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산후 3개월 동안 체중저류 양상과 관련요인

Postpartum Weight Retention: Patterns and Related Factors during 3 months Postpartum

김미옥|안숙희
한국모자보건학회 (The Korean Society Of Maternal And Child Health)|2005.01|한국모자보건학회지 (JOURNAL OF KOREAN MATERNAL AND CHILD HEALTH)|제9권 제1호|pp. 19-32

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참고문헌

주제분류예방의학/직업환경의학

초록

Abstract

Objectives : The purpose of this prospective study was to explore the pattern of postpartum weight retention during 3 months postpartum period and to examine demographic and obstetric factors that influence weight retention in the postpartum. Methods : The study used a correlational, longitudinal design to address the questions posed. After delivery, a convenience sample of 77 mothers with newborn infants was recruited at three hospitals in P city and followed for 3 months postpartum. The mothers' postpartum weight loss and obstetric and demographic variables were measured at three time points: during hospitalization (T1: 1∼2 days following delivery), 6 weeks (T2), and 3 months (T3) postpartum. Results : Mean total weight gain during pregnancy was 12.8±3.4㎏ (range: 6∼24㎏). At 6 weeks (T2) weight loss compared to weight at term pregnancy was 8.7±2.3㎏ and range was wide from 5 to 15㎏. Weight retention was 4.1±3.0㎏ at 6 weeks and 2.6±3.3㎏ at 3 months postpartum. The difference in body weight between 6 weeks and 3 months bodyweight was only 1.6㎏, indicating weight loss was progressed very slowly after the 6 weeks of postpartum. Weight change was different by measurement time and group of Body Mass Index (BMI) at pre-pregnancy. Weight retention at 6 weeks postpartum was greater when woman was primipara, and woman had low or normal BMI at pre-pregnancy, infants with no health problem, and breastfeeding. Significant predictors for more weight retention were greater weight gain during pregnancy and lower BMI at pre-pregnancy. Conclusions : The first 6 weeks of postpartum is the most critical time to lose weight that gained during pregnancy and there is a need to develop well-designed weight control program for puerperal women in the context of Korean postpartum care style.

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