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J Korean Soc Matern Child Health > Volume 23(2); 2019 > Article
Journal of The Korean Society of Maternal and Child Health 2019;23(2):75-83.
DOI: https://doi.org/10.21896/jksmch.2019.23.2.75    Published online April 30, 2019.
Grading System for the Management of Pregnant Women
Hyeonseo Jeong, Ki Hoon Ahn
Department of Obstetrics & Gynecology, Korea University College of Medicine, Seoul, Korea
임산부 관리를 위한 국내외 분류체계 고찰
정현서, 안기훈
고려대학교 의과대학 산부인과교실
Correspondence:  Ki Hoon Ahn, Tel: 02-920-6777, Fax: 02-922-5357, 
Email: akh1220@hanmail.net
Received: 1 February 2019   • Revised: 14 April 2000   • Accepted: 17 April 2019
Abstract
Several studies have reported adequate patient transfer to higher level hospitals according to the risk for improving perinatal outcomes. According to these reports, countries across the world divide the levels of maternal care on the basis of the assessment of hospital facilities and medical services as well as the assessment of high-risk pregnancies while evaluating the cases of and risks associated with maternal care that can be addressed by these hospitals at each level. Because the level of and policies on maternal care vary across countries, we aimed to evaluate risk assessments and introduction of treatment facility classifications in different countries. In Korea, birth rate is declining and the number of elderly pregnant women is increasing, whereas the number of hospitals that can deliver a baby and care for mothers at high risk is decreasing. We, therefore, need to establish an infrastructure for medically vulnerable areas, a localization center, and a medical personnel supplement. Moreover, establishing detailed guidelines and criteria for different levels of maternal care is necessary. The new guidelines will also need to supplement the policies on the requirement of well-trained obstetricians and of low medical insurance fee.
Key Words: high-risk pregnancy, maternal-child health services, prenatal care
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