The Journal of Korean Obstetrics and Gynecology (대한한방부인과학회지)

The Society of Korean Medicine Obstetrics and Gynecology (대한한방부인과학회)
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A Prospective Observational Study on Symptoms of the High Risk Group and Normal Group Used Postpartum Care Center during Six Weeks after Childbirth in Korean Medicine Hospital

고위험산모와 일반산모의 산후 6주간 증상에 대한 전향적 관찰 연구 - 일개 한방병원 산후조리원을 이용한 산모를 중심으로

  • Jung, Jong-Kwan (Dept. of Korean Medicine, Graduate School of Woo-Suk University) ;
  • Jeong, Seo-Yoon (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Woo-Suk University) ;
  • Kim, An-Na (Future Medicine Division, Korea Institute of Oriental Medicine) ;
  • Jang, Hyun-Chul (Intellectual Information Team, Korean Institute of Oriental Medicine) ;
  • Kim, Pyung-Wha (Clinical Medicine Division, Korean Institute of Oriental Medicine) ;
  • Lee, Eun-Hee (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Woo-Suk University)
  • 정종관 (우석대학교 한의과대학 한의학과) ;
  • 정서윤 (우석대학교 한의과대학 부인과교실) ;
  • 김안나 (한국한의학연구원 미래의학부) ;
  • 장현철 (한국한의학연구원 지능화추진팀) ;
  • 김평화 (한국한의학연구원 임상의학부) ;
  • 이은희 (우석대학교 한의과대학 부인과교실)
  • Received : 2019.10.17
  • Accepted : 2019.11.29
  • Published : 2019.11.29
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Abstract

Objectives: The aim of this study was to observe the changes of women's postpartum symptoms, the quality of life and depression scale over the first six weeks after childbirth. Methods: Twenty seven mothers who received Korean medical treatment in the outpatient department treatment (from September 27th, 2017 to January 5th, 2018) were evaluated for Verbal numerical rating scale (VNRS), edema index, EuroQol Visual Analogue Scale (EQ-VAS), and Edinburgh Postnatal Depression Scale (EPDS). Results: There were 17 high risk participants (63.0%) and 10 normal participants (37.0%). The VNRS of edema is the highest in the first week, and the VNRS of joint pain is the highest from the second week to the sixth week in all patients. The Extra Cellular Water/Total Body Water (ECW/TBW) of high risk group significantly decreased from $0.403{\pm}0.011$ to $0.387{\pm}0.006$(p<0.05) in the first 2 weeks. The ECW/TBW of normal group significantly decreased from $0.393{\pm}0.070$ to $0.383{\pm}0.011$ (p<0.05) in the first 2 weeks. The EQ-VAS of high risk group increased from $64.12{\pm}13.941$ to $69.35{\pm}18.155$ (p<0.05) in the first 2 weeks. But this difference was not significant statistically (p=0.234). The EQ-VAS of normal group significantly increased from $62.50{\pm}21.763$ to $74.00{\pm}9.661$ (p<0.05) in the first 2 weeks. The difference of EPDS was not statistically significant between the first week and the sixth week in every participants. Conclusions: VNRS was the highest in edema in the first week, joint pain was the highest from the second week to six week. The edema index of high risk groups was higher than that of the normal group in the first week (p<0.05). The EQ-VAS of normal group significantly increased (p<0.05) in the first 2 weeks but high risk group didn't. In the EPDS, the ratio of nine or more points of high risk group was more than twice than normal group in the first 2 weeks.

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