• Title/Summary/Keyword: 저체중 출산아

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Arterial Switch Operation in 1140gm LBW Premie Baby with TGA, IVS (1140gm의 미숙아에 대한 동맥치환술)

  • Park Soon Ik;Lee Seung Hyun;Park Jeong-Jun;Kim Young Hwee;Koh Jae Kon;Park In-Sook;Seo Dong-Man
    • Journal of Chest Surgery
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    • v.38 no.11 s.256
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    • pp.773-775
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    • 2005
  • Cardiac surgery in the neonate with congenital heart disease has progressed dramatically in the past three decades. However, low-birth-weight premie with congenital heart disease continue to challenge the intellectual and technical skills of those who care for them. We report a case of successful arterial switch operation in 1140g premie with TGA, IVS after 4 week care 1317gm.

Impact of Changes in Maternal Age and Parity Distribution on Low Birth Weight Incidence Rate (모성연령과 출산순위의 변화가 저체중아 출생률에 미친 영향)

  • Kim, Young-Ae;Park, Jung-Han
    • Journal of Preventive Medicine and Public Health
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    • v.22 no.2 s.26
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    • pp.276-282
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    • 1989
  • The objective of this study was to examine the impact of changes in maternal age and parity distribution on birth weight. The study population included 7,786 single live births in 1977 and 8,671 single live births in 1987 delivered at 9 medical facilities in Pusan. Data were obtained from the delivery record. The proportion of infants born to the mothers of 25-29 years increased from 56.475 in 1977 to 65.1% in 1987 and the proportion to the mothers of 30-34 years increased from 18.8% in 1977 to 21.6% in 1987. In the same period, the proportions of 1st and 2nd birth order were increased from 56.9% and 28.8% to 59.9% and 36.8%, respectively. The proportion of infants born to the age group of ${\leq}24\;and\;35{\leq}$ years were decreased in 1987. The proportion of births of the third or higher birth order was decreased from 14.2% in 1977 to 3.3% in 1987. Low birth weight (<2500gm) incidence rate was 5.3% in 1977 and it was decreased to 4.0% in 1987. It was estimated that changes in maternal age-parity distribution accounted for 10.7% of the decreased in low birth weight incidence rate. Rest of the change (89.3%) was attributed to the reduction of age-parity specific low birth weight incidence rate. Application of the direct adjustment method was considered to be an adequate tool for evaluating the impact of family planning on neonatal health.

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The Effect of Interpregnancy Interval on Birth Weight (임신간격이 신생아체중에 미치는 영향)

  • Lee, Kwang-Yeul;SaKong, Jun;Kim, Seok-Beom;Kim, Chang-Yoon;Kang, Pock-Soo;Chung, Jong-Hak
    • Journal of Yeungnam Medical Science
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    • v.6 no.2
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    • pp.173-181
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    • 1989
  • The effect of interpregnancy interval on birthweight of the subsequent child was investigated for the 1,347 womens of 25 to 40 years old age who visited OBGY and Pediatric department of the general hospital in Taegu city. Questions in designed questionnaire were asked by student interviewers who were trained in nursing school. Mean birth weight by interpregnancy intervals were compared by the intervals of 6 months. Mean birth weight increased from 3,250 grams for intervals of 6 months to 3,357 grams for intervals of 25-30 months, hut the difference was not statistically significant(=0.47). Correlations between the continuous variables which were suspected as con founders and interpregnancy interval and birth weight were investigated. The coefficient of correlation between maternal age and interpregnancy interval was 0.39, between gestational period and birth weight 0.30 and between prepregnant weight and birth weight 0.16 and between birth weight of first baby and birth weight(of second baby) 0.44. But maternal age, gestational period and prepregnant weight were not considered as confounder, because they were not correlated simultaneously with birth interval and birth weight. Associations between the discrete variables which were suspected as confounders, and interpregnancy interval were investigated by Chi-square test. Associations between interpregnancy interval and educational level of mothers, types of husband's occupation, types of medical security, sex were not significant(P-values were 0.59, 0.75, 0.75, 0.82 respectively), so we did not considered these variables as confounding variables. In multiple regression analysis of birth weight, significant variables were birth weight of first baby, gestational period, sex of neonate and prepregnancy body weight of mother. Of the 1,347 births, the rate of low birth weight was 2% (27 birth). The rate for interpregnancy interval 7-12 months was highest as 3.6% and that for 13-18 months was lowest as 0.6%, but there was no regular tendency related with interpregnancy interval.

