• Title/Summary/Keyword: 임신과 출산

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당뇨와 임신 - 임신성 당뇨병 치료와 관리 _고혈당이 태아와 임신부에게 미치는 영향

  • 사단법인 한국당뇨협회
    • The Monthly Diabetes
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    • s.256
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    • pp.60-61
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    • 2011
  • 당뇨병으로 인한 태아의 위험은 당뇨병의 유전요인보다는 임신부의 대사 장애에 의한 것으로 당뇨병 형태에 따른 태아의 위험 차이는 없는 것으로 추축할 수 있다. 그러나 제 1형 당뇨병임신부는 케톤산혈증이 발생할 가능성이 높고 케톤산 혈증이 발생하면 태아 사망의 가능성도 높아진다. 또 제 1형 당뇨병임신부는 당뇨병성 혈관합병증이 동반될 가능성이 많아 자기의 주 수 보다 체중이 미달되는 경우와 조산 및 임신 중 고혈압질환이 발생할 위험성이 높아진다. 제 2형 당뇨병임산부는 임신부가 비만일 경우 거대아 출산 및 임신 중 고혈압질환이 발생할 위험이 높아진다. 그러나 대부분의 합병증은 임신 전과 임신기간 동안 양호한 혈당조절로 감소시킬 수 있다.

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피임에 대해 얼마나 아세요?

  • Gu, Na-Yeong
    • 건강소식
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    • v.32 no.6
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    • pp.40-41
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    • 2008
  • 피임(避妊, Contraception)이란 인위적으로 임신을 피하는 것을 말한다. 임신 가능한 요인을 제거하는 것으로 수정을 예방하거나 수정란이 자궁내막에 착상되지 않도록 조치를 취하는 것이다. 피임을 하는 목적은 인공적으로 출산을 제한하기 위해 임신을 미연에 방지하고자 하는 의도도 있으나, 피치못할 상황에 처해 도의적으로, 혹은 여성의 신체적 건강을 위해서 행하는 인공임신중절을 사전에 예방하는 데도 그 의도가 있다.

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The Clinical Outcome of Twin Pregnancies after IVF (체외수정 후 출산한 쌍태아의 임상적 고잘)

  • Han, Myoung-Seok;Park, Eun-Ku-Seul
    • Clinical and Experimental Reproductive Medicine
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    • v.34 no.3
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    • pp.173-178
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    • 2007
  • Objective: To compare the outcome of twin pregnancies after in-vitro fertilization (IVF) with that of spontaneously conceived twins. Methods: We analyzed 146 twins retrospectively, who had been delivered between January 2000 and July 2005. After reviewing their obstetric medical records, 72 twins conceived with IVF (IVF group) and 51 spontaneously conceived twins (spontaneous group), whose gestational age was over 24 weeks, were recruited for this study. Results: There were no significant statistical differences of demographic features such as maternal age, gestational age and fetal weight between the two groups. However, the risk of pregnancy-induced hypertension (PIH) and gestational diabetes (G-DM) had significantly increased in the group of IVF (OR 2.59; 95% CI 1.01$\sim$6.66). The risk of fetal weight discordancy rate (>20%) and fetal-sex homology rate in IVF group were decreased (OR 0.37; 95% CI 0.14$\sim$0.96, OR 0.45; 95% CI 0.21$\sim$0.99). Conclusion: In this comparative study, maternal PIH and G-DM risks of IVF group are higher than that of spontaneous group. But, fetal-weight discordancy risk and fetal-sex homology rate were lower in IVF group.

Depression during Pregnancy and the Postpartum (임신 및 산후 우울증)

  • Kim, Youl-Ri
    • Korean Journal of Psychosomatic Medicine
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    • v.15 no.1
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    • pp.22-28
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    • 2007
  • The pregnancy and postpartum period appear to be a time of heightened vulnerability for the development of major depression in some women. Postpartum depression affects 10% of women within a few weeks immediately postpartum. Postpartum depression is associated with disturbances in the mother-infant relationship, which in turn have an adverse impact on the course of child cognitive and emotional development. Depression during pregnancy is also common, although it has been relatively neglected. Psychopathological symptoms during pregnancy have physiological consequences for the fetus. Understanding the aetiology of perinatal depression requires integrating of multiple psychosocial and biological risk factors. The treatment of depressed pregnant women requires skilled decision making by psychiatrists. Risk-benefit analysis is appropriate method for intervention fur depression in pregnancy. Effective treatments for depression in pregnancy include psychotherapy, antidepressant medication and electroconvulsive therapy. In treatment of postpartum depression, the biological, psychological, and social interventions are included. Prescribing antidepressants(such as fluoxetine), estrogen in severe and chronic cases, and counselling can be effective for improving maternal mood and aspects of infant outcome. Ongoing research is directed to further elucidating neurohormonal and psychosocial contributions to depression during pregnancy or postpartum. Screening for risk factors and symptoms for depression need to be incorporated into antenatal and pediatric clinics.

