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NTIS 바로가기Journal of Korean academy of nursing = 대한간호학회지, v.42 no.4, 2012년, pp.517 - 524
김주희 (경희대학교 대학원 간호학과) , 신혜숙 (경희대학교 간호과학대학) , 박보경 (제일병원 초음파실) , 양광문 (제일병원 불임생식내분비과) , 이영호 (제일병원 영상의학과) , 류현미 (제일병원 산부인과)
Purpose: To compare and confirm the impact of prepregnancy body mass index on pregnancy outcome in women with a singleton conceived by assisted reproductive technology and spontaneously conceived pregnancy. Methods: A sample of 165 and 247 pregnant women with and without assisted reproductive techno...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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임산부의 과체중 및 비만은 어떤 위험성을 지니고 있는가? | 일반적으로 임산부의 과체중 및 비만은 유산, 자간증, 임신성 고혈압, 임신성 당뇨, 제왕절개, 조산 등의 임신 합병증과 거대아, 기형 등의 신생아 합병증의 발생을 증가시키는 위험요인이 될 수 있다(Barau et al., 2006; Leung et al. | |
우리나라에서 생식보조술의 시행에 대한 상황은 어떠한가? | 미국에서는 출생아의 약 1%정도가 생식보조술을 통해 태어났으며(Centers for Disease Control and Prevention, 2009), 덴마크에서는 생식보조술을 통해 태아난 출생아가 약 4%가 되는 것으로 보고되었다(Henningsen, Pinborg, Lidegaard, Vestergaard, & Andersen, 2011). 한국은 2006년부터 정부의 불임부부를 위한 경제적 지원사업이 시작되었고, 2010년에는 그 대상층이 인공수정층까지 확대되면서 생식보조 술을 받는 부부가 늘어나고 있는 실정이다(Ministry of Health and Welfare& Hanyang University, 2008). | |
생식보조술이란 무엇인가? | , 2008). 생식보조술이란 임신을 위해 정자와 난자를 인위적으로 실험처치하는 불임 치료 방법으로(Tepperet al., 2012), 최근 불임부부 중 생식보조술을 시행하는 불임부부가 꾸준히 늘어나고 있다. |
Barau, G., Robillard, P., Hulsey, T. C., Dedecker, F., Laffite, A., Gerardin, P., et al. (2006). Linear association between maternal pre-pregnancy body mass index and risk of caesarean section in term deliveries. British Journal of Obstetrics and Gynecology, 1173-1177. http://dx.doi.org/10.1111/j.1471-0528.2006.01038.x
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Catalano, P. M., & Ehrenberg, H. M. (2006). The short- and long- term implications of maternal obesity on the mother and her offspring. British Journal of Obstetrics and Gynecology, 113, 1126-1133. http://dx.doi.org/10.1111/j.1471-0528.2006.00989.x
Dokras, A., Baredziak, L., Blaine, J., Syrop, C., VanVoorhis, B. J., & Sparks, A. (2006). Obstetric outcomes after in vitro fertilization in obese and morbidly obese women. Obstetrics and Gynecology, 108(1), 61-69. http://dx.doi.org/10.1097/01.AOG.0000219768.08249.b6
Fedorcsak, P., Dale, P. O., Storeng, R., Ertzeid, G., Bjercke, S., Oldereid, N., et al. (2004). Impact of overweight and underweight on assisted reproduction treatment. Human Reproduction, 19, 2523-2528. http://dx.doi.org/10.1093/humrep/deh485
Helmerhorst, F. M., Perquin, D. A. M., Donker, D., & Keirse, M. J. N. C. (2004). Perinatal outcome of singletons and twins after assisted conception: A systematic review of controlled studies. British Medical Journal, 328, 261. http://dx.doi.org/10.1136/bmj.37957.560278.EE
Henningsen, A. A., Pinborg, A., Lidegaard, Q., Ves tergaard, C., Forman, J. L., & Andersen, A. N. (2011). Perinatal outcome of singleton siblings born after assisted reproductive technology and spontaneous conception: Danish national sibling-cohort study. Fertility and Sterility, 95(3), 959-963. http://dx.doi.org/10.1016/j.fertnstert.2010.07.1075
Jackson, R. A., Gibdon, K. A., Wu, Y. W., & Croughan, M. S. (2004). Perinatal outcomes in singleton following in vitro fertilization: A meta-analysis. Obstetrics and Gynecology, 103, 551-563.
