한방병원 부속 산후조리원을 이용한 산모의 산후 오로 기간과 특징에 관한 고찰
A Study on the Duration and Character of Lochia in Women Hospitalized at Korean Medical Postpartum Care Center
2
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Objectives: The aim of this study was to assess the duration of lochia inwomen hospitalized at Korean medical postpartum care center and to identifyfactors that influence duration of lochia. Methods: On the obstetric variables of 315 cases, the duration of lochia wasanalyzed. In the postpartum care center, the obstetric variables were asked of 315cases of women, and who examined a body composition. After discharge, womenwere surveyed for the duration of lochia by telephone. Results: The median duration of lochia was 30 days and the range was18~53 days. Maternal age, parity and mode of delivery were associated with itsduration. So, its duration was longer on women over the age of 35, multiparaand women had a Cesarean section. Its duration was correlated with gestationalage and BMI before pregnancy, but not neonatal gender, birth weight, maternalBMI change during pregnancy, maternal body weight gain, BMI before delivery. Conclusions: It was 30 days that the median duration of lochia of womenwho had been got Korean medical postpartum care management, and which wasslightly different from previous studies. And it was influenced by maternal age,parity, mood of delivery, gestational age and BMI before pregnancy. In futuremore studies or surveys for the duration of lochia of women with no treatment,lochial pattern and so on should be done.
Abstract
Objectives: The aim of this study was to assess the duration of lochia inwomen hospitalized at Korean medical postpartum care center and to identifyfactors that influence duration of lochia. Methods: On the obstetric variables of 315 cases, the duration of lochia wasanalyzed. In the postpartum care center, the obstetric variables were asked of 315cases of women, and who examined a body composition. After discharge, womenwere surveyed for the duration of lochia by telephone. Results: The median duration of lochia was 30 days and the range was18~53 days. Maternal age, parity and mode of delivery were associated with itsduration. So, its duration was longer on women over the age of 35, multiparaand women had a Cesarean section. Its duration was correlated with gestationalage and BMI before pregnancy, but not neonatal gender, birth weight, maternalBMI change during pregnancy, maternal body weight gain, BMI before delivery. Conclusions: It was 30 days that the median duration of lochia of womenwho had been got Korean medical postpartum care management, and which wasslightly different from previous studies. And it was influenced by maternal age,parity, mood of delivery, gestational age and BMI before pregnancy. In futuremore studies or surveys for the duration of lochia of women with no treatment,lochial pattern and so on should be done.
참고문헌 (40)
- 이용호, "산후관리에 대한 문헌적 고찰", 대한한방부인과학회지, 13(1), pp.500~517 (2000)
- "여성 건강의 중요성", 한국건강증진재단[URL]
- Yoo EK, "A study on the relationship between the experience of Sanhujori, the traditional postpartal care in Korea and present health status of chronic arthritis female patient", Korean Journal of Women Health Nursing, 4(2), pp.145~161 (1998)
- 보건복지부, "2012년도 가족건강사업 안내", 보건복지부 건강정책국 구강･가족건강과, 1~380 (2011)
- 대한한방부인과학회, "한방여성의학", pp.691~ (2012), 의성당
- 대한산부인과학회, "산과학 4판", pp.477~478 (2007), 군자 출판사
- Gjerdingen DK, "Changes in women's physical health during the first postpartum year", Arch Fam Med, pp.277~283 (1993)
- McGovern P, "Time off work and the postpartum health of employed women", Med Care, 35, pp.507~521 (1997)
- Brown S, "Maternal health after childbirth : results of an Australian population based survey", Br J Obstet Gynaecol, 105, pp.156~161 (1998)
