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나백주 ( Na Baeg-Ju