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JOURNAL OF THE KOREAN SOCIETY OF MATERNAL AND CHILD HEALTH

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수록범위 : 1권1호(1997)~24권3호(2020) |수록논문 수 : 514
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24권3호(2020년 07월) 수록논문
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KCI등재

1서울시의 지역사회 중심 남녀 건강출산지원사업 소개

저자 : 나백주 ( Baeg Ju Na ) , 이미점 ( Mi Jeom Lee ) , 이화선 ( Hwa Sun Lee ) , 민승기 ( Seung Ki Min ) , 김혜옥 ( Hye Ok Kim ) , 안기훈 ( Ki Hoon Ahn ) , 이우령 ( Woo Ryoung Lee ) , 손인숙 ( In Sook Sohn ) , 하은희 ( Eun Hee Ha ) , 주성홍 ( Sung Hong Joo ) , 김희선 ( Hee-sun Kim ) , 김영아 ( Youn

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 24권 3호 발행 연도 : 2020 페이지 : pp. 123-132 (10 pages)

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Community-based preconception care for men and women of childbearing age has been introduced in Seoul. The program aims to focus on problem areas such as low birth rate, fertility issues potentially due to late marriages, preterm or premature births, and low-birthweight in newborn babies. The district administration officials of Seoul, as well as, academics from the Korean Society of Maternal and Child Health, developed a protocol by using a questionnaire and laboratory test for screening risk factors in pregnancy. The protocol was tested on a trial basis in four local districts in Seoul from July 2017 to 2018, extended to 12 local districts in 2019, and all 25 districts in Seoul in 2020. The protocol includes Anti-Mullerian Hormone tests to assess women's ovarian reserve and male health checkups that include semen analysis and physical examinations of genitalia. These tests are conducted for early detection and treatment of infertility, especially in cases of late marriages. In order to prevent women being abandoned during pregnancy (leading them to single-parenting), the protocol also emphasizes building a gender-sensitive environment by encouraging more male participation. A monitoring group comprised of Seoul city district officials and academics from the Korean Society of Maternal and Child Health, regularly visited the local districts to observe improvements and keep the program officials up to date. In addition, the group also conducted a mobile phone survey for feedback on the program. The interest and support of the residents in Seoul city, and positive results and development in pregnancy care and childbirth, are needed to stabilize and extend this protocol.

KCI등재

2주산기 주요 감염질환의 예방 및 관리

저자 : 박채연 ( Che Yon Park ) , 조현진 ( Hyunjin Cho )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 24권 3호 발행 연도 : 2020 페이지 : pp. 133-143 (11 pages)

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Perinatal infection is the leading cause of fetal and neonatal mortality and is directly related to childhood morbidity. Perinatal infections cause abnormal growth, delayed development, and many other clinical problems in newborns. In particular, TORCH syndrome can cause serious fetal and neonatal health problems through vertical infection, and timely diagnosis and treatment through regular antenatal examinations are important. There are no therapeutic options or vaccines for parvovirus or cytomegalovirus. Therefore, prevention is the most important method. In the case of toxoplasmosis, prenatal education is important because it can be prevented through hygiene management, although there are therapeutic drugs. Syphilis has a high prevalence, so early diagnosis is important. Rubella and varicella zoster infections can lead to fatal results in vertical transmission to the fetus. Therefore, preconception vaccination should be performed. Women with herpes simplex, which has a high prevalence in the community, need to be mindful when choosing a childbirth method by evaluating the infection through regular prenatal care to prevent vertical infection. Seasonal flu is rarely transmitted vertically to the fetus, but the morbidity and mortality risk to the mother is higher than that of the general population. Thus, prevention through vaccination is important. Lastly, coronavirus disease 2019 (COVID-19) infection has yet to be well studied, although the mother's morbidity and mortality are similar to those of the general population and there is no evidence of vertical infection. Since the findings of the effects on the mother and fetus are limited, transmission should be prevented through social distancing and personal hygiene practices.

KCI등재

3자궁근종과 임신에 대한 최신 지견

저자 : 이세진 ( Se Jin Lee ) , 황종윤 ( Jong Yun Hwang )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 24권 3호 발행 연도 : 2020 페이지 : pp. 144-153 (10 pages)

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Uterine myomas (fibroids) are the most common benign tumors in women and occur in 20%-40% of women of reproductive age. Myomas are benign monoclonal tumors that develop from the smooth muscle cells of the myometrium. Most pregnant women with myomas do not have complications during pregnancy, but complications can occur. Among the complications, pain is the most common, and the risks of miscarriage, preterm labor and delivery, abnormal positioning of the fetus, and placental abruption increase slightly. There are also concerns about the potential effects of uterine myomas on infertility and reproductive function. Therefore, there are frequent clinical concerns about the presence of myomas during pregnancy; however, the treatments are unclear. In this study, we summarize the latest trends in uterine myomas and pregnancy and consider the treatments.

