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NTIS 바로가기Journal of Korean academy of nursing = 대한간호학회지, v.47 no.3, 2017년, pp.357 - 366
김증임 (순천향대학교 간호학과) , 조미옥 (순천향대학교 천안병원 간호부) , 최규연 (순천향대학교 서울병원 산부인과)
Purpose: The aim of this study was to determine the influence of various factors on preterm labor symptoms (PLS) and preterm birth (PB). Methods: This prospective cohort study included 193 women in the second stage of pregnancy. Multiple characteristics including body mass index (BMI), smoking, and ...
핵심어 | 질문 | 논문에서 추출한 답변 |
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조산의 위험요인으로는 무엇이 있는가? | 조산의 위험요인은 다인성으로 산과적 요인에는 자연적인 조기진통, 조기 양막 파수, 질 출혈 등이 있으며, 내과적 요인으로는 임신성 고혈압, 임신성 당뇨 등이 있고 생활습관 관련 요인은 흡연, 음주, 체질량지수 등이 있다[9]. 한편 조기진통이 있을 때 만삭분만 시 일어나는 변화인 자궁수축의 증가, 자궁경부 개대 그리고 양막 파열이 발생한다[10]. | |
조산의 위험요인 중 조기진통의 다인성 요인은 무엇이 있는가? | 조기 진통은 하나의 증상이지만, 다인성 요인에 의해 발생한다[10]. 조기 진통의 다인성 요인으로 자궁 팽창, 모체-태아 스트레스, 조기 자궁 경부 변화, 자궁 뒤틀림, 질염, 모성 감염 등과 같은 산과적 특성과 낮은 사회경제적 지위, 체질량지수 19.8 미만, 영양 결핍, 흡연, 음주, 약물중독 등이 보고되었다[6,11]. | |
조산이란 무엇인가? | 조산(preterm birth)은 재태기간 37주 이전에 일어난 분만으로서, 임신주수에 따라 극도의 위험한 조산(very severe preterm birth:임신 22~27주), 심한 조산(severe preterm birth: 임신 28~31주), 보통 조산(moderate preterm birth: 임신 32~36주)으로 나뉜다 [1,2]. 조산 발생률은 우리나라 전국 총 64개의 대학 및 수련병원에서 2011년 1월부터 2012년 6월까지의 총 74,397건을 조사한 결과 16,477건(22. |
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American College of Obstetricians and Gynecologists. ACOG practice bulletin no. 127: Management of preterm labor. Obstetrics and Gynecology. 2012;119(6):1308-1317. http://dx.doi.org/10.1097/AOG.0b013e31825af2f0
Hamilton SA, Tower CL. Management of preterm labour. Obstetrics, Gynaecology and Reproductive Medicine. 2013;23(4):114-120. http://dx.doi.org/10.1016/j.ogrm.2013.02.009
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