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J Korean Soc Matern Child Health > Volume 22(3); 2018 > Article
Journal of The Korean Society of Maternal and Child Health 2018;22(3):134-141.
DOI: https://doi.org/10.21896/jksmch.2018.22.3.134    Published online September 30, 2018.
The Current State of Maternity Care and Suggestions for Improvement in the Management of High-risk Pregnancies in South Korea
Tae Gyu Ahn1, Taeyeon Kim2, Yeonjin Kim2, Jong Yun Hwang2
1Kangwon National University School of Medicine, Chuncheon, Korea
2Department of Obstetrics and Gynecology, Kangwon National University School of Medicine, Chuncheon, Korea
고위험 임산부 치료 인프라 현황 및 개선방안
안태규1, 김태연2, 김연진2, 황종윤2
2강원대학교 의학전문대학원 산부인과학교실
Correspondence:  Jong Yun Hwang,
Email: rapidhwang@kangwon.ac.kr
Since the year 2000, low birth rates have resulted in significant decreases to maternity care services throughout many Korean hospitals. However, there has been a concomitant increase in the number of high-risk pregnancies, due to growing trends in delayed marriages and subsequent pregnancies. Increased maternal age is a risk factor associated with complicated pregnancies and high-risk deliveries, both of which are strongly related to maternal death. With this in mind, the Ministry of Health and Welfare has supported the establishment of a regional perinatal center for high-risk pregnancies, estimated to be be fully completed by the year 2020. Despite this, maternity care services for high-risk pregnancies remain insufficient. According to previous reports, the total number of maternity care hospitals and beds available for high-risk pregnant women were 60 and 399, respectively. This is in stark contrast to previous bed estimates of 1,640. The establishment of a maternity care system for high- risk pregnant women is integral to ensuring optimal conditions for both pregnancy and childbirth. This review briefly evaluates the existing maternity care system for high-risk pregnancies, and proposes several new suggestions for improvements.
Key Words: safe childbirth, obstetricians, high-risk pregnancy, maternity care system
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