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최승아 ( Choe Seung-ah ) 한국보건사회연구원 2023 보건복지포럼 Vol.321 No.-
한국 여성들이 적시에 필요한 부인과 의료서비스를 받을 수 있도록 하기 위해서는 현재 여성들이 갖고 있는 부인과 건강 문제를 확인하고 부인과 의료 이용 현황과 함께 여성들이 부인과 진료에 어려움을 겪는 원인을 파악하는 것이 중요하다. 지난 2022년 수행된 ‘한국 여성의 생애주기별 성·생식 건강조사’의 의료 이용 설문 결과 여성의 생애주기에 따라 주요 부인과 건강 문제와 미충족 의료 경험률에 차이가 있었다. 초기 성인과 청소년에서 노인보다 대체로 부인과 건강 문제가 흔했다. 중장년층에서는 10명 중 1명꼴로 자궁근종 제거 시술을 받았다. 부인과 진료가 필요한데도 받지 못한 주된 이유는 시간이 없는 것과 산부인과 검진이 불편한 것이었다. 한국 여성들의 삶의 질을 높이고 기대수명 대비 건강수명의 분율을 높이려면 부인과 진료의 장애물을 줄일 수 있는 정책과 프로그램이 필요하다. Ensuring that women in Korea receive the gynecologic care they need in a timely manner requires identifying the current gynecologic health problems that women have, their utilization of gynecologic care, and the reasons why women have difficulty accessing gynecologic care. The healthcare utilization survey, conducted in 2022 as part of the Korean Women's Sexual and Reproductive Health Survey, found that the prevalence of major gynecologic health problems and unmet healthcare needs varied across the life cycle. In early adulthood and adolescence, gynecologic health problems were generally more common than in the elderly. Among middle-aged women, only 1 in 10 had a procedure to remove fibroids. The main reasons for not seeking gynecologic care were lack of time and discomfort with gynecologic exams. Policies and programs are needed to reduce barriers to gynecological care, improve the quality of life of Korean women, and increase the ratio of healthy years to life expectancy.
보존적 방법을 통한 제왕절개 반흔임신의 성공적 치료 증례보고
이재은 ( Jae Eun Lee ),최승아 ( Seung Ah Choe ),구승엽 ( Seung Yup Ku ),김석현 ( Seok Hyun Kim ),최영민 ( Young Min Choi ),김정구 ( Jung Gu Kim ),문신용 ( Shin Yong Moon ) 대한산부인과학회 2012 Obstetrics & Gynecology Science Vol.55 No.4
Cesarean scar pregnancy is the one of the rarest forms of ectopic pregnancy and is associated with severe complications, such as uncontrollable bleeding and uterine rupture. However optimal treatment has not been established. We present here a case of ectopic pregnancy in the previous Cesarean scar treated successfully by uterine artery embolization in combination with subsequent intra-cardiac potassium chloride and intra-sac methotrexate injection without surgical or invasive intervention at 9+3 weeks` gestational age.
체외수정시술을 받는 여성에서 평균 신체활동량과 6개월 내 임신 성공 여부: 전향적 난임부부 코호트 연구
안선미 ( Seon Mi An ),최승아 ( Seung-ah Choe ),전병율 ( Byungyool Jun ) 한국모자보건학회 2021 한국모자보건학회지 Vol.25 No.2
Purpose: This study aimed to assess the association between physical activity and pregnancy in 6 months among infertile women who underwent in vitro fertilization (IVF). Methods: The participants included in this study were infertile women who underwent IVF at Cha Fertility Center in Seoul Station from October 2019 to February 2020. Of 132 women who agreed to participate in the study, one was eliminated for omitting the exercise questionnaire. A survey assessing the level of physical activity of infertile women was conducted using the Korean version of the International Physical Activity Questionnaires. We calculated metabolic equivalent tas k-minutes (MET-min) scores and obtained their IVF results after 6 months of the survey. Participants with less than 3,000 MET-min were classified into the minimally active group, and those with ≥3,000 MET-min were classified as the health-enhancing group. The 2 groups were compared based on age, anti-Müllerian hormone levels, body mass index, infertility duration, nulliparity, harmful alcohol drinking, history of smoking, obesity, male factors, and pregnancy rates. Adjusted relative risk for pregnancy was calculated using log-binomial regression analysis. Results: There was no significant difference in basal characteristics between the less active and health-enhancing groups. When controlling for all covariates, the relative risk for pregnancy was close to null with health-enhancing activity. The adjusted pregnancy rate decreased with increasing MET-min in the generalized additive model. Conclusion: We observed no positive association between physical activity and pregnancy rate among interfile women undergoing IVF. To confirm our findings, subsequent interventional studies would be needed.