KCI등재

4한국 가임기 여성에서 모유수유와 대사증후군 및 대사증후군 요소와의 관련성에 대한 연구: 2010-2016 국민건강영양조사자료

저자 : 김민지 ( Minji Kim ) , 이주석 ( Jusuk Lee ) , 김태홍 ( Taehong Kim )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 24권 3호 발행 연도 : 2020 페이지 : pp. 154-161 (8 pages)

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Purpose: Here we aimed to examine the association of breastfeeding (BF) with the metabolic syndrome (Mets) and its components among premenopausal parous Korean women. 
Methods: We conducted a cross-sectional study on 7,116 Korean women by using nationally representative data from the Korea National Health and Nutrition Examination Survey, between 2010 and 2016. Multivariate logistic regression analysis was performed for examining the association of BF with Mets and its components. 
Results: A total 7,116 women were selected for this study. Mets was present in 12.9% of the study participants. The prevalence of Mets in the BF group (12.38%) was lower than that of the non-BF group (14.69%) (p<0.05). The prevalence of hypertension and hypertriglyceridemia was significantly higher in the non-BF group compared to that of the BF group. For each of Mets components, the total cholestrol level and systolic blood pressure were significantly higher in the non-BF group, compared to those of the BF group (p<0.05). The BF group was associated with a decreased risk of Mets (odds ratio [OR], 0.82; 95% confidence interval [CI], 0.68-0.99). and lower risks of hypo-high-density lipoprotein-cholesterolemia (OR, 0.78; 95% CI, 0.62-0.68), compared to those of the non-BF group.
Conclusion: BF is an important factor in reducing the risks of Mets. These results provide fundamental evidence for the establishment of policies for promoting BF.

KCI등재

5미숙아와 만삭아의 발달 단계에 따른 어머니의 양육 스트레스

저자 : 김기은 ( Kieun Kim ) , 이혜정 ( Hyejung Lee )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 24권 3호 발행 연도 : 2020 페이지 : pp. 162-169 (8 pages)

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Purpose: The purpose of this study was to compare parenting stress in preterm mothers with that in fullterm infant mothers according to the developmental stages of their children.
Methods: This study used the secondary data analysis approach. Ninety-one preterm infant mothers and 364 full-term infant mothers were selected from the Panel Study on Korean Children using the propensity score matching method. Parenting stress measured at the infancy, toddler, preschool, and early schoolage stages were collected with the characteristics of mothers and children such as age, education level, employment, gender, and gestational age of children. A linear mixed model was used to analyze the effect
of developmental stages of children on mothers' parenting stress.
Results: Parenting stress was higher in preterm infant mothers at each developmental stage than in fullterm infant mothers. Parenting stress in preterm infant mothers increased from the infancy stage to the toddler stage but decreased afterward, while parenting stress in full-term infant mothers gradually decreased from the infancy stage to the school-age stage. The changes in parenting stress by developmental stage in preterm and full-term infant mothers were significantly different at the infancy and toddler stages (t=2.32, p=0.020).
Conclusion: Parenting stress showed a different pattern between preterm infant mothers and full-term infant mothers. Special consideration should be given to develop an educational intervention to assist preterm infant mothers to manage their parenting stress effectively.

KCI등재

6남북한 모성 소아 보건 통계 비교

저자 : 이정민 ( Jeong Min Lee ) , 김채영 ( Chae Young Kim ) , 정성훈 ( Sung-hoon Chung ) , 최용성 ( Yong-sung Choi ) , 배종우 ( Chong-woo Bae )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 24권 3호 발행 연도 : 2020 페이지 : pp. 170-180 (11 pages)

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Purpose: This study aimed to investigate the extent of the difference in health status between South Korea (SK) and North Korea (NK) by comparing indicators relevant to maternal and child health.
Methods: The maternal and child health status of SK and NK considering population, birth, and mortality was reviewed using 2 Korean statistics, United Nations Children's Fund, and United Nations databases from 1950 to 2017.
Results: The annual number of total live births in SK had decreased from 1,006,600 in 1970 to 326,900 in 2018, and that in NK had declined from 530,000 in 1970 to 360,000 in 2015. The percentage of children among the total population was higher in NK than in SK, and the decrease in the percentage of children in SK is remarkable, which is related to a low fertility rate in the last few decades. However, the mortality rates related to children were higher in NK than in SK. In 2017, neonatal mortality rates (per 1,000 live births) in SK and NK were 1.5 and 9.0, respectively. The fertile female population of SK and NK in 2015 was 50.2% and 52.0%, respectively, and SK and NK's aging index (%) in 2017 was 107.3 and 46.1, respectively.
Conclusion: This study shows the different population distributions and maternal and child health statuses between SK and NK, which may have a negative impact on social integration after reunification. Therefore, it is important to understand the indicators of maternal and child health to become the powerbase of efficient healthcare system integration by minimizing the impact at the beginning of the reunification.

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1연안해역에서 석유오염물질의 세균학적 분해에 관한 연구

(2006)홍길동 외 1명심리학41회 피인용

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2미국의 비트코인 규제

(2006)홍길동심리학41회 피인용

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(2006)홍길동41회 피인용

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