북한이탈주민 설문조사를 통해 본 북한의 모성과 신생아 건강관리 실태 (Survey of North Korea's Maternal and Newborn Health Management through North Korean Defectors)

서지정보

· 발행기관 : 한국모자보건학회
· 수록지 정보 : 한국모자보건학회지 / 19권 / 1호 / 37 ~ 46페이지
· 저자명 : 김희숙, 이혜원, 박상민

초록

본 연구는 북한이탈주민을 대상으로 하여 북한에서경험한 산전진찰과 임신관리, 출산과 응급대처 및 산후관리의 모성보건 영역의 현황과 모유수유 실태, 신생아정기예방접종 여부에 대한 설문조사를 통해 북한의 모성과 신생아 관리 실태를 분석하였다. 본 연구 결과 북한의 현실에 적합한 산후관리 프로그램을 개발하여 제공하는 것이 필요할 것으로 사료된다. 또한, 산전진찰의지역적 확산 뿐 아니라 산모에게 요구되는 필수 검사들을 임신 초기부터 적절하게 제공할 수 있는 질적인 개선이 필요하다. 국제기구를 통해 보고된 북한의 모자보건 지표들이 신뢰성과 정확성에 대해서 지속적인 문제가 제기되는 상황에서, 북한이탈주민을 대상으로 직접모자보건 지표를 조사하여 기존의 결과와 비교하는 연구는 제한된 상황에서 북한의 모자보건 현황을 좀 더제대로 이해하는데 중요한 기초자료가 될 것이다.

영어초록

Purpose: The purpose of this survey was to understand the current status of maternal and newbornhealth management child health in North Korea.
Methods: This survey was descriptive study based on data from North Korean defectors. A structuredquestionnaire was self-administered from May 1st to June 30th 2012. The participants wererecruited from North Korean defectors who were all over 20 years old in Seoul and Gwangju-si.
The analyses focused on antenatal care, pregnancy care, delivery, emergency treatment and postpartumcare in maternal health. The data of child health got within newborn health, breastfeedingand vaccination.
Results: In the maternal health, a percentage of 61.8 had experience of antenatal care. The timingof the first antenatal contact was average 8.2 weeks. Doctor (45.5%), midwife (19.1%) and nurse(2.7%) were included as health care provider in antenatal care. Reported content of antenatal careduring pregnancy were hight/weight taken (29.1%), blood pressure (34.5%), urine analysis (51.8%) and blood analysis (37.3%). The majority of the women (67.3%) delivered at hospital, amountedto 32.7% of women delivered at home. A nurse/midwife assisted at 26.4 percent of the births whiledoctors assisted with the delivery of the remaining 38.4 percent of births. During labor, 38.2 percenthad serious emergency indications and needed to transfer recommending hospital. Moreover,40.5 percent could not get opportunity to move other hospital. Of the total participation, 30.9 percent had experience of postpartum care. In the child health, findings in healthy newborn infantswere 59.7 percent and hospital delivery (40.9%) was relatively high compared to home delivery(22%). Most of women (82.7%) breastfeed a baby more than one month. A percentage of 77.3received routine vaccination.
Conclusion: The survey investigated the key maternal and child health in North Korea. Thesebaseline data can be used to develop maternal and child health-improvement program. Overall,the findings will provide a unique opportunity to support North Korea from other institution andnon-governmental organization.

참고자료

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