로 23개 동이 선정되고 그 종 보육시설이 가장 적은 9개동이 마지막으로 선정되었다. 이 연구의 결과 대구의 보육시설의 문제는 절대수의 부족, 불균등 분포의 문제와 아울러 직장보육시설의 절대부족, 정부 시설의 부족과 높은 보육비의 부담 등이 앞으로 해결해야 할 과제로 남아 있다.

• 여성건강간호학회지
• /
• 제25권2호
• /
• pp.143-153
• /
• 2019

Purpose: We aimed to examine the correlations between pregnancy experience and attitude regarding weight change during pregnancy. Methods: This correlative study was conducted from July 2017 to October 2017 by involving 156 primigravida women who were over pregnancy 20 weeks in Seoul and Gyeonggi-do province. Data were collected using a questionnaire, which included questions on demographic data, experience during pregnancy, and attitude regarding weight change during pregnancy. Descriptive statistics were calculated. Also, independent t-test, ANOVA, and Pearson's correlation coefficients were used for data analysis. Results: The mean age of the participants was 30.62 years and their score of attitude regarding weight gain during pregnancy was low. Moreover, a significant correlation was found between the pregnancy experience and attitude regarding weight gain during pregnancy in primigravida women. Conclusion: As a result of analyzing the correlation between pregnancy experience and attitude towards weight gain during pregnancy, it is apparent that attitudes toward weight change are different according to experience during pregnancy in women. Based on these results, it can be concluded that nursing intervention programs are necessitated to enhance the attitude of pregnant primigravida women towards pregnancy and weight gain.

• Tuberculosis and Respiratory Diseases
• /
• 제82권1호
• /
• pp.1-5
• /
• 2019

Quitting smoking helps smokers maintain their health and extend their lifespan by 10 or more years. Treatment strategies for smoking cessation should be tailored to individual smokers with special needs based on their specific circumstances. It is recommended that pregnant women adopt smoking cessation through counseling and behavioral interventions because the safety of medications has yet to be established. Counseling is the main strategy for smoking cessation in adolescents and nicotine replacement therapy can be used with caution in individuals with serious nicotine dependence. It is important for smokers with psychiatric diseases to quit smoking following accurate assessment of their depression status. Nicotine replacement therapy, varenicline, and bupropion can be used for smoking cessation in smokers with psychiatric disorders. The incidence of cardiovascular disease decreased according to the smoking status and the duration of smoking cessation. In smokers with chronic obstructive pulmonary disease (COPD) who used a combination of counseling and pharmacotherapy the quitting rate was more than twice as high as subjects who used behavioral interventions alone. Varenicline can be used as the most effective anti-smoking drug by most smokers including those with psychiatric disorders, cardiovascular disease, and COPD.

• Journal of Chest Surgery
• /
• 제33권6호
• /
• pp.502-506
• /
• 2000

Background: Anticoagulant therapy can be required during pregnancy with prosthetic heart valves. Warfarin and heparin provide real protection against thromboembolic phenomena, but they also carry serious risks for the fetus and the mother. In an attempt to identify the best treatment for pregnant women with cardiac valve prostheses who are receiving anticoagulant, we studied 19 pregnancies, the warfarin was discontinued and heparin was administered every 12 hours by subcutaneous injection in doses adjusted to keep the midinterval aPTT in the therapeutic range(at least 2-2.5 control) from the conception to the 12th week of gestation and oral antiocagulant was then administered until the middle of the third trimester in the therapeutic range(at least 2 INR), and heparin therapy was restared until delivery. Also in order to avoid an anticoagulant effect during delivery, it has been our practice to instruct women to either discontinue their heparin injections with the onset of labur or to stop heparin injections 12 hours prior to the elective induction of labour. Result: The outcome of 19 pregnancies managed with above protocol was spontaneous abortion in 3 cases, voluntary termination in 2 cases, premature delivery at 35 weeks in 1 case and delivery at full-term in 14 cases. There was no maternal morbidity and moratality and fetopathy. Conclusion: We conclude that in the second and third trimester of pregnancy, warfarin provide effective protection against thromboembolism, Oral antiocagulant therapy should be avoided in 2 weeks before delivery because of the risk of serious perinatal bleeding caused by the trauma of delivery to the anticoagulated fetus. However, the substitution of heparin at first trimester and 2 weeks before delivery reduce the incidence of complications.

• 대한한의학회지
• /
• 제40권2호
• /
• pp.106-118
• /
• 2019

Objectives: The aim of this study is to survey on the effect of Korean medicine health promotion program for maternal health. Methods: We conducted Korean medicine health promotion program for maternal health to pregnant women who agreed to participate in this program among 10 public health center. Before and after program, we surveyed the Knowledge Score of Maternal Health Care, Practice of Health Behavior, (Traditional) Child Care Recognition, Depression, Child Caring Confidence and analyzed DID(Difference In Difference). Results: The Knowledge Score of Maternal Health Care of intervention group was improved about 1 point. The improvement of (Traditional) Child Care Recognition was significant. Depression score of intervention group was improved high significantly. The Child Caring Confidence of intervention group was improved about 1.3 point. Conclusion: As a result of analyzing the effect of Korean medicine health promotion program for maternal health, it is confirmed that this program can have an impact on improving Knowledge Score of Maternal Health Care, (Traditional) Child Care Recognition, Depression, Child Caring Confidence. It will be necessary to continue and develop this program widely.