• Journal of Preventive Medicine and Public Health
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• 제23권1호
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• pp.87-97
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• 1990

1985년 4월 1일부터 1987년 3월 31일 사이에 경상북도 군위군에 거주하는 49세이하의 가임여성들과 1987년 3월 1일부터 1988년 2월 28일 사이에 경상남도 합천군에 거주하는 49세이하의 가임여성들 그리고 1985년 4월 1일부터 1987년 3월 31일 사이에 대구시 남구 모자보건센터에 분만을 위해 찾아온 모든 임산부들을 대상으로 이들에게서 태어난 출생아들을 두 군지역에서는 생후 1년간 그리고 모자보건센터에서 출생한 경우는 생후 27일간 추적하여 영아사망률과 신생아 사망률을 각각 조사하였다. 조사기간중에 군위군과 합천군에서 출생한 1,359명의 영아들 가운데 생후 1년 동안에 17명이 사망하여 농촌지역의 영아사망률은 출생아 1,000명당 12.5이었다. 총 영아사망중 신생아사망이 82.4% 그리고 신생아 후기 사망이 17.6%를 차지하였다. 대구시 남구 모자보건센터에 내원한 산모들에게 태어난 6,001명의 출생아들 가운데 4,834명(80.6%)만이 생후 27일까지 추적되었는데 이들 중 36명이 사망하여 신생아 사망률은 출생아 1,000명당 7,4명이었다. 추적된 산모와 추적 안된 산모의 특성 및 신생아 체중을 비교한 결과 현저한 차이를 나타내지 않았다. 신생아 후기 사망률의 비를 6 : 4로 가정했을 때 모자보건센터에서 출생한 영아의 영아사망률은 출생아 1,000명당 12.3명으로 추정되었다. 군위군과 합천군의 영아사망률과 대구시 남구 모자보건센터에서 관찰된 신생아사망률, 영아사망의 사망시기별 분포와 영아사망원인 그리고 저체중아출생률을 고려할 때 1985년부터 1988년 사이의 한국의 영아사망률은 출생아 1,000명당 12에서 15명일 것으로 추정되었다.

• Clinical and Experimental Pediatrics
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• 제59권4호
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• pp.165-173
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• 2016

Purpose: To identify the effects of modified parenteral nutrition (PN) and enteral nutrition (EN) regimens on the growth of very low birth weight (VLBW) infants. Methods: The study included VLBW infants weighing <1,500 g, admitted to Chungnam National University Hospital between October 2010 and April 2014, who were alive at the time of discharge. Subjects were divided according to 3 periods: period 1 (n=37); prior to the PN and EN regimen being modified, period 2 (n=50); following the PN-only regimen modification, period 3 (n=37); following both PN and EN regimen modification. The modified PN regimen provided 3 g/kg/day of protein and 1 g/kg/day of lipid on the first day of life. The modified EN regimen provided 3.5-4.5 g/kg/day of protein and 150 kcal/kg/day of energy. We investigated growth rate, anthropometric measurements at 40 weeks postconceptional age (PCA) and the incidence of extrauterine growth restriction (EUGR) at 40 weeks PCA. Results: Across the 3 periods, clinical characteristics, including gestational age, anthropometric measurements at birth, multiple births, sex, Apgar score, surfactant use and PDA treatment, were similar. Growth rates for weight and height, from time of full enteral feeding to 40 weeks PCA, were higher in period 3. Anthropometric measurements at 40 weeks PCA were greatest in period 3. Incidence of weight, height and head circumference EUGR at 40 weeks PCA decreased in period 3. Conclusion: Beginning PN earlier, with a greater supply of protein and energy during PN and EN, is advantageous for postnatal growth in VLBW infants.

• Journal of Korean Medical Science
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• 제33권48호
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• pp.309.1-309.13
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• 2018

Background: The aim of this study was to observe long-term outcomes of very low birth weight infants (VLBWIs) born between 2013 and 2014 in Korea, especially focusing on neurodevelopmental outcomes. Methods: The data were collected from Korean Neonatal Network (KNN) registry from 43 and 54 participating units in 2013 and 2014, respectively. A standardized electronic case report form containing 30 items related to long-term follow up was used after data validation. Results: Of 2,660 VLBWI, the mean gestational age and birth weight were $29^{1/7}{\pm}2^{6/7}$ weeks and $1,093{\pm}268g$ in 2013 and $29^{2/7}{\pm}2^{6/7}$ weeks and $1,125{\pm}261g$ in 2014, respectively. The post-discharge mortality rate was 1.2%-1.5%. Weight < 50th percentile was 46.5% in 2013 and 66.1% in 2014. The overall prevalence of cerebral palsy among the follow up infants was 6.2% in 2013 and 6.6% in 2014. The Bayley Scales of Infant Developmental Outcomes version II showed 14%-25% of infants had developmental delay and 3%-8% of infants in Bayley version III. For the Korean developmental screening test for infants and children, the area "Further evaluation needed" was 5%-12%. Blindness in both eyes was reported to be 0.2%-0.3%. For hearing impairment, 0.8%-1.9% showed bilateral hearing loss. Almost 50% were readmitted to hospital with respiratory illness as a leading cause. Conclusion: The overall prevalence of long-term outcomes was not largely different among the VLBWI born between 2013 and 2014. This study is the first large national data study of long-term outcomes.

