고령 초산모와 비고령 초산모의 임신영양지식, 식습관 및 신생아 건강상태 비교 = Comparing Nutrition Knowledge, Eating Habits, and Neonatal Health Status of Primipara for Pregnant Women of Advanced Maternal Age Compared to Those of Younger Ages

다국어 초록 (Multilingual Abstract)

The aim of this study was to examine differences in nutrition knowledge, eating habits during pregnancy, and neonatal health status between primipara for pregnant women of advanced maternal age in comparison to those under the age of 35. Methods: This study used a comparative survey design. Data were collected through self-report questionnaires and patients medical records. A total of 127 participants, mothers after delivery were recruited from metropolitan city B. Results: Primipara in advanced maternal age (n=32) reported significantly higher scores of eating habits (Z=-2.96, p=.003) than younger ages (n=95). There were no significant differences in scores of pregnancy nutrition knowledge (Z=-0.44, p=.660), duration of gestation (Z=-0.28, p=.778), neonatal birth height (Z=-0.10, p=.924), neonatal birth weight (Z=-0.28, p=.777), Apgar score 1 minute (Z=-0.53, p=.599) and 5 minutes (Z=-0.23, p=.816) between two groups. Conclusion: It concludes that age is not the obstacle to the best nutritional status of women and their newborns.

참고문헌 (Reference)

1 김혜원, "임신영양지식 도구개발 및 식습관과의 관련성: 보건소 방문 임부 대상" 한국간호과학회 39 (39): 33-43, 2009

2 김지은, "임신부의 영양교육 경험에 관한 연구" 한국지역사회생활과학회 23 (23): 347-356, 2012

3 김숙배, "임신부의 건강식생활 가이드를 위한 애플리케이션 개발 소비자요구도 조사" 대한지역사회영양학회 18 (18): 588-598, 2013

4 이정주, "여성의 첫 출산 연령이 저체중출생아의 출생률에 미치는 영향" 대한소아과학회 50 (50): 1206-1211, 2007

5 박진희, "산모의 임신말기 영양상태와 임신 중 체중증가, 출생체중과 혈청 렙틴 농도와의 상관관계에 관한 연구" 한국영양학회 39 (39): 467-475, 2006

6 이민경, "분만여성과 배우자의 출산연령이 산모와 신생아 합병증에 미치는 영향" 한국간호교육학회 18 (18): 94-100, 2012

7 임경숙, "노인의 영양섭취상태에 영향을 미치는 인구사회학적 요인 분석" 한국영양학회 37 (37): 210-222, 2004

8 왕희정, "고령임부 대상 모바일 웹 기반 임신 건강관리 교육프로그램 개발 및 효과" 이화여자대학교 대학원 2014

9 김태은, "건강한 고령 초산모에서 산모 연령이 임신결과에 미치는 영향" 대한주산의학회 20 (20): 146-152, 2009

10 Ataullah I, "The older obstetric patient" 15 (15): 46-53, 2005

11 Restrepo-Meńdez MC, "The association of maternal age with birthweight and gestational age : A cross-cohort comparison" 29 (29): 31-40, 2015

12 Ludford I, "Pregnancy outcomes for nulliparous women of advanced maternal age in South Australia, 1998-2008" 52 (52): 235-241, 2012

13 Lehmann DK, "Pregnancy outcome in medically complicated and uncomplicated patients aged 40 years or older" 157 (157): 738-742, 1987

14 Yogev Y, "Pregnancy outcome at extremely advanced maternal age" 203 (203): 558.e1-558.e7, 2010

15 Kaiser L, "Position of the American Dietetic Association : Nutrition and lifestyle for a healthy pregnancy outcome" 108 (108): 553-561, 2008

16 Girard AW, "Nutrition education and counselling provided during pregnancy: effects on maternal, neonatal and child health outcomes" 26 (26): 191-204, 2012

17 Dickute J, "Maternal socio-economic factors and the risk of low birth weight in Lithuania" 40 (40): 475-482, 2004

18 Lindsay KL, "Maternal nutrition among women from Sub-Saharan Africa, with a focus on Nigeria, and potential implications for pregnancy outcomes among immigrant populations in developed countries" 25 (25): 534-546, 2012

19 Ziadeh SM, "Maternal and perinatal outcome in nulliparous women aged 35 and older" 54 (54): 6-10, 2002

20 Lee KS, "Maternal age and incidence of low birth weight at term : A population study" 158 (158): 84-89, 1988

21 Rosenthal AN, "Is there an incremental rise in the risk of obstetric intervention with increasing maternal age?" 105 (105): 1064-1069, 1998

22 Montan S, "Increased risk in the elderly parturient" 19 (19): 110-112, 2007

23 Martin JA, "Births : Final data for 2004" 55 (55): 1-101, 2006

24 Bayrampour H, "Advanced maternal age and risk perception : A qualitative study" 12 : 100-112, 2012

25 Carolan M, "Advanced maternal age and adverse perinatal outcome : A review of the evidence" 27 (27): 793-801, 2011

26 Kirz DS, "Advanced maternal age : The mature gravida" 152 (152): 7-12, 1985

27 Mills TA, "Advanced maternal age" 21 (21): 107-111, 2011

28 Yang YO, "A qualitative study of the experiences of Taiwanese women having their first baby after the age of 35 years" 23 (23): 343-349, 2007

29 박희진, "35세 이상 고령 산모의 산과적 예후" 대한산부인과학회 49 (49): 2066-2074, 2006

30 Korea National Statistics Office, "2012 Birth·mortality statistics"