신생아기 저출생체중아 사망영향요인과 관리방안

제목
신생아기 저출생체중아 사망영향요인과 관리방안
Policy Issues on Neonatal Intensive Care for Low Birth Weight Infants
저자

최정수; 배종우; 장윤실; 이난희; 홍월란

키워드
저출생체중아; 신생아사망; 신생아집중치료
발행연도
2012
발행기관
한국보건사회연구원
초록
신생아사망을 감소시키는데 주된 역할을 담당해 온 신생아집중치료서비스의 이용현황을 토대로, 출생체중에 따라 위험수준에 많은 차이를 보이고 있고 대부분의 위험상황이 응급으로 발생되고 있는 저출생체중아의 특성들이 치료과정에서 적절히 고려되고 있는 지를 점검함으로써, 보다 효율적인 진료체계를 구축하는 데 기초자료를 제공

This study is aimed at providing effective methods of Neonatal Intensive Care (NICU) Services for minimizing neonatal deaths and disabilities among low birth weight (LBW) infants.
For this purpose, we conducted a survey of 97 national hospitals with NICU. We also examined the medical systems and rules related to NICU in the US, Japan, and the UK. In addition, we analyzed the LBW incidence and death rates among LBW infants based on national infant mortality survey data.
The findings of this study include that the LBW (birth weight under 2500g) rates have been increasing every year, particularly, the incidence of VLBW (birth weight under 1500g) has risen to a great extent. The neonatal death rates among LBW infants, while high, varied across regions.
Although LBW incidence rate is lower in Korea than in Japan, Korea's neonatal infant death rate is higher than Japan's, largely because the survival rate among LBW infants in the NICUs is lower in Korea.
In the developed countries, care and management system for high risk infants have been established and managed for many years.
The US has established and managed a perinatal care system at the regional level for high risk maternal and infants. In Japan, a prenatal care system was established in 1979, and it has been managed at the regional level since 1996. The UK has conducted in 2001 an inspection program on NICUs, in 2003 has embarked on standardizing equipments and facilities according to different risk levels.
As NICU resources such as manpower, equipments, and facilities, are concentrated in large cities, the risk of death may be higher for newborns and infants in smaller cities and non-urban areas.
We will propose that the properly supplements and distribution methods of facilities and beds needed for NICU. In addition, an intensive care system should be established for low birth weight infants and managed at the local level. Also, the need is urgent to produce accurate statistics on the causes and incidence LBW infant deaths.
목차
Abstract
요 약
제1장 서론
1. 연구배경 및 목적
2. 용어 정의
제2장 저출생체중아의 발생 및 신생아사망 추이
1. 저출생체중아 발생 추이
2. 저출생체중아의 신생아사망 추이
3. 국제 비교
제3장 선진국의 고위험신생아 치료 및 관리체계
1. 발전과정
2. 신생아의 위험수준별 구분 및 관리
3. 신생아집중치료실 입원 기준
제4장 저출생체중아 치료 및 관리실태
1. 연구대상 개요
2. 출생 관리
3. 신생아 집중치료
제5장 신생아집중치료자원의 공급 및 지역별 배분 현황
1. 시설 및 병상
2. 신생아집중치료 장비
3. NICU 인력
제6장 결론 및 정책제언
1. 연구결과
2. 정책제언
3. 연구의 제한점
참고문헌
부 록
보고서 번호
연구보고서 2012-47-9
ISBN
978-89-8187-985-3
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