대한한방부인과학회지 (The Journal of Korean Obstetrics and Gynecology)

  • 제34권3호
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  • Pages.65-78
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  • 2021
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  • 1229-4292(pISSN)
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  • 2508-3619(eISSN)
대한한방부인과학회 (The Society of Korean Medicine Obstetrics and Gynecology)
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산후 한의진료를 받은 고위험산모와 일반산모의 한의진료 체중변화에 대한 후향적 분석

Retrospective Analysis on Body Weight Changes in the Early Postpartum Period of Women of High-risk Pregnancy Experience and General Health after Korean Medicine Treatments.

  • 이은희 (우석대학교 한의과대학 부인과교실)
  • Lee, Eun-Hee (Dept. of Obstetrics & Gynecology, College of Korean Medicine, Woo-Suk University)
  • 투고 : 2021.07.09
  • 심사 : 2021.08.27
  • 발행 : 2021.08.27
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초록

Objectives: This study was aimed to investigate the weight change of the high-risk group and the general maternal group and weight-relating factors in the early postpartum period. Methods: We retrospectively reviewed the medical records of those who received postpartum care from January 1, 2020, to December 31, 2020, in the postpartum care center affiliated with one Korean Medicine hospital. A total of 257 postpartum women's medical charts were included and divided into the high-risk group and the general maternal group. We investigated the weight changes and Body mass index (BMI) of the postpartum women and compared the difference between the two groups after taking the postpartum care. Finally, we used a Pearson correlation analysis to identify the weight-relating factors in the early postpartum period. Results: All the postpartum women showed the following results; 33.81±4.03 years old as the mean age; 22.23±3.28 as pre-pregnancy BMI; 58.21±9.18 kg of pre-pregnancy weight increased into 70.75±9.70 kg in the last month of pregnancy. Of the total 257 patients, 149 (58.0%) of high-risk pregnancy experience and 108 (42.0%) of general pregnancy were included. The edema index right after childbirth was significantly higher in the high-risk group than in the general maternal group (p<0.001), but there was no significant difference in BMI. After treatment with Korean medicine treatments, body weight, BMI, and edema index decreased significantly in both groups (p<0.01). As a result of correlation analysis, weight gain during pregnancy had a significant negative correlation with pre-pregnancy weight and pre-pregnancy BMI and a significant positive correlation with weight and BMI of the last month of pregnancy. In particular, pre-pregnancy BMI and body weight showed a significant negative correlation only in the high-risk group. Postpartum weight loss was significantly positively correlated with pre-pregnancy weight, pre-pregnancy BMI, weight & BMI of the pregnancy last month, weight gain during pregnancy, and decrease in edema (p<0.01) Conclusions: The weight during pregnancy of the high-risk group increased in inverse proportion to the pre-pregnancy BMI. The level of edema right after childbirth was significantly higher than that of the general maternal group, but showed a significant decrease after 2 weeks of Korean medicine treatments. Although it implicates the need for active Korean medicine treatments in the early postpartum period, further studies with controlled groups are needed.

