• Title/Summary/Keyword: 복합성 임신

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Combined Tubal and Interstitial Pregnancies after IVF-ET: a Case Report (체외수정 및 배아 이식 후 난관과 반대편 간질 부위에 동시에 생긴 복합성 자궁외 임신 1예)

  • Oh, Yoe-Un;Kim, Mi-Kyoung;Lee, Seo-Yeong;Kim, You-Shin
    • Clinical and Experimental Reproductive Medicine
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    • v.36 no.2
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    • pp.129-136
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    • 2009
  • The incidence of ectopic pregnancy is increased since in vitro fertilization-embryo transfer (IVF-ET) has started. And because of the possibility of combined pregnancy after IVF-ET, bilateral adnexal area and other portion of pelvis should be examined carefully by transvaginal ultrasonography during follow-up period. The rate of combined pregnancy after IVF is estimated to be as high as 0.2~1%. Since the incidence of combined pregnancies is markedly higher with IVF, special attention to this possibility after ET is warranted. According to a recent report, the occurrence of interstitial pregnancy is estimated to be 1:3600 for all pregnancies achieved with IVF. The prevalence of interstitial pregnancies is 2~4% of ectopic pregnancies. Interstitial pregnancies tend to be diagnosed later than most other ectopic pregnancies, and if uterine rupture occurs, the resulting hemorrhage can be severe. Currently, about 2% to 3% of interstitial pregnancies are thought to carry a maternal death, which is twice that of other tubal gestations. We report a case of simultaneous left tubal and right interstitial pregnancies after IVF-ET with a brief review of literature.

Analysis of Infertility Factors and Prediction of Pregnancy Using Bayesian (베이지안망을 이용한 불임요인 분석 및 가임예측)

  • Jung, Yong-Gyu;Jin, Hoon;Kim, In-Cheol
    • Proceedings of the Korean Information Science Society Conference
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    • 2001.10b
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    • pp.7-9
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    • 2001
  • 의료 분야에서의 데이터는 특성상 여러 측면을 복합적으로 고려해야 할 뿐만 아니라, 다른 분야에서의 데이터 성격과는 다르게 원인과 그 원인에 대한 해결책을 바로 찾아내기가 쉽지 않다. 본 연구에서는 불임환자들에 대한 검사기록 및 임신결과가 기록된 데이터를 이용하여 베이지안망 분류기를 생성하고 이를 통해 가임여부를 결정짓는 중요 항목 들간의 의존성을 조건확률로 나타내고 비교하였다. 또한 휴리스틱망, 나이브베이지안망 분류기를 생성하여 성능을 비교하였다. 결과적으로 총수정란수는 최상급수정란이식수에 강한 영향을 갖는다는 사전지식의 타당함을 입증할 수가 있었으며, 또한 성숙난자수가 총수정란수에 강한 영 향을 미치고 화학적임신과 임상적임신과 학습은 서로 독립이라는 가설에 대하여 전자의 경우는 간접적인 의존성을 갖고, 후자의 경우는 화학적 결과가 임상적 결과에 강한 의존성이 존재함을 밝혀낼 수 있었다. 분류기간의 성능에서는 자동생성된 베이지안망이 가장 우수한 정확도를 가짐을 측정할 수 있었다.

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Effects of Pregnant Women's Pregnancy Stress and Self-Esteem on Their Depression (임부의 우울에 임신 스트레스, 자아존중감이 미치는 영향)

  • Hwang, Ran Hee
    • Journal of Digital Convergence
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    • v.19 no.5
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    • pp.469-477
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    • 2021
  • This purpose of this study was to survey pregnancy stress, self-esteem and depression in pregnant women and to identify factors influencing depression. Data were collected 154 pregnant women. Data were analyzed using ANOVA, t-test, Scheffe's test, Stepwise Regression Analysis, Pearson's correlation coefficient. There was statistically significant difference in pregnancy stress on variable such as planned pregnancy. There were statistically significant difference in self-esteem on variables such as religion, occupation, gestational age. There was statistically significant difference in depression on variables such as planned pregnancy. Pregnancy stress was positively correlated with depression. depression was negatively correlated with self-esteem. Self-esteem was negatively correlated with pregnancy stress. Factor influencing depression were self-esteem, planned pregnancy, pregnancy stress, which explained 30.2%. Findings provide useful information for further studies in antenatal care of pregnant women. Therefore, to promote emotional support of pregnant women, it is necessary to standardized antenatal education program.