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Association between periodontitis and preterm birth and low birth weight (임부의 치주염이 조산 및 저체중아 출산에 미치는 영향)

  • Ha, Jung-Eun
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.2
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    • pp.155-163
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    • 2016
  • The purpose of the review article is to investigate the influence of periodontal diseases on preterm birth(PTB) and low birth weight(LBW). PTB and LBW are the main risk factors of infant mortality and a major public health problem. PTB is defined as delivery at less than 37 weeks and LBW is less than 2,500 grams. Over Approximately 60 percent of perinatal mortality results from PTB or LBW. Although the causes of PTB and LBW are not fully understood, infection is the leading cause of PTB and LBW. Periodontal diseases are serious disease burdens because they are caused by bacterial endotoxin, inflammatory reaction, and cytokine. The periodontal diseases are the predisposing factors of cerebrovascular and cardiovascular diseases including atherosclerosis. Over the past 15 years, previous studies revealed that periodontitis had adverse outcomes including PTB and LBW in pregnancy.

Effect of women's first childbearing age on the risk of low birth weight (여성의 첫 출산 연령이 저체중출생아의 출생률에 미치는 영향)

  • Lee, Jung Ju
    • Clinical and Experimental Pediatrics
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    • v.50 no.12
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    • pp.1206-1211
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    • 2007
  • Purpose : The aim of this study was to investigate the risk of low birth weight associated with delayed first childbearing in Korea. Methods : The national birth certificate data of the singletons and first babies in Korea from January 2001 to December 2003 (n=736,167) was used. Outcome measures were rates of low birth weight infant, very low birth weight infant between 6 maternal age group (<20 years, 20-24 years, 25-29 years, 30-34 years and >35years). Odd ratios were calculated by multiple logistic regression on marital state, maternal education, maternal occupation, paternal occupation, duration of marriage and address. Results : Compared with women aged 25 to 29 years, women aged 30-35 years, 35-40 years and over 40 years had higher odds ratios of low birth weight, odd ratios were 1.3, 2.1, 2.4 respectively. Even though adjusted by marital state, maternal education, maternal occupation, paternal occupation, duration of marriage and address, odds ratios were 1.3, 1.9, 2.0 respectively. Compared with women aged 25 to 29 years, women aged 30-35 years, 35-40 years and over 40 years had higher odds ratios of very low birth weight, odd ratios were 1.8, 3.3, 3.7 respectively. Even though adjusted, odd ratios were 1.6, 2.7, 2.6 respectively. Compared with the incidence of low birth weight in each maternal age, maternal education, marital state, married, high school graduated thirties women was lower incidence than unmarried, high school graduated twenties women. Conclusion : These findings suggest that delayed childbearing increase the risk of low birth weight and very low birth weight, but if pregnant women have better socioeconomic condition, the impact of advanced maternal age on the risk of low birth weight will be decreased.

Changing Pattern of Birth Weight and Relationship of Birth Weight with Maternal Age and Parity (출생시 체중변화의 양상과 산모의 연령 및 출산순위와의 관계)

  • Park, Jung-Han;Shin, Bong-Sun
    • Journal of Preventive Medicine and Public Health
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    • v.20 no.2 s.22
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    • pp.322-330
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    • 1987
  • The objectives of this study were to examine the changes of birth weight and relationship of birth weight with maternal age and parity. The study population included 13,634 single live births out of 14,346 births delivered at a general hospital in Busan between January 1, 1977 and December 31, 1956. Data were obtained from the delivery record. In 1979 the mean birth weight of male was 3,074 gm and that of female was 2,985 gm. In 1986 birth weight of male was increased to 3,266 gm and that of female to 3,210 gm. Low birth weight ($\leq$2,500 gm) incidence rate was 7.2% in 1977 and it was increased gradually to 10.4% in 1980 but decreased thereafter to 6.5% in 1986. Incidence rate of overweight infant (4,001 gm $\leq$) was 3.9% for 10 years and it ranged from 2.9% to 4.6% but no particular changing pattern was observed. The percentage of mothers who had history of induced abortion was decreased from 51.6% in 1979 to 45.1% in 1986. Also, stillbirth rate was decreased from 2.6% in 1977 to 1.5% in 1986. The proportion of the first and second births was increased from 55.4% in 1977 to 96.0% in 1986 and the proportion of mothers of 25-34 years increased from 72.1% in 1977 to 84.7% in 1986. The incidence rates of low birth weight and over weight infant are lower in the first and second births of 25-34 years old mothers than other parities and age groups. Increased mean birth weight and decreased low birht weight incidence rate indicate that the health status of newborn infants has been improved and substantial portion of these changes can be attributed to increase in family planning practice rate and delayed marriage. There is no evidence, however, for increasing incidence rate of overweight infant.

