This study was conducted to examine the trend of national health insurance service use with relation to pregnancy, childbirth, and the puerperium among pregnant and postpartum women older than 35 over the last decade.A descriptive analysis was conducted, using the data which were drawn from the "nationwide claim database of Korean National Health Insurance Corporation(NHIC)". Data were composed of the total cases related to pregnancy, childbirth, and the puerperium (International Classification of Disease, 10 th revision [ICD-10] codes O00-O99) from 2001 to 2008. During 2001-2008, the number of pregnant and postpartum women older than 35 had continuously increased and the percentage of them also had increased in both hospital and ambulatory care. There are similar trends in their total use of national health insurance service and total expenditure.According to demographic characteristics, there was the biggest increase of the percentage in residents in large cities, self-employed workers, ones in the highest income level. According to ICD-10 codes, there was the biggest increase of the percentage in O10-O16 (oedema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium). According to the major prevalent disease, there was the biggest increase of the percentage in O60 (preterm labor and delivery). Throughout the past decade, the necessity has been emphasized of supporting pregnant and postpartum women older than 35. But in maternal and child health care, they are in an early stage of development. The findings of this study would be helpful in developing the support programs for the aged pregnant and postpartum women. Key Words : pregnant and postpartum women, aged 35 years and older, national health insurance service use
This study was to investigate the status of Preconception Care (PC) and associated factors. Methods: A convenience sample consisting of 400 pregnant women who took maternity schools at a university hospital and a specialty hospital. Subjects, who agreed to participate in the study, completed self-administrated questionnaire (K-University hospital institutional review board) containing characteristics of preconceptional and pregnant period. Results: Although 84.7% of study subject perceived PC, only about half (54.1%) visited clinics for basic medical tests and treatments before pregnancy. The consultation rates on chronic diseases, drugs and spouse tests were even lower. Associated factors of PC included age (OR:0.114), prepregnant BMI (OR: 0.390), previous pregnancy (OR: 4.276), and perception on PC (OR:13.907). Conclusion: This study suggested that the academic and politic attention should be paid to PC management standards and related policies that include inter-conception care and sexuality education for adolescent.
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