- Killien MG, "Influence of employment characteristics on postpartum mothers’ health", Women Health, 33, pp.63~81 (2001)
- Lee KA, "Longitudinal changes in fatigue and energy during pregnancy and the postpartum period", J Obstet Gynecol Neonatal Nurs, 28, pp.183~191 (1999)
- Thompson JF, "Prevalence and persistence of health problems after childbirth: associations with parity and method of birth", Birth, 29, pp.83~94 (2002)
- 최소영, "초기 산욕기 산모의 피로와 산후우울이 지각된 삶의 질에 미치는 영향", 여성건강간호학회지, 17(2), pp.118~125 (2011), 여성건강간호학회
- O'Hara, "Rates and risk of postpartum depression-a metaanalysis", International review of psychiatry, 8(1), pp.37~54 (1996)
- Fletcher S, "Lochia patterns among normal women: a systematic review", Journal of Women's Health, 21(12), pp.1290~1294 (2012)
- Marchant C, "A survey of women's experiences of vaginal loss from 24 hours to three months after childbirth(the BLiPP study)", Midwifery, 15(2), pp.72~81 (1999)
- Chi C, "Puerperal loss (lochia) in women with or without inherited bleeding disorders", American journal of obstetrics and gynecology, 203(1), pp.56.e1~56.e5 (2010)
- Visness CM, "The duration and character of postpartum bleeding among breastfeeding women", Obstetrics & Gynecology, 89(2), pp.159~163 (1997)
- WHO Task Force on Methods for the Natural Regulation of Fertility, "The World Health Organization multinational study of breast-feeding and lactational amenorrhea. IV. postpartum bleeding and lochia in breast-feeding women. World Health Organization Task Force on Methods for the Natural Regulation of Fertility", Fertil Steril, 72(3), pp.441~447 (1999)
- Oppenheimer LW, "The duration of lochia", BJOG: An International Journal of Obstetrics & Gynaecology, 93(7), pp.754~757 (1986)
- Survey on the duration of lochia and some effective facotres on it in puerpera women in tehran's educational centers, "Ahmad SM", DANESHVAR MEDICINE, ~ (2004)
- Kirz DS, "Advanced maternal age: the mature gravida", American journal of obstetrics and gynecology, 152(1), pp.7~ (1985)
- International association for the study of obesity. The Asia-Pacific Perspective: Redefining obesity and its treatment, "World Health Organization, Reginal Office for the Western Pacific", ~ (2000)
- 孫思邈, "備急天金要方", pp.64~ (1997), 中醫古籍出版社
- 陳自明, "婦人良方大全(卷19)", pp.1~2 (1993), 도서출판 정담
- 葉天士, "葉天士女科", pp.115~ (1978), 醫道韓國社
- Csorba R, "Management of postpartum haemorrhage", Orvosi hetilap, 153(17), pp.643~648 (2012)
- 張仲景, "仲景全書", pp.431~ (1984), 大星文化社
- 유심근, "産後惡露不下에 關한 文獻的 考察", 대한한방부인과학회지, 11(1), pp.193~208 (1998)
- Lowenstein, L, "Correlation of blood loss with blood volume and other hematological studies before, during and after childbirth", American Journal of Obstetrics and Gynecology, 60, pp.1206~1214 (1950)
- Newton M, "Postpartal blood loss", Obstet Gynecol, 17, pp.229~233 (1961)
- Pedron N, "Estimates of post -partum bleeding", Contraception, 35, pp.339~344 (1987)
- Bernstine JB, "Lochia, a quantitative study", West J Surg Obstet Gynecol, 59, pp.312~314 (1951)
- Adams H, "Oral oxytocic drugs in the puerperium", Obstet Gynecol, 15, pp.280~283 (1960)
- Hingorani V, "Lochia and menstrual patterns in women with postpartum IUCD insertions", Am J Obstet Gynecol, 108, pp.989~990 (1970)
- Sherman D, "Characteristics of normal lochia", Am J Perinatol, 16, pp.399~402 (1999)
- Li, "Clinical study on patterns of postpartum lochia", Chinese Journal of Perinatal Medicine, 6, pp.4~ (2005)
- 심재윤, "산후출혈의 처치의 최신 지견", Obstetrics & Gynecology Science, 48(12), pp.2765~2776 (2005), 대한산부인과학회
- Rhim JH, "Caveolin-1 as a novel indicator of wound-healing capacity in aged human corneal epithelium", Molecular Medicine, 16(11-12), pp.527~ (2010)
- Abbaspour Z, "Survey of lochia pattern and some of factors affect on its period length in women after delivery", Journal of Guilan University of Medical Sciences, 16(61), pp.96~100 (2007)