• Clinical and Experimental Pediatrics
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• 제62권5호
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• pp.187-192
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• 2019

Purpose: The importance of the neurodevelopmental outcomes of very-low-birth-weight (VLBW) infants has been emphasized as their mortality rate has markedly improved. This study aimed to assess the validity of the Korean Developmental Screening Test (K-DST), a developmental screening tool approved by the Korean Society of Pediatrics, for the timely diagnosis of neurodevelopmental delay in VLBW infants. Methods: Subjects included VLBW infants enrolled in the Korean Neonatal Network database between January 2012 and December 2014. The collected data were analyzed for sensitivity, specificity, positive predictive value, and negative predictive value (NPV) in the K-DST compared to those in the Bayley Scales of Infant Development-II for VLBW infants. Results: A total of 173 patients were enrolled. Their mean gestational age and mean birth weight were $27.5{\pm}2.8weeks$ and $980.5{\pm}272.1g$, respectively. The frequency of failed psychomotor developmental index (PDI) <85 was similar to that in at least one domain of K-DST <1 standard deviation. Failure in more than one K-DST domain compared with a mental developmental index (MDI) <85 showed a sensitivity and NPV of 73.2% and 75.0%, respectively. Failure in more than one K-DST domain compared with PDI <85 showed a sensitivity and NPV of 60.3% and 71.6%, respectively. Each K-DST domain had a stronger correlation with predicting a failing MDI <85 than a failing PDI <85 (P<0.05). Conclusion: K-DST could be a useful screening tool for predicting mental developmental delay in VLBW infants and referring them for neurodevelopmental assessments.

• 가정과삶의질연구
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• 제31권3호
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• pp.141-151
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• 2013

The purpose of this study is to test the economic rationality hypothesis of the low fertility trap among 412 college students at 13 private universities located in Seoul. The respondents were requested to complete the self-administered questionnaire, and the hierarchical multiple regression analyses were performed for analyzing the data. The major findings of this study were as follows: First, the students' views on the prospects for their future employability were 54.6% for big business, 64.51% for medium-sized business, and 49.63% for public sector. In the most employable job, the mean desired monthly salary was 3,505,400 won, while the mean expected monthly salary 2,753,600 won. Second, hierarchical regression analyses revealed that the family income in parental home was positively related to youths' consumption aspirations. Finally, the gap between youths' consumption aspirations and their expected income was negatively related to their desired number of children, while not significantly related to their planned age of first child birth. Thus, the low fertility trap hypothesis was supported in terms of birth rate drop, but not supported in terms of childbearing postponement. The implications of the study results are discussed.

• 가족자원경영과 정책
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• 제25권1호
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• pp.113-132
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• 2021

지금까지의 한부모가족에 대한 연구들의 대다수는 미혼 한부모가족의 형성사유를 구분하지 않아, 청소년한부모를 특정하여 직접 자료조사를 한 연구는 많지 않다. 본 연구의 목적은 청소년부모의 임신, 출산, 양육이 안전하게 이루어지도록 지원하기 위한 정책 개발의 기초 자료를 청소년부모의 양육과 관련한 실태조사를 통해 얻고자 한다. 그러나 현실적으로 청소년부모를 대상으로 하기에는 어려움이 따르므로 동일한 문제를 내포한 10대에 첫 자녀를 출산한 미혼한부모를 대상으로 선정하였다. 연구목적을 위하여 설정한 연구문제는 '첫째, 이들의 기본적인 특성은 어떠한가. 둘째, 임신에서 양육 초기의 실태는 어떠한가. 셋째, 자녀 양육의 실태는 어떠한가. 넷째, 자립의 가능성은 어떠한가' 이다. 본 연구는 청소년부모의 지원근거를 마련하기 위하여 10대에 첫 자녀를 출산한 미혼한부모를 대상으로 임신에서 출산, 양육초기까지의 일련의 과정을 직접 조사를 통해 탐색한 연구로서 기존의 연구들과 차별점을 갖고 있으며, 비양육자인 자녀의 생부의 역동을 함께 추측할 수 있는 자료를 제시하였다. 또한 저출산의 극복이라는 중차대한 국가의 과업에서 청소년 산모의 건강권을 바탕으로 아동의 건강한 성장을 함께 논의하였다는 점에서 의미가 있다. 자녀를 출산하고 양육하는 일은 개인, 사회가 함께 고민하여야 하며, 그 과정에서 아이 생부에 관한 사회의 무관심을 환기시키고 아이 생부를 양육에 참여할 수 있도록 하는 방향으로의 전환을 모색할 필요가 있다. 청소년부모와 미혼부의 존재를 인정하고 이들을 다양한 가족의 하나로 기능할 수 있도록 하기 위하여 청소년복지지원법과 저출산고령사회기본법에서 청소년부모에 대한 지원의 근거가 명시되어야 하며, 10대의 청소년으로서 부모역할을 수행하는 부모, 한부모들에 대해서는 가정의 형태에 관계없이 이용가능한 시스템의 도입과 10대 부모를 대상으로 하는 자녀양육과 관련한 정보 및 양육프로그램이 전문가에 의해 개발되어야 하며 이를 포괄하는 가족정책의 수립과 가족자원과 지역자원을 적용할 수 있는 더욱 구체적인 후속 연구들이 필요함을 제시하였다.

