Effects of using Postpartum Care Services on the Health-Related Quality of Life in Women after birth

산후관리서비스가 산모의 건강관련 삶의 질에 미치는 영향

  • Jeong, Jae Yeon (Department of Health Administration, Yonsei University Graduate School) ;
  • Cha, Sun Jung (Department of Health Administration, Yonsei University Graduate School) ;
  • Gu, Yeo Jeong (Department of Health Administration, Yonsei University Graduate School) ;
  • Yoo, Ki Bong (Department of Health Administration, Yonsei University College of Health Sciences)
  • 정재연 (연세대학교 대학원 보건행정학과) ;
  • 차선정 (연세대학교 대학원 보건행정학과) ;
  • 구여정 (연세대학교 대학원 보건행정학과) ;
  • 유기봉 (연세대학교 보건과학대학 보건행정학과)
  • Received : 2020.06.23
  • Accepted : 2020.10.19
  • Published : 2020.12.30

Abstract

Purposes: This study purposed to identify influence of postpartum care services on health-related quality of life in women after birth. Methodology: Korea Health Panel Survey 2009-2015 provided by the Korea Institute for Health and Social Affairs and National Health Insurance Service was used for the analysis. The health-related quality of life evaluate as a EuroQoL-5D(EQ-5D-3L, used the weight of the CDC) was used as dependent variables. Postpartum care services was used as independent variable. Demographic factors(education, economic activity, region, house income), health related variable(presence of chronic disease, self-rated health), birth related variable(birth-related problem, childbirth, pregnancy of advanced maternal age) used as covariates. Regression analysis was used. Findings: The rate of use of postpartum care services is increasing year by year. Postpartum care services and self-rated health positively influence on the health-related quality of life in women after birth and chronic disease and birth-related problem negatively influence on. Practical Implications: Therefore, it is necessary that the government's policy of the postpartum care service be expanded and systematized to increase accessibility on. There are rare studies on the health-related quality of life of women after childbirth, adjusted for birth-related variables. So this study has significance.

