당뇨병 임신 발생율 증가에 따른 국가모자보건학적 대책
National Strategy of Maternal and Child Health Care according to Increase of Pregnancy with Diabetes
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초록
Pregnancy with diabetes can be categorized into two major groups: Pregestational diabetes mellitus(PGDM) and Gestational diabetes mellitus (GDM). Early detection and intervention for GDM canbe beneficial in mother and child. Moreover, it can be a significant national health care businessthat contributes to the national maternal-child health service. Recently, GDM has expended into worldwide, a comprehensive approach to maternal-child healthservice is needed. Development and implication of an integrated self-management program, standardsfor educational method and didactic programs, coordinated teamwork between internal medicineand obstetrics, and enrollment of medical insurance fee for educational programs can be keystrategies to improve pregnancy outcomes for women and child. In addition, the ever increasing quality standard of national health care insurance and on-goingpolicy support for the pregnancy health management, development and governance of the procedureof the programs for pregnancy with diabetes are desperately needed at the national level. Throughthis, the government should provide assurance for women's reproductive health, which is influencedby not only women's self but also the reproduction the society for generations to come.
Abstract
Pregnancy with diabetes can be categorized into two major groups: Pregestational diabetes mellitus(PGDM) and Gestational diabetes mellitus (GDM). Early detection and intervention for GDM canbe beneficial in mother and child. Moreover, it can be a significant national health care businessthat contributes to the national maternal-child health service. Recently, GDM has expended into worldwide, a comprehensive approach to maternal-child healthservice is needed. Development and implication of an integrated self-management program, standardsfor educational method and didactic programs, coordinated teamwork between internal medicineand obstetrics, and enrollment of medical insurance fee for educational programs can be keystrategies to improve pregnancy outcomes for women and child. In addition, the ever increasing quality standard of national health care insurance and on-goingpolicy support for the pregnancy health management, development and governance of the procedureof the programs for pregnancy with diabetes are desperately needed at the national level. Throughthis, the government should provide assurance for women's reproductive health, which is influencedby not only women's self but also the reproduction the society for generations to come.
참고문헌 (37)
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