• Asian-Australasian Journal of Animal Sciences
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• 제24권10호
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• pp.1386-1392
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• 2011

The aim of the present work was to study the effects of a polyherbal supplement on cross bred does, starting from the last month of pregnancy to weaning, on milk yield, kid birth weight and growth rate. Thirty does were divided into three treatments of ten each in individual pens: low level supplementation (LS), high level supplementation (HS) and non-supplemented treatment (NS) as control. Low supplemented goats were given 125 mg/kg BW/d of polyherbal combination; high supplemented goats were given 250 mg/kg BW/d. The study was carried out in 2008. Fifty-nine kids were born from all the experimental animals. There was no difference on milk yield between supplemented groups and control (p>0.05), although polyherbal supplementation had positive effect on litter birth weight and growth rate compared to control. Weaning weights were higher (p<0.001) in LS and HS compared to NS does. In both supplemented treatments compared to control, mortalities and morbidities were also lower in kids born. It is concluded that pre-partum to weaning supplementation increases kids growth rates and weaning weights, as well as reduces kid mortalities, but it doesn't have significant effect on milk production.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제10권2호
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• pp.91-98
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• 2004

Low birth rate problem in Korea has been mainly derived from the increasing number of female employment and the change of consciousness of female. According to the recent report, some other causes of low birth rate are from the difficulty of using childcare facilities with quality services and the relative lack of quantities of the facilities. The basic principle of childcare includes protection, education, nutrition, safety, service to parents, and correlation with community. Childcare has been deemed to be the social system even to guarantee the parents' right of work. Even though a lot of progress has been made in childcare facilities by changes for a long period of time, the research on the actual condition shows that there are relatively little changes of the space organization of the childcare facilities reflecting characteristics of community and developmental characteristics of infants and children. Now a days it has been appeared as a social problem that childcare has to be needed as a part of systematic education program for such an important infant era.

• 디지털융복합연구
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• 제18권2호
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• pp.13-21
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• 2020

한국사회에서 나타나는 저출산 현상이 심화 됨에 따라 일·가정양립을 위한 가정친화적 인사제도의 도입 및 확대를 위한 정부 차원의 다양한 정책이 시도되었다. 저출산의 주요 원인으로는 여성의 경제활동 참여 증가와 일·가정양립의 어려움이 가장 우선적으로 지목되고 있다. 여성정책의 일환으로 가정친화적 제도, 유연근무제 등 다각적인 차원에서 지원정책이 개진 되었지만 저출산의 대안으로 큰 효과를 보지 못하였다. 사회 전반적으로 저출산 현상이 미치는 부정적 영향과 파장이 커서, 공공기관을 중심으로 조직문화개선을 위한 새로운 시각의 접근법이 요구되고 있다. 이에 사회적 조직내에서의 가정친화적 제도가 갖는 의미는 시사점이 크다. 이런 시각에서 가정친화정책의 일환으로 시도된 유연근무제 등 적용되고 있는 제도의 현황을 공공기관 중심으로 파악하였다. 본 연구에서는 문헌고찰 방법을 중심으로 기존에 적용된 제도의 현황 비교를 통해 함의를 도출하였다. 가정친화정책은 제도개선의 필요성과 확장 차원에서 사회 환경변화에 맞춰 지속성을 갖고 이루어져야 할 것이다.

• 여성건강간호학회지
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• 제17권4호
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• pp.407-414
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• 2011

Purpose: The purpose of this study was to compare birth outcomes between Korean women and immigrant women. Methods: Medical records were reviewed retrospectively from 201 immigrant women and 201 Korean women who delivered babies at K women's hospital in U city from January 2006 to December 2009. Maternal outcomes related factors included nationality, age, obstetric history, delivery type, indications of cesarean section, and complications of pregnancy and delivery. Principal neonatal outcomes were birth weight, Apgar scores, and complications of newborns. Results: Immigrant women were younger and had fewer pregnancies, abortions, and surviving children than Korean women. The rate of primary cesarean section and its indication in immigrant women were not significantly different from Korean women. However, immigrant women's newborn were more likely to have low birth weight and meconium staining. Conclusion: The results of this study indicate less equity of immigrant women in women's health care, although immigrant women's babies had lower Apgar score and more meconium staining. Nurses should help immigrant women cope with labor process effectively to prevent adverse health outcomes for their newborns.