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Leung, T. Y., Leung, T. N., Sahota, D. S., Chan, O. K., Chan, L. W., Fung, T. Y., et al. (2008). Trends in maternal obesity and associated risks of adverse pregnancy outcomes in a population of Chinese women. British Journal of Obstetrics and Gynecology, 115, 1529-1537. http://dx.doi.org/10.1111/j.1471-0528.2008.01931.x
Luke, B. (2011). The role of obesity in reproduction. Biennial Review of Infertility, 2, 35-42. http://dx.doi.org/10.1007/978-1-4419-8456-2_4
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McDonald, S. D., Han, Z., Mulla, S., & Beyene, J. (2010). Overweight and obesity in mothers and risk of preterm birth and low birth weight infants: Systemic review and meta analyses. British Medical Journal, 341, 1-20. http://dx.doi.org/10.1136/bmj.c3428
Metwally, M., Ong, K. I., Ledger, W. L., & Li, T. C. (2008). Does high body mass index increase the risk of miscarriage after spontaneous and assisted conception? A meta-analysis of the evidence. Fertility and Sterility, 90, 714-726. http://dx.doi.org/10.1016/j.fertnstert.2007.07.1290
Ministry of Health and Welfare & Hanyang University. (2008). The study for social causative factors of infertility. Seoul: Author.
Mutsaerts, M. A. Q., Groen, H., Bogt, N. C. W., Bolster, J. H. T., Land, J. A., Bemelmans, W. J. E., et al. (2010). The lifestyle study: Costs and effects of a structured lifestyle program in overweight and obese subfertile women to reduce the need for fertility treatment and improve reproductive outcome. A randomized controlled trial. British Medical Council, Women's Health, 10(22), 1-9. http://dx.doi.org/10.1186/1472-6874-10-22
Reddy, U. M., Wapner, R. J., Rebar, R. W., & Tasca, R. J. (2007). Infertility, assisted reproductive technology, and adverse pregnancy outcomes. Obstetrics Gynecology, 109, 967-977. http://dx.doi.org/10.1097/01.AOG.0000259316.04136.30
Romundstad, L. B., Romundstad, P., Sunde, A., During, V., Skjarven, R., Gunnel, D., et al. (2008). Effects of technology or maternal factors on perinatal outcome after assisted fertilization: A population-based cohort study. Lancet, 372, 737-743. http://dx.doi.org/10.1016/S0140-6736(08)61041-7
Stothard, K. J., Tennant, P. W., Bell, R., & Rankin, J. (2009). Maternal overweight and obesity and the risk of congenital anomalies. A systematic review and meta-analysis. Journal of the American Medical Association, 301(6), 636-650. http://dx.doi.org/10.1001/jama.2009.113
Tepper, N. K., Farr, S. L., Cohen, B. B., Nannini, A., Zhang, Z., Anderson, J. E., et al. (2012). Singleton preterm birth: Risk factors and association with assisted reproductive technology. Maternal Child Health Journal, 16(4), 807-813. http://dx.doi.org/10.1007/s10995-011-0787-8
Veleva, Z., Tiitinen, A., Vilska, S., Hyden-Granskog, C., Tomas, C., Martikainen, H., et al. (2008). High and low BMI increase the risk of miscarriage after IVF/ICSI and FET. Human Reproduction, 23(4), 878-884. http://dx.doi.org/10.1093/humrep/den017
Weiss, J. L., Malone, F. D., Emig, D., Ball, R. H., Nyberg, D. A., Comtock, C. H., et al. (2004). Obesity, obstetric complications and cesarean delivery rate- a population based screening study. American Journal of Obstetrics and Gynecology, 190, 1091-1097. http://dx.doi.org/10.1016/j.ajog.2003.09.058
Wisborg, K., Ingerslev, H. J., & Henriksen, T. B. (2010). In vitro fertilization and preterm delivery, low birth weight, and admission to the neonatal intensive care unit: A prospective follow-up study. Fertility and Sterility, 94, 2102-2106. http://dx.doi.org/10.1016/j.fertnstert.2010.01.014
World Health Organization. (2000). Obesity: Preventing and managing the global epidemic. WHO technical report series 894. Geneva, Switzerland: Author.
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