J Korean Soc Matern Child Health Search

CLOSE


J Korean Soc Matern Child Health > Volume 19(2); 2015 > Article
Journal of The Korean Society of Maternal and Child Health 2015;19(2):163-171.
DOI: https://doi.org/10.21896/jksmch.2015.19.2.163    Published online July 31, 2015.
Comprehensive Care of High-risk Pregnancy for Reducing Maternal Mortality - A Proposal to Establish a Korean Pregnancy and Birth Registry –
황종윤
강원대학교
모성 사망 감소를 위한 고위험 임신 관리 현황 및 대책 - 국가 임신 및 출산 등록 사업을 제안하며 -
황종윤
강원대학교
Abstract
While neonatal mortality has been decreased between 1996 and 2009, maternal mortality has increased over a similar period in Korea. This increase in maternal mortality might be associated with the increase in high-risk pregnancies, including elderly pregnant women. The Korean obstetric care system has collapsed for several reasons: low birth rate-induced business losses, inadequate payments from the national health insurance program for obstetric services, and a recent shortage of obstetricians. Unfortunately, areas underserved in maternity care increased after 2004. The training hospitals that provide prenatal care and treat high-risk and complicated pregnancies experienced similar problems, with decreased medical resources and insufficient physicians. The Ministry of Health and Welfare has supported the establishment of birth centers to improve essential obstetric care in underserved areas and to establish integrated perinatal centers to reduce maternal mortality. Integrated maternity and neonatal care is a good model for reducing maternal and perinatal mortality. However, integrated perinatal centers are limited in their ability to detect and prevent high-risk pregnancies. I believe that national pregnancy and birth data would be useful for identifying high-risk pregnancies and which pregnant women will develop complications. I propose that we establish a Korean Pregnancy and Birth Registry (KPBR). I hope that integrated perinatal centers and the KPBR will play an important role in the early detection of high-risk pregnancies and in the reduction of maternal mortality.
Key Words: high risk pregnancy, maternal mortality, birth registry
TOOLS
Share :
Facebook Twitter Linked In Google+ Line it
METRICS Graph View
  • 5 Crossref
  •    
  • 12,243 View
  • 20 Download
Related articles in J Korean Soc Matern Child Health


ABOUT
BROWSE ARTICLES
EDITORIAL POLICY
FOR CONTRIBUTORS
Editorial Office
Department of Obstetrics & Gynecology, Konkuk University Medical Center
120-1 Neungdong-ro, Gwangjin-gu, Seoul 05030, Korea
Tel: +82-2-2030-7642    Fax: +82-2-2030-5252    E-mail: mojapub@hanmail.net                

Copyright © 2021 by The Korean Society of Maternal and Child Health.

Developed in M2PI

Close layer
prev next