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Physical and Intellectual Development of Korean Children in Relation to Family formation patterns (가족형성의 양상과 관련된 한국아동의 신체형성 및 지능발달에 관한 연구)

  • Kim, Joung-Soon; Chung, Moon-Ho;Suh, Sung-Jae
    • Korea journal of population studies
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    • v.15 no.2
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    • pp.104-124
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    • 1992
  • 형제수, 출산순위, 출산터울, 모성의 출산시 연령 등 가족형성 양상은 아동의 신체적 발육 성장 및 지능발달과 강한 관련성을 보여 왔음이 세계 여러나라 아동을 대상으로 수행된 연구에서 보고되었다. 본 연구는 형제수와 출산순위, 그리고 출산시 모성의 연령은 아동의 신체적 지능적 발달과는 역상관관계를, 출산터울의 길이는 순상관관계를 나타낼 것이라는 가설을 증명하고자 1984년 한국중학생 1,2,3학년 약 46,000명을 대상으로 수행되었다. 지역별 그리고 사회경제적 상태별 비교를 위하여 서울시 고소득층이 주로 거주하는 학구내의 중학교와 저소득층이 거주하는 학구내 중학교 각각 5개를 선정하고 강원도내 전형적 농촌의 중학교 12개를 선정하여 신장, 체중, 좌고, 혈구용적 지능지수를 측정하였다. 이들 측정치들의 평균은 학부모와 담임선생님의 도움으로 작성된 가족형성 변수별로 비교되었으며 다중 희귀분석과 부분상관분석으로 연관성의 통계적 유의성을 검정하였다. 동일연령의 신체적 발육성장 지표들은 도시의 고소득지역 아동들이 가장 우수했으며 다음이 도시저소득 지역 아동이었고 농촌아동이 가장 빈약하였다. 남녀별 신체적 발육지표들의 차이는 연령이 많을수록 더 현저했으며 연령별 지역별 차이는 남학생에게서 더 두드러졌다. 평균 지능지수는 도시고소득지역 남학생들이 월등히 높아 114.8인데 비해 도시저소득지역 남학생들은 106.1, 그리고 농촌 남학생들은 105.3이었다. 남학생보다는 여학생의 지능지수가 낮았는데 이것은 대만 아동들도 여학생이 모든 연령에서 남학생보다 낮았다는 보고와 일치하였다. 한편 도시저소득지역과 농총지역 학생들은 남녀모두 평균지능지수가 비슷하였다. 가족형성변수들은 혼란변수들은 모든 제어했을 경우에도 아동들의 신체적 지능적 발달에 독립적으로 영향을 미쳤다. 발육지표중에 지능지수와 형제수가 가장 가족형성 변수들과의 연관성이 강했다.

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Health and nutritional status of Korean underweight women in their twenties: Based on the 2010~2012 Korea National Health and Nutrition Examination Survey (20대 저체중 한국여성의 건강 및 영양 상태: 2010~2012년 국민건강영양조사 자료를 이용하여)

  • Jeong, Sa Rang;Kim, Sunghee;Yang, Yoon Jung
    • Journal of Nutrition and Health
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    • v.49 no.2
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    • pp.99-110
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    • 2016
  • Purpose: The current study was conducted in order to identify health and nutritional status of Korean underweight women in their twenties by comparing with normal, overweight, and obese women. Methods: Data from the 2010~2012 Korea National Health and Nutrition Examination Survey were used in this study. Subjects were 897 women aged 20~29 years. Subjects were classified according to underweight, normal weight, overweight, and obese groups based on body mass index. Health status was assessed using data from the health questionnaire and examination. Nutritional status was assessed using data from 24-hour dietary recall and a food frequency questionnaire. Results: The underweight group had higher education and exercised less than the obese group. Means of blood chemistry and blood pressure of the underweight group did not differ from those of the normal weight group. Means of fasting glucose, insulin, lipid profiles, blood cell counts, and blood pressure in the underweight group were different from those of the overweight or obese group. Proportions of delivery, breast feeding, and irregular menstruation in the underweight group were lower compared with the other groups. Except retinol intake, means of nutrient intake did not differ among four groups. There were significant differences among four groups in the intakes of cereals and eggs and frequency of consumption of dairy products. Conclusion: The current findings showed that health and nutritional status of underweight women in their twenties did not differ from those of normal weight women. In particular, health status of underweight women in their twenties was better than that of obese women of the same ages. Further study on health and nutritional status of extremely underweight women is necessary.