조산원과 병원 분만 산모의 재원일 수, 의료비용, 산후불편감과 의료서비스 만족도 비교
Length of Stay, Health Care Cost, Postpartum Discomfort, and Satisfaction with Medical Service in Puerperas Giving Birth in Midwifery Clinic and Hospitals
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초록
Purpose: To determine traits related to pregnancy and delivery, length of stay, health care cost, postpartum discomfort, and satisfaction with medical service of puerperas giving birth in midwifery clinic and hospitals. Methods: This study used a comparative survey design. Data were collected from a total of 140 postpartum mothers composed of 70 mothers who gave births in two hospitals and another 70 mothers who delivered in one midwifery clinic. Results: Delivery in midwifery clinic had higher Apgar score at 1 minute and 5 minutes after birth than hospital. Those who delivered in midwifery clinic had shorter stay in the clinic, fewer health care cost, less postpartum discomfort in physical, environmental, social, and cultural areas, higher satisfaction with medical services than those who delivered in hospitals. Conclusion: Results of this study can be used as a basis for studies on giving birth in midwifery clinic and hospitals. They might increase the autonomy of women in giving birth with positive effect on the delivery experience of the mother and her spouse.
Abstract
Purpose: To determine traits related to pregnancy and delivery, length of stay, health care cost, postpartum discomfort, and satisfaction with medical service of puerperas giving birth in midwifery clinic and hospitals. Methods: This study used a comparative survey design. Data were collected from a total of 140 postpartum mothers composed of 70 mothers who gave births in two hospitals and another 70 mothers who delivered in one midwifery clinic. Results: Delivery in midwifery clinic had higher Apgar score at 1 minute and 5 minutes after birth than hospital. Those who delivered in midwifery clinic had shorter stay in the clinic, fewer health care cost, less postpartum discomfort in physical, environmental, social, and cultural areas, higher satisfaction with medical services than those who delivered in hospitals. Conclusion: Results of this study can be used as a basis for studies on giving birth in midwifery clinic and hospitals. They might increase the autonomy of women in giving birth with positive effect on the delivery experience of the mother and her spouse.
참고문헌 (30)
- Cho YM, "The medicalization of childbirth in Korea (1960-2000)", Korean Academic Society of Womens Health, 7(1), pp.29~52 (2006)
- [URL]
- [URL]
- Jang SB, "Study on the families' participation need for labour women", The Korean Nurse, 31(3), pp.62~75 (1992)
- 이은주, "조산원 출산 여성의 ‘자연출산’ 의미와 경험 - 페미니스트 접근", 여성건강간호학회지, 18(2), pp.135~148 (2012), 한국여성건강간호학회[DOI]
- Kim JH, "Experiences of self-directed birth: the birth of new self", Journal of Nursing Query, 12(1), pp.161~185 (2003)
- Hutton EK, "Outcomes associated with planned home and planned hospital births in low-risk women attended by midwives in Ontario, Canada, 2003-2006: a retrospective cohort study", Birth, 36(3), pp.180~189 (2009)[DOI]
- Davis D, "Planned place of birth in New Zealand: does it affect mode of birth and intervention rates among low-risk women?", Birth, 38(2), pp.111~119 (2011)[DOI]
- Lee KH, "Midwife's role for mother and infant wellbeing", Korean Parent-Child Health Journal, 3(2), pp.67~80 (2000)
- O'Brien B, "The experience of pregnancy and birth with midwives: results from the Canadian maternity experiences survey", Birth, 38(3), pp.207~215 (2011)[DOI]
- Janssen PA, "Outcomes of planned hospital birth attended by midwives compared with physicians in British Columbia", Birth, 34(2), pp.140~147 (2007)[DOI]
- Lee SH, "Characteristics, motivation of choice and childbirth experience of women who selected delivery at midwifery clinic", Korean Parent-Child Health Journal, 16(1), pp.1~10 (2013)
- Kang MJ, "A study on the childbirth experience at maternity clinic", Journal Issue, 19, pp.7~20 (1995)
- Kang ML, "The comparison of perception of birth experience to women who had a hospital delivery and those who a maternity hospital delivery", Journal of the Nursing Academic Association of Ewha Womans University, (39), pp.119~141 (2005)
- 김재현, "병원 전문화가 건당 재원일수와 건당 의료비에 미치는 영향", 보건행정학회지, 26(2), pp.107~114 (2016), 한국보건행정학회
- 차선경, "정신분열병 환자의 재원일수 결정요인 : 퇴원손상심층조사 자료를 이용하여", 디지털융복합연구, 11(4), pp.351~359 (2013), 한국디지털정책학회
- Ku JS, "A study on the wholistic nursing needs of early postpartum mothers", pp.2008
- Park MK, "Effects of postpartum care program for primiparous women and care-givers on the knowledge and behavior of postpartum care and postpartum recovery in primiparous women", pp.2003
- Rubin HR, "The patient judgments of hospital quality (PJHQ) questionnaire", Medical Care, 28(9), pp.S17~S18 (1990)[DOI]
- Kim MN, "A survey study to find out the level of satisfaction of the medical service of Busan Veterans Hospital", pp.2001
- 김경하, "임부의 산전진찰 의료이용양상 및 진료비 분석", 보건행정학회지, 19(4), pp.53~65 (2009), 한국보건행정학회
- 오정혜, "출산준비교육과 가족분만이 초산모의 불안, 분만진통 및 분만경험지각에 미치는 효과", 임상간호연구, 12(2), pp.145~156 (2006), 병원간호사회
- Seong MH, "Effects of a prepared childbirth education on the knowledge and delivery participation levels of the spouses of primiparas", Korean Journal of Women Health Nursing, 9(3), pp.213~223 (2003)
- Philpott LF, "Stress in fathers in the perinatal period: A systematic review", Midwifery, 55, pp.113~127 (2017)[DOI]
- Laws PJ, "Perinatal outcomes of women intending to give birth in birth centers in Australia", Birth, 37(1), pp.28~36 (2010)[DOI]
- Janssen PA, "Outcomes of planned home birth with registered midwife versus planned hospital birth with midwife or physician", Canadian Medical Association Journal, 181(6-7), pp.377~383 (2009)[DOI]
- Bonder-Adler B, "A ten-year study of midwife-led care at an Austrian tertiary care center: A retrospective analysis with special consideration of perineal trauma", BMC Pregnancy Childbirth, 17(1), pp.357~363 (2017)[DOI]
- [URL]
- 김정효, "Effects of a Postpartum Care Program for Postpartum Women on Postpartum Activity and Postpartum Discomfort in Primiparous Women", 여성건강간호학회지, 14(1), pp.36~43 (2008), 한국여성건강간호학회
- 이선희, "조산원과 가정에서 분만한 여성의 순산(順産) 경험", 여성건강간호학회지, 20(1), pp.1~13 (2014), 한국여성건강간호학회