Keywords

References

  1. Yeo J, Chun N. Influence of Childbirth Experience and Postpartum Depression on Quality ofLife in Women after Birth. Journal of Korean Academy of Nursing 2013;43(1):11-19. https://doi.org/10.4040/jkan.2013.43.1.11
  2. Jung M, Kim J. A study on the relationship among prenatal emotional status, preparation for delivery. postpartum social support and post-partum blues. Korean Journal of Women Health Nursing 2005;11(1):38-45. https://doi.org/10.4069/kjwhn.2005.11.1.38
  3. Barr J. Postpartum depression, delayed maternal adaptation, and mechanical infant caring: A phenomenological hermeneutic study. International journal of nursing studies 2008;45(3):362-369. https://doi.org/10.1016/j.ijnurstu.2006.10.002
  4. Women's Health Nursing Course Study Group. Women's health nursing care. 6th ed. Seoul: soomoonsa; 2010. p.1262.
  5. Sakong J, Park D. An Analysis on the Determinants and Equity of the Postpartum Care Service Utilization. Health Policy Manag 2017;27(4):304. https://doi.org/10.4332/KJHPA.2017.27.4.304
  6. Kim J, Song J, Yoo J, Lee Y, Han M, Kim S, et al. Factors that Affect the choice of the Utilization of Sanhujoriwon among the Postpartal Women. Korean J Women Health Nurs 2001;7(1):56-66.
  7. Park S, Wee H. Sanhujori Subjectivity in Husbands of Pregnant Women. Journal of the Korea Convergence Society 2019;10(9):141-151.
  8. Lee E, Park J. Development of a Prediction Model for Postpartum Depression : Based on the Mediation Effect of Antepartum Depression. Journal of Korean Academy of Nursing 2015;45(2):211-220. https://doi.org/10.4040/jkan.2015.45.2.211
  9. Jung H. A study on the Nursing needs and Service Satisfactory of Users in the Post-Partum Care Center. Korean Journal of Women Health Nursing 1999;5(2):222-229.
  10. Ministry of Health & Welfare. Postpartum Clinic Pilot Evaluation Research Report; 2017. p.135.
  11. Statistics Korea. Post-Partum Care Survey Result Report; 2018. p.18.
  12. Lee J. Development plan for postpartum care services to support healthy childbirth; 2019.
  13. Nam J. A Study of Satisfaction Degree of the Postpartum Care Services of 'Postpartum Caretaker'. The Journal of Pubic Welfare Administration 2011;21(2):137-164
  14. Ministry of Health & Welfare. 2019 Mother and Newborn Baby Health Care Support Program; 2019. p.336.
  15. Ministry of the Interior and Safety[internet] Republic of Korea: Postpartum care center. [citen 2020 Feb 4]. Available from https://www.gov.kr/search/svclocMw?lrgAstCd=&mdmAstCd=&smallAstCd=&srhQuery=%EC%82%B0%ED%9B%84%EC%A1%B0%EB%A6%AC%EC%9B%90&reQueryFlag=&moblAppYN=&sort=&DVS_ID=
  16. Jung Y, Kwon Y. Factors Affecting the Use of Postpartum Care Service. The Korean Journal of Health Service Management 2017;11(1):143-158. https://doi.org/10.12811/kshsm.2017.11.1.143
  17. Korean Women's Association. Regional Price Comparison and Usage Survey and Consumer Satisfaction Survey on Postpartum Services; 2016.
  18. Kwon M, Kim H, Kim N, Jang J. Postpartum depression and maternal role confidence, parenting stress, and infant temperament in mothers of young infants. Journal of Korean Academy of Child Health Nursing 2006;12(3):314-321.
  19. Oh J, Lee H, Kim Y, Min J, Park K. The Effect of Childbirth Education and Family Participated Delivery in a Labor-delivery-recovery room on Primiparas' Anxiety, Labor Pain and Perception of Childbirth Experience. Journal of Korean Clinical Nursing Research 2006;12(2):145-156.
  20. Sohn S. Factors Related to the Health Related Quality of Life in Elderly Women. Korean Journal of Women Health Nursing 2009;15(2):99-107. https://doi.org/10.4069/kjwhn.2009.15.2.99
  21. Choi S, Gu H, Ryu E. Effects of Fatigue and Postpartum Depression on Maternal Perceived Quality of Life (MAPP-QOL) in Early Postpartum Mothers. Korean Journal of Women Health Nursing 2001;17(2).
  22. EuroQol Group. EuroQol: A New Facility for Measurement of Health-Related Quality of Life. Health Policy 1990;16(3):199-208. https://doi.org/10.1016/0168-8510(90)90421-9
  23. Lee Y, Nam H, Chuang L, Kim K, Yang H, Kwon I, et al. South Korean Time Trade-Off Values for EQ-5D Health States: Modeling with Observed Values for 101 Health States. Value Health. 2009;12(8):1187-1193. https://doi.org/10.1111/j.1524-4733.2009.00579.x
  24. Korean Centers for Disease Control and Prevention. EQ-5D Korean valuation study using time trade off method; 2007.
  25. Jin S, Park D. An Analysis on the Determinants and Equity of the Postpartum Care Service Utilization. Health Policy and Management 2017;27(4):304-314. https://doi.org/10.4332/KJHPA.2017.27.4.304
  26. Wagstaff A, Paci P, Joshi H. Causes of Inequality in Health: Who You are? Where you live? or who your parents were? Washington (DC): World Bank; 2001
  27. Classification of High Risk Pregnancy. Korean Society of Obstetrics and Gynecology; 2017.
  28. Korean Society of Obstetrics and Gynecology. Classification of High Risk Pregnancy. [Internet]. Korea; 2016 [cited 2020 June]. Available from http://webcache.googleusercontent.com/search?q=cache:okGmH1GvNxkJ:www.ksog.org/bbs/skin/notice_popup/download.php%3Fcode%3Dnotice%26number%3D5187+&cd=2&hl=ko&ct=clnk&gl=kr
  29. Korea Institute for Health and Social Affairs. The 2015 National Survey on Fertility and Family Health and Welfare; 2015.
  30. Bang K, Kim Y, Park J. Study on the comparison of emotion between the mothers with low-birth weights and normal infants and the effect of home visiting for the low-birth weights. Korean Parent-Child Health Journal 2002;5(1):75-89.