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참고문헌

  1. Yon MY, et al. Postpartum Weight Change in Lactating Women by Breast-feeding Duration. J Korean Obstet Gynecol. 2014;23(3):179-86.
  2. Schalla SC, Witcomb GL, Haycraft E. Body Shape and Weight Loss as Motivators for Breastfeeding Initiation and Continuation. International Journal of Environmental Research and Public Health. 2017;14(7):754-60. https://doi.org/10.3390/ijerph14070754
  3. Park JK, Kim DI. A Study about Change of Body Weight and Body Composition during Early Puerperium. J Korean Obstet Gynecol. 2010;23(4):95-108. https://doi.org/10.15204/JKOBGY.2010.23.4.095
  4. He X, et al. Breast-feeding and postpartum weight retention: A systematic review and meta-analysis. Public Health Nutrition. 2013;18(18):3308-16. https://doi.org/10.1017/S1368980015000828
  5. Song JE. Predictors of postpartum fatigue between early and late postpartum period in parturient women-divided by 3/4 weeks of postpartum period. Korean Journal of Women Health Nursing. 2007;13(4):299-309. https://doi.org/10.4069/kjwhn.2007.13.4.299
  6. Bae GM. Lee IS. The study to Investigate the Recognition on Postpartum Symptom among Korean. Korean Resident in America and American. J Korean Obstet Gynecol. 2010;23(2):131-44. https://doi.org/10.15204/JKOBGY.2010.23.2.131
  7. Korean Medicine Obstetics & Gynecology. The Society of Korean Medicine Obstetrics & Gynecology. 4th ed. Seoul:Euisungdang. 2021:846.
  8. Jang SW, Heo SJ, Cho HJ. An Investigation to the State of Doctors' Linkage and Oriental Medical Treatment at All Postpartum Care Center in Seoul. J Korean Obstet Gynecol. 2011;24(4):174-85. https://doi.org/10.15204/JKOBGY.2011.24.4.174
  9. Bak JY, et al. A Study about the Satisfaction of Oriental Medical Postpartum Care. J Korean Obestet Gynecol. 2009;22(4):174-87.
  10. Kim HJ, Kim YS, Lim EM. A Study of th Change of Body Weight and BMI during Some Pregnant and Postpartum Periods Based on the Sasang Constitution. J Korean Obstet Gynecol. 2007;20(4):87-100.
  11. Lim JS, et al. A Study on the Establishment of High Risk Maternal and Neonatal Care Center. Gwacheon:Ministry of health and welfare. 2010:14-5.
  12. Ha JY, et al. An Association of Gestational Weight Gain and Prepregnancy Body Mass Index with Perinatal Outcomes. J Korean Obstet Gynecol. 2011;54(10):575-81. https://doi.org/10.5468/KJOG.2011.54.10.575
  13. Chung CW, Kim HW, Kim HJ. Body Weight Changes and Lifestyle in Women within 1 year after Childbirth. Perspectives in Nursing Science. 2016;13(2):88-95. https://doi.org/10.16952/pns.2016.13.2.88
  14. Min HY, Jeong GH. Advanced Aged Women's Needs for Pregnancy and Childbirth Care. Korean J Women Health Nurs. 2015 December;21(4):332-41. https://doi.org/10.4069/kjwhn.2015.21.4.332
  15. KOSIS. 2019 Birth Statistics[Cited Aug 26, 2020]. Available from:http://www.kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=384631.
  16. Ahn TG, et al. The Current State of Maternity Care and Suggestions for Improvement in the Management of High-risk Pregnancies in South Korea. J Korean Soc Matern Child health. 2018;22(3):134-41. https://doi.org/10.21896/jksmch.2018.22.3.134
  17. Kwon JH, et al. Factors Associated with Weight Gain at 1 Year Postpartum. J Korean Acad Fam Med. 2004;25(9):661-8.
  18. Kim PW, et al. A Prospective Observational Study on Symptoms of the Postpartum Women with Korean Medicine Treatment during Six Weeks after Childbirth. J Korean Obstet Gynecol. 2017;30(4):114-34. https://doi.org/10.15204/jkobgy.2017.30.4.114
  19. Heo J. Donguibogam. Seoul:Bubin Publishers Co. 1999:1637.
  20. Choi MS, Kim DI. Basic Research to Provide Severity Evaluation Criteria of Postpartum Edema. J Korean Obstet Gynecol. 2008;21(4):207-17.
  21. Choi HM. Perinatal Outcomes associated with prepregnancy body mass index and weigh gain during pregnancy. J Korean Obstet Gynecol. 2010 November;53(11):981-7. https://doi.org/10.5468/kjog.2010.53.11.981
  22. Institute of Medicine (US) and National Research Council (US) Committee to Reexamine IOM Pregnancy Weight Guidelines. Weight gain during pregnancy-Reexamining the Guidelines. Washington:National Academies Press. 2009:13-21.
  23. Maternal Obesity Management Guide. 2016 [cited 2016 Dec]. Available from:URL:https://www.ksog.org/public/file/leaflet.pdf
  24. Lee SY. Prenatal and Postnatal Care and Its Policy Implications. Health and welfare policy forum. 2016;236:37-50.