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Exploratory study on developing a support policy for adolescent parents: focusing on single mothers who become pregnant for the first time as teenage years (청소년부모의 지원정책 개발을 위한 조사연구 -10대에 첫 자녀를 임신한 미혼한부모를 대상으로-)

  • Lee, young ho;Park, ji yoon
    • Journal of Family Resource Management and Policy Review
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    • v.25 no.1
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    • pp.113-132
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    • 2021
  • Despite the diverse system development and improvement initiatives that have been created to improve the environments of child birth and nurturing, the birth rate in Korean society remains low. Some minor teenage single parents give birth and raise children. Teenage single parents are supported by the Single-Parent Family Support Act, but some of their needs are still not being addressed. As each single parent has different backgrounds and socioeconomic characteristics, an investigation is required for developing differentiated support in which they will be considered both parents and children. Therefore, this study identifies the unique problems encountered by teenage parents, focuses on single mothers giving birth, and explores measures that teenage parents can use to be independent members of civil society. Three suggestions are presented for the period from pregnancy and childbearing to parenting. First, there should be an education support plan that will enable them to finish tertiary education, and parent education. Second, measures should be created to initiate a change in direction in indifferent biological(real) fathers: these should enlighten and help them participate in rearing their children. Third, in addition to improvements of the current systems only targeting single parent-family support, which will help differentiate teenage parent support from adolescent single parent-family support, assistance should be given for teenage single parents to grow as a Subject of Rights through tailored independent support programs.

HIV감염인의 임신과 출산

  • Lee, Yong-Eun
    • RED RIBBON
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    • s.69
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    • pp.6-7
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    • 2006
  • 임신은 HIV의 치료를 연기하는 이유가 되지 않으나 HIV감염 임신 여성은 임신 중, 진통 중, 분만 시, 모유 수유 시 어느 시기라도 바이러스를 태아에 전파할 수 있다. 만약 예방약을 복용하지 않고 모유수유를 한다면 아이에게 감염될 기회는 20-45%가 될 것이다. 모유수유를 하지 않고 치료한다면 전파의 위험성을 2% 이하로 낮출 수 있으며 지도부딘 한 가지 약제의 투여로도 위험성을 반 이상 줄일 수 있다. 그러므로 가임기의 HIV감염인은 임신하기 전부터 감염내과 의사와 산부인과 의사의 긴밀한 협조가 필요하다

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Living Experience of Unmarried Mothers before Childbirth (출산 전 양육비혼모 삶의 경험)

  • Lee, Jeoung-Sil
    • The Journal of the Korea Contents Association
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    • v.18 no.10
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    • pp.657-668
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    • 2018
  • The purpose of this study was to give a deep understanding of the structure and essence of the living experiences for unmarried mothers before childbirth and before pregnancy. As results, the theme 'days stained with wounds' reveals the living experience that they were abandoned or not protected by parents due to broken family relationships and function. In the theme 'daily life at stake', to drop out of school and running away from home led them to precarious life. And also they were early exposed to sexual intercourse due to indiscriminate sexual culture and poor sex awareness. The theme 'embarrassing pregnancy' shows that unmarried mothers got pregnant caused by their partners'refusal to practice contraception, their incorrect knowledge of the contraception, and the use of incorrect contraceptive methods. In the final theme 'childbirth decided on with difficulty', even if unmarried mothers had no choice in childbirth because they noticed their pregnancy too late, they rejected abortion and decided to give birth as they realize preciousness of life. Based on the results of this study, the necessity of implementing sex education to provide accurate contraceptive knowledge and methods for male, as well as strengthening sex education for unmarried mothers was discussed. With the help of information technology.

Open Heart Surgery in a Pregnant Woman with Prosthetic Valve Failure (기계판막 기능부전이 동반된 임산부에서의 개심수술)

  • 이현주;김기봉
    • Journal of Chest Surgery
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    • v.34 no.3
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    • pp.240-242
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    • 2001
  • 임심 중 심폐바이패스를 사용하는 개심수술은 산모뿐 아니라 태아계에도 영향을 끼치기 때문에 중요하다. 임신 중 항응고제 투여을 부적절하게 하여 기계판막 기능부전이 초래된 임신 31주의 산모에서 심장 재수술에 앞서 제왈절개로 태아 출산 후 20시간 뒤 산모의 개시수술을 성공적으로 시행하였기에 보고하는 바이다.

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