Integrated Application for Pregnancy, Childbirth, and Childcare Using Public Data and AI (공공데이터와 인공지능을 접목 시킨 임신, 출산, 육아 어플리케이션)

  • Kim, Seol-Ha;Lee, Je-Yoon;Lee, Ha-Yon;Park, Jong-Beom
    • Proceedings of the Korea Information Processing Society Conference
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    • 2022.11a
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    • pp.1016-1018
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    • 2022
  • 우리나라의 생산 가능 인구는 올해를 정점으로 감소하기 시작해 앞으로 1,000 만 명 이상 줄어들 것으로 예상된다. 양육과 교육비에 대한 부담이 단산까지 이어지고 있다. 우리나라에 있는 임신, 육아, 출산에 대한 서비스는 매우 적은 편이며 기존에 존재하는 기술의 경우 특정 사용자를 대상으로 해서 소외되는 계층이 생겨나는 문제가 있다. 사람들이 경제적인 격차와 사각지대에 놓여 정보적 격차를 느끼는 만큼 이를 해결할 수 있는 복합적인 서비스와 사용자 편의성을 증대한 기능이 필요한 상황이다. 본 논문에서는 인공지능과 공공데이터를 이용한 임신, 출산, 육아 통합 앱 개발을 통해 모든 사용자가 차별 없이 정확하고 다양한 정보를 얻을 수 있고 혜택을 받아 사회적인 문제를 감소시킬 수 있도록 제안한다.

The Physical Characteristics of 119 EMTs and a Comparison of the Quality in Chest Compressions according to Posture in Pregnant Women Cardiac Arrest -A Mannequin Model lying with a 30° Incline to the Left- (119구급대원의 신체적 특성과 심정지 임신부 자세에 따른 가슴압박 질 비교 -30° 왼쪽 기울기 자세의 마네킨 모델-)

  • Park, Dae-Sung
    • Journal of Digital Convergence
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    • v.13 no.11
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    • pp.197-204
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    • 2015
  • This study aims to identify the effects: quality of chest compressions, height and weight of pregnant women cardiac arrest while lying $30^{\circ}$ inclined to the left has on the quality of chest compressions administered by 119 EMT. For the purpose of this study, 62 members of 119 EMTs in M, N, S, Y cities and G cities of J province agreed to join in the test and the test was conducted from June 15 to 16 in 2015. Two mannequins (Resusci Anne$^{(R)}$) were used for the study and the chest compression process was recorded with the use of the Laerdal PC Skill Reporting System$^{(R)}$. As a result, it was discovered that for patients with a $30^{\circ}$ left inclination, who were below 170 cm in height and 65 kg in weight, the proper frequency and depth of compression were unsatisfactory. With this in mind, training programs and instruments that can improve the quality of chest compressions depending on a person's (patient's) height and weight should be developed.

Effects of Sense of Self-Control and Depression on Pregnant Women's State-Anxiety (임부의 자아통제감과 우울이 불안에 미치는 영향)

  • Hwang, Ran Hee
    • Journal of Digital Convergence
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    • v.18 no.3
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    • pp.207-215
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    • 2020
  • This purpose of this study was to investigate sense of self-control, depression and factors influencing on state-anxiety in pregnant women and to identify factors influencing state-anxiety. Data were collected 160 pregnant women. Data were analyzed using ANOVA, t-test, Scheffe's test, Pearson's correlation coefficient, Stepwise Regression Analysis. There was statistically significant difference in sense of self-control on variable such as income. There were statistically significant difference in depression on variables such as occupation, living together with family-in-laws, planned pregnancy. There were statistically significant difference in state-anxiety on variables such as age, history of childbirth. State-anxiety was positively correlated with depression. State-anxiety was negatively correlated with sense of self-control. Depression was negatively correlated with sense of self-control. Factor influencing State-anxiety were sense of self-control, depression and history of childbirth, which explained 51.4%. Therefore, prenatal management programs need to be developed giving consideration to the emotional change in order to promote psychological stability in the pregnant women.

Preimplantation Genetic Diagnosis for Aneuploidy Screening in Patients with Poor Reproductive Outcome (염색체 이수성과 관련된 비정상적 임신이 예상되는 환자에서 착상전 유전진단의 결과)

  • Kim, Jin Yeong;Lim, Chun Kyu;Cha, Sun Hwa;Park, Soo Hyun;Yang, Kwang Moon;Song, In Ok;Jun, Jin Hyun;Park, So Yeon;Koong, Mi Kyoung;Kang, Inn Soo
    • Clinical and Experimental Reproductive Medicine
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    • v.33 no.3
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    • pp.179-187
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    • 2006
  • Objectives: The risk of aneuploidies of embryos increases in advanced maternal age or parental karyotype abnormality and it results in poor reproductive outcomes such as recurrent spontaneous abortion (RSA) or repeated implantation failure (RIF). Preimplantation genetic diagnosis for aneuploidy screening (PGD-AS) can be applied for better ART outcome by selecting chromosomally normal embryos. The aim of this study is to evaluate the clinical outcome of PGD-AS and which group can get much benefit from PGD-AS among the patients expected to have poor reproductive outcome. Methods: In 42 patients, 77 PGD cycles were performed for aneuploidy screening. Patients were allocated to 3 groups according to the indication of PGD-AS: group I-patients with old age (${\geq}37$) and RIF more than 3 times (n=11, mean age=42.2 yrs.), group II-patients with RSA (${\geq}3$ times) associated with aneuploid pregnancy (n=19, mean age=38.9 yrs.), group III-parental sex chromosome abnormality or mosaicism (n=18, mean age=29.6 yrs.) including Turner syndrome, Klinefelter syndrome and 47, XYY. PGD was performed by using FISH for chromosome 13, 16, 18, 21, X and Y in group I and II, and chromosome X, Y and 18 (or 17) in group III. Results: Blastomere biopsy was successful in 530 embryos and FISH efficiency was 92.3%. The proportions of transferable embryos in each group were $32.5{\pm}17.5%$, $23.0{\pm}21.7%$ and $52.6{\pm}29.2%$ (mean ${\pm}$ SD), respectively, showing higher normal rate in group III (group II vs. III, p<0.05). The numbers of transferred embryos in each group were $3.9{\pm}1.5$, $1.9{\pm}1.1$ and $3.1{\pm}1.4$ (mean ${\pm}$ SD), respectively. The clinical pregnancy rates per transfer was 0%, 30.0% and 20.0%, and it was significantly higher in group II (group I vs. group II, p<0.05). The overall pregnancy rate per transfer was 19.6% (10/51) and the spontaneous abortion rate was 20% (2/10) of which karyotypes were euploid. Nine healthy babies (one twin pregnancy) were born with normal karyotype confirmed on amniocentesis. Conclusion: Our data suggests that PGD-AS provides advantages in patients with RSA associated with aneuploidy or sex chromosome abnormality, decreasing abortion rate and increasing ongoing pregnancy rate. It is not likely to be beneficial in RIF group due to other detrimental factors involved in implantation.

Supporting plan of disabled welfare center for the Disabled in Securing the Maternity Rights (Pregnancy·Childbirth·Child Rearing) of Disabled Women from a Gender-Sensitive Perspective (성인지적 관점의 여성장애인 모성권(임신과 출산,자녀양육)보장을 위한 장애인복지관의 역할)

  • Choi, Sun-kyoung
    • Journal of Digital Convergence
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    • v.16 no.12
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    • pp.97-107
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    • 2018
  • According to the 2017 national survey of the disabled persons conducted by the Ministry of Health and Welfare, rehabilitation centers for the disabled appeared to be the service agency that disabled women use the most. This means that rehabilitation centers for the disabled hold an important role in securing the maternity rights of disabled women. However, in the practice of welfare for the disabled, programs for securing maternity rights are inadequate, and the actual condition is not being surveyed. As a result, programs related to maternity rights based on the legal basis exist, but actual support services for resolving the difficulties related to maternity rights that disabled women experience are inadequate. Thus, the study suggests that rehabilitation centers for the disabled should pay a central role in establishing the maternity rights of disabled women and provide support services such as developing a manual on basic information about pregnancy, childbirth, and child rearing, offering childbirth-related counseling, activating a self-help group, providing an individualized program for families, connecting with medical institutions, and supporting case management.

Effects of Body Weight Control Therapy using Herb Mixture to Pregnant Women on Postpartum Weight (한방복합제에 의한 산후체중 조절요법이 출산후 체중감소에 미치는 영향)

  • 김상만;양재혁;임재연;박정우;권석형;황보식
    • The Korean Journal of Food And Nutrition
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    • v.16 no.1
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    • pp.54-59
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    • 2003
  • This studies were performed to functional food consisted of herb mixture having an effect on postpartum body weight control in 105 subjects(control group n=54, experimental group n=51). Mean age of control and experimental group were 29.3 and 29.1 Mean pregravida body mass index of control and experimental group were 22.8 and 21.5. Total weight gain during the period of pregnancy of control and experimental group were 19.1kg and 17.8kg. In this studies, changes in postpartum weight was measured until one year after parturition. Until 1 month after parturition, there almost had no changes in weight all of two groups. But after 2 month, change in weight loss between two groups was shown definitely. Mean weight loss of control group and experimental group were 2.3kg and 6.5kg after 2 month, 3.7kg and 9.8kg after 3 month, 5.0kg and 10.4kg after 1 year(p<0.01).

Predictors of Breastfeeding in Adult Women: a Secondary Data Analysis of The Seventh Korea National Health and Nutrition Examination Survey(KNHANES VII-3), 2018 (성인 여성의 모유수유 예측요인: 국민건강영양조사 제7기 3차년도(2018)의 2차 자료 분석)

  • Seong, Ji-Suk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.12
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    • pp.440-448
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    • 2020
  • This study was conducted to identify the factors affecting breastfeeding in adult women based on socio-demographic and health-related characteristics using the results of KNHANES VII-3. The data was analyzed by applying weights, using the complex sample analysis method of the SPSS Win 22.0 program. Breastfeeding was influenced significantly by age, education level, and the current smoking status. Women in the age group of 30-39 years had a breastfeeding rate that was 3.06 times higher than 19-29 year old women. Also, the breastfeeding rates for women with an education level under elementary school were 4.70 times higher than those with a college degree or higher education level and non-smokers and ex-smokers had levels 2.51 times higher than smokers. Therefore, for mothers under the age of 30, education on breastfeeding should be further strengthened. For mothers over 40 years old, lactation support to increase the milk supply should be provided as well as assistance toward care for other children in the family. Also, better-educated mothers will need to learn effective breastfeeding methods in limited environments such as work-life, and a social atmosphere needs to be established that is considerate to lactating women. Furthermore, education related to pregnancy and lactation should be provided for use in smoking cessation programs for female smokers.