• 제목/요약/키워드: Apgar score

검색결과 122건 처리시간 0.023초

종합병원 분만아의 신생아실 재원기간중 건강상태에 관한 연구 - 질환발생과 제요인과의 관계를 중심으로 - (A Study on the physical Status of New Born Babies in Nursery at a Hospital in Seoul. - For Relationship between Neonatal Diseases and risk factors. -)

  • 박애경
    • 한국보건간호학회지
    • /
    • 제2권2호
    • /
    • pp.81-98
    • /
    • 1988
  • The purpose of this study was to fine out the general physical status of the neonates, and to identify the risk factors of the mothers and the neonates which were significantly related to the neonatal diseases during hospitalization. The data were obtained from clinical records of 1098 neonates born in Seoul Red cross Hospital between January 1st of 1984 and December 31th of 1986. The results of this study were summarized as follows: 1. General characteristics of the maternal group. 1) The average of maternal age was 26.6 years, the $91.7\%$ of the mothers de liveried at the age of 20-34 years old. 2) The distribution of the types of delivey were as follows : spontaneous delivery $39.9\%$, cesarean section $32.4\%$, vaccum extraction $25.7\%$, and breech delivery$2.0\%$. 3) The $40.3\%$ of the total de liveried mother had experienced abortion. 4) The $42.3\%$ of the total deliveried mother had one or more obstetric risk factors. 2. General characteristics of the neonatal group. 1) In the distribution of sex, male was $49.4\%$, female $50.6\%$. 2) The average of birth weights was 3,020gm. The distribution of birth weight were as follows; nomal weight $85.5\%$, low birth weight $12.7\%$ and high birth weight $2.5\%$. 3) The average of gestational age was 39.2 weeks. The distribution of gestational age were as follows; full term $77.4\%$, preterm $13.7\%$, and postterm $8.9\%$. 4) The average of Apgar Score was 9.0 at one minute and 9.6 at five minutes. 5) The $5.7\%$ of the neonates had one or more neonatal risk symptoms and signs at birth. 3. Apgar Score by the maternal and neonatal factors. In Apgar Score at one minute, normal group was higher than that of abnormal group. Apgar Score at five minutes was slightly higher than that at one minute. 4. The distribution of the maternal risk factors and the neonatal risk factors. 1) The total numbers of the maternal risk factors were 1376. The distribution of the maternal risk factors were as follows: obstetric factor $33.7\%$, abortion $32.2\%$, breech and cesarean section delivery $27.5\%$ and maternal age under 19 years and over 35 years $6.6\%$. 2) The total numbers of the neonatal risk factors were 517. The distribution of the neonatal risk factors were as follows: gestational age under 37 weeks and over 42 weeks $48.0\%$, birth weight under 2500gm and over 4000gm $12.2\%$, Apgar score under 4 at one munute $6.4\%$ and Apgar score at five munutes $2.7\%$. 3) The total numbers of the obstetric risk factors were 661. The types of the obstetric risk factors were meconium stained amniotic fluid $22.0\%$, premature rupture of membrane $17.5\%$. absence prenatal care $14.1\%$, unmarried pregnancy $10.3\%$, placenta problem $9.0\%$, toxemia $8.0\%$. 4) The total numbers of the neonatal risk symptoms and signs at birth were 83. The types of the neonatal risk symptoms and signs were respiratory distress $65.1\%$, neonatal apnea $14.4\%$, convulsion $13.3%$, meconium aspiration syndrome $4.8\%$, cyanosis $2.4\%$. 5. The relationship between the maternal risk factors and the neonatal risk factors. 1) Maternal age under 19 years or over 35 years was significantly related to Apgar Score under 4 at 5 minutes. 2) Breech delivery or cesarean section was significantly related to neonatal risk factor at birth such as birth weight, gestational age, Apgar Score at one minute and at five minutes. and neonatal risk symptoms and signs. 3) Obstetric risk factors were significantly related to the neonatal risk factors at birth. 4) Abortion was not related to the neonatal risk factors. 6. The relationship between neonatal diseases during hosptalization and the maternal or the neonatal risk factors. 1) The total numbers of neonatal diseases during hospitalization were 281. The distribution of neonatal diseases were as follows: birth trauma $38.1\%$, infectious disease $31.3\%$, hematologic disease $21.4\%$, respiratory disease $6.0\%$, neurologic disease $2.5\%$. cardiovascular disease $0.7\%$. 3) Most maternal risk factors except abortion were significantly related to neonatal diseases. 4) Most neonatal risk factors at birth were significantly related to neonatal diseases.

  • PDF

미숙아로 출생한 학령전기 아동의 인지능력과 영향요인 (Cognitive Ability and Related Factors in Preschoolers Born Prematurely)

  • 안영미;이상미
    • Child Health Nursing Research
    • /
    • 제25권4호
    • /
    • pp.468-476
    • /
    • 2019
  • Purpose: This study was conducted to evaluate cognitive ability in preschoolers born prematurely and to investigate related factors. Methods: A prospective, longitudinal study was conducted with 64 children at 5-6 years of corrected age (CA) (second follow-up) among 76 children who had been assessed at 2.0~3.5 years of CA (first follow-up) from a sample of 343 preterm infants born from 2008 to 2010. To evaluate each child's cognitive ability, during a home visit, we used the Kaufman Assessment Battery for Children-II (KABC-II) at the second follow-up. To explore factors related to cognitive ability, we measured children's hemoglobin level at the second follow-up and used the data collected in our previous study, including the Bayley Scale of Infant Development-II (BSID-II) at the first follow-up. Results: The mean total KABC-II quotient was $117.0{\pm}14.4$. The 5-minute Apgar score (${\beta}=.29$, p=.006), hemoglobin level (${\beta}=.22$, p=.032), and the mental development index quotient of the BSID-II (${\beta}=.51$, p<.001) were statistically significant predictors of the KABC-II quotient in multiple linear regression analysis. Conclusion: The cognitive function of young children born prematurely was influenced by early neurodevelopment and factors reflecting their health status, such as anemia and a low 5-minute Apgar score.

초산모의 조기 모유수유 상태에 영향을 미치는 요인 (Factors Related to Neonatal Suckling in the Initiati of Breastfeeding in Primiparous Mothers)

  • 양현주;이영은;이선옥
    • 여성건강간호학회지
    • /
    • 제11권3호
    • /
    • pp.202-208
    • /
    • 2005
  • Purpose: This study was conducted to discover the related factors of neonatal suckling in the initiation of breastfeeding in primiparous mothers and to provide basic data for promoting nursing intervention strategies to improve the practice of breastfeeding. Method: The subjects of this study were 71 primiparous mothers who had normal vaginal deliveries at one obstetric hospital in P metropolitan city and one delivery center in J city. The collected data was analyzed using the SPSS program. Result: The average IBFAT(Infant Breastfeeding Assessment Tool) score was 9.6$\pm$2.3. The general characteristics studied that had a significant influence on neonatal suckling in the initiation of breastfeeding were the place of delivery (ex: Hospital, Postnatal Unit), whether oxytocin was used, no usage of analgesic medication, amount of satisfaction after the first breastfeeding weight of the newborns and the Apgar score at one minute. Conclusions: A higher IBFAT score was related to primiparous mothers who had a hospital delivery, received oxytocin, received maternal labour analgesics, neonatal weight, Apgar score at one minute, and satisfaction after the first breastfeeding.

  • PDF

극소 저체중 출생아에서 산전 관리 기관에 따른 임상 경과 및 예후 비교 (Comparison of Outcomes According to the Hospitals of Antenatal Care in Very Low Birth Weight Infants)

  • 이병국;이흔지;민성주;김도현;김희섭
    • Neonatal Medicine
    • /
    • 제16권2호
    • /
    • pp.205-212
    • /
    • 2009
  • 목 적 : 적절한 산전관리는 미숙아의 생존율과 예후에 매우 중요한 요소로서 선진국에서는 산전관리에 영향을 미치는 산전관리 횟수, 산모의 산과력, 산전 관리기관의 인자들에 대한 연구가 일찍부터 이루어지고 있다. 그러나 국내에서는 산전관리에 영향을 및는 인자들에 대한 연구가 미흡하고, 이중에서 특히 산전관리와 이로 인한 미숙아의 예후에 대한 연구는 더욱 부족한 실정이다. 이에 저자들은 산전 관리기관의 차이가 극소 저체중 출생아의 예후에 영향을 미칠 수 있는 지를 알아보고자 본 연구를 시행하였다. 방 법 : 2007년 3월부터 2009년 2월까지 동국대학교 일산병원에서 출생하여 신생아 중환자실에 입원한 37주 미만의 미숙아 중에서 출생체중 1,500 g 미만의 극소 저체중 출생아 91명을 대상으로 하였다. 산모의 산전 관리기관은 2차 이하 신생아 집중 치료실을 가진 병원을 1차 산전관리 기관으로, 3차 이상의 집중 치료실을 가진 기관을 2차 산전관리 기관으로 구분하였으며, 두 군의 출생 환자들의 임상적 특징과 합병증을 후향적으로 분석하였다. 또한 산모가 2차 산전관리 기관으로 이송된 후 출산까지의 시간을 24시간 전후로 구분하여 출생환자들의 임상적 특징과 합병증을 비교 분석하였다. 결 과 : 전체 91명의 환자 중 2차 의료기관에서 산전관리를 받은 산모는 10명(11.0%)이었다. 두 군 산모의 특징으로 나이, 조기 양막 파수, 조직학적 융모 양막염, 산전 스테로이드, 총 백혈구 수를 비교하였으나 유의한 차이는 없었다. 산전 관리 기관별 환자 군을 대상으로 재태연령, 출생체중, Apgar 점수, CRIB II (clinical risk index for babies), 총 백혈구 수, 혈소판 수, 호흡곤란증후군, 기관지폐 이형성증, 사망률 등을 비교 하였을 때 유의한 차이는 없었다. 다시 이송 후 출산까지의 시간을 기준으로 분석했을 때 24시간 이내 출생 군에서 재태연령이 더 짧았고(P=0.04), 1분 Apgar 점수(P=0.01) 및 5분 Apgar 점수(P=0.02)점수가 더 낮았다. 재태연령을 보정하여 다중회귀 분석을 실시하였을 때 I군이 D군과 비교하여 3점 이하 1분 Apgar 점수의 비교위험도가 2.85로 95%신뢰구간에서 유의한 값을 보였다. 결 론 : 산전관리 기관의 차이가 극소 저체중 출생아의 예후에 영향을 주지는 않았으나 임신의 유지시간이 짧을수록 Apgar 점수는 낮았다. 이로써 1차 산전관리기관과 2차 산전관리 기관사이의 긴밀한 협조와 조기이송 체계를 통하여 더 나은 미숙아의 예후를 기대 할 수 있으리라 본다.

임산부의 산전관리와 산욕기 영양실태에 관한 연구 (Clinical Study on Prenatal care, and Dietary Intakes for Pregnant Women and new Mothers)

  • 차순향;박재순
    • Journal of Nutrition and Health
    • /
    • 제9권4호
    • /
    • pp.36-46
    • /
    • 1976
  • This study was projected to provide basic data on prenatal care for future direction in maternity and child care, and also to investigate the diet of women during pregnancy and the period directly afterwards in order to offer to mothers appropriate advice for the improvement of nutritional standards. A clinical study on prenatal care was based on 1054 delivery cases. A nutritional survey was performed on 174 mothers admitted to the department of obstetrics at St. Mary's Hospital during the period of March, 1975 to February, 1976. The results obtained are summarized as follows; I. Clinical study on prenatal care 1) The age distribution showed 59.4% of the mothers were between the ages of 25 to 29 years old. 2) The gestational period was highest between the 37th and 40th gestational weeks. 33.7% of the mothers were primigravidae and 31.8% of them primiparae. 3) 41.3% of the mothers had not received prenatal care or had only received it once before. 4) Induced deliveries were 61.8% and spontantaneous deliveries 38.2%. 61.9% of the mothers had received prenatal care, while those without prenatal care accounted for 61.6% of the total induced deliveries. 5) Low birth weights were 7.7% and 5.0% of the mothers had received prenatal care, while 11.5% had no prenatal care. 6) There were 1.13% of still births, 0.32% of the mothers had prenatal care and the remainder did not have prenatal care. 7) Of those receiving prenatal care, 2.1% showed in the $0{\sim}3$ Apgar score group, 6.3% in the $4{\sim}6$ Apgar score group, and 91.6% in the $7{\sim}10$ Apgar score group. Among the non-prenatally cared for group 5.0% of the newborns were in the $0{\sim}3$ Apgar score group, 9.7% were in $4{\sim}6$ Apgar score group and 85.3% were in the $7{\sim}10$ Apgar score group. 8) Obstetrical complications were developed in 11.86% of the pregnant women when they were hospitalized. Among the group receiving the prenatal care 8.1% of the mothers had obstetrical complications. In the group without prenatal care 17.16% of the mothers had obstetrical complications. The most common obstetrical complication was malpresentation. 9) The first prenatal care was received between the 37th and 40th gestationl weeks. II. Food intake during pregnancy The following are the results from the questionnaires of the mothers concerning diets during pregnancy; 1) Main meals and snacks In 32.2% of the cases, their main meals during the diet amounted to more than was usually eaten at other times. In 67.8% of the cases, their main meals during the diet were the same as that usually eaten. In 22.4% of the cases, snacks during the diet amounted to more than usually eaten at other times. In 77.6% of the cases, snacks during the diet were the same as usually eaten. 2) Itemized list The mothers made a special effort to include certain items in their diets, the following is a breakdown of those items; a. egg, meat, fish 33.3% b. fruit, vegetables 32.2%. c. milk, fruit juice 18.4% d. cake, bread 2.9% e. nothing special 13.2% 3) Milk 44.8% of the mothers had at least one cup of milk everyday. 33.4% of the mothers had at least one cup of milk on occasion. 15.5% of the mothers did not have any milk. 4) Vitamins 39.7% of the mothers had vitamins everyday. 24.7% of the mothers had vitamins occasionally. 35.6% of the mothers did not have any vitamins. 5) Anemic symptoms 9.2% of the mothers very often had anemic symptoms during pregnancy. 39.1% of the mothers often had anemic symptoms during pregnancy. 51.7% of the mothers did not have anemic symptoms at all. 6) Taboos on food 23% of the mothers recognized 'taboos' on food during pregnancy 27% of the mothers displayed on uncertainty about the 'taboos' on food during pregnancy 50% of the mothers displayed indifference toward the taboos. III. Nutritional survey on the new mothers diet. 1) The diets for new mothers can be divided into four categories, such as general diet, low sodium diet, soft diet and liquid diet. 2) Cooked rice and seaweed soup were the main foods for the new mothers as has been the traditional diet for Korean mothers. 3) The average diet contained 1,783g. And the average consumption of the basic food groups per capita per day was 1,265g for cereals and grains, 456g for meats and legumes, 58g for fruits and vegetables, 0g for milk and fish and 4g for fats and oils. 4) In addition to the 1,783g of food in the main diet there was also 142.8g of food taken as snacks. 5) The average daily consumption of calories and nutrients was 2,697 Kcal and 123.4g for proteins, 44.9g for fats, 718.2mg for calcium, 14mg for iron, 2,101.4 I.U. for vitamin A, 0.43mg for thiamine, 1.02mg for riboflavin, 15.88mg for niacin, 5.26mg for ascorbic acid. When these figures are compared with the recommended allowances for new mothers in Korea, the calories and nutrients taken in were satisfactory. But the intake of minerals and vitamins was below the recommended allowance.

  • PDF

제왕절개환자에 있어서 Succinylcholine-Atracurium의 임상적 고찰 (A Clinical Study of Succinylcholine-Atracurium for Cesarian Section)

  • 박대팔
    • Journal of Yeungnam Medical Science
    • /
    • 제3권1호
    • /
    • pp.49-51
    • /
    • 1986
  • 제왕절개술 환자 10인에게 Succinylcholine Chloride 및 atracurium을 준 결과 다음과 같은 결론을 얻었다. 1. Succinyline chloride 1mg/kg와 atracurium 0.4mg/kg를 주어 충분한 근육이완을 유지하였다. 2. 혈압과 맥박은 atracurium주사 후 의의있는 변화는 없었다. 3. 태아의 Apgar score는 1분과 5부때 8~10점으로 모두 양호한 상태였다.

  • PDF

청소년 흡연과 관련된 요인 -서울시 일부 남녀 고등학생을 대상으로- (Factors related with the adolescent cigarette smoking)

  • 강윤주;서성제
    • 보건교육건강증진학회지
    • /
    • 제13권1호
    • /
    • pp.28-44
    • /
    • 1996
  • The purpose of this study is to examine the associated risk factors for adolescent cigarette smoking. In February 1995, a total of 1793 students from 17 general high schools in Seoul were assessed with a self-completing questionnaire pertaining current smoking status and school.family.peer environmental factors. The results are as follows; 1. The overall proportion of current smoker among students in the study was 17.3%; 27.7% in males and 6.6% in females. 2. There was significant association between smoking status and all school environmental factors (ranks at school, satisfaction at school, study hours after school, extracurricular activity) examined. 3. Siblings smoking in males and family structure in females were significantly associated with the smoking status of students. 4. Functional aspect of family environmental factors, such as APGAR score, parental supervision, attachment to father or to mother were related to smoking status of students. 5. Association with friends who smoke was significantly associated with smoking status of students. 6. In males, association with friends who smoke, ranks at school, siblings smoking were significant positive predictors and APGAR score, parental supervision, attchment to mother were significant negative predictors. In females, association with friends whosmoke, ranks at school, satisfaction at school were significant positive predictors and parental supervision, attchment to father were significant negative predictors. These findings suggest that strategies that influence smoking behavior need to be directed not only to the individual student but also to their peer group, family and school environment.

  • PDF

선천성 단발성 간농양 1례 (A Case of Congenital Solitary Liver Abscess)

  • 김상희;김소영;김유정;김현희;이원배;황경태
    • Clinical and Experimental Pediatrics
    • /
    • 제45권11호
    • /
    • pp.1426-1429
    • /
    • 2002
  • 저자들은 재태연령 35주 2일, 출생 체중 2.19 kg으로 출생시 낮은 Apgar score(1/2)와 흉부 촬영상 우측 횡격막 거상을 보였던 환아에서 복부 초음파 검사와 컴퓨터 단층촬영을 시행하여 간 우엽에 생긴 단발성 농양을 발견하였으며 초음파를 이용한 경피적 천자 흡인물 배양 검사에서 포도상 구균이 검출된 선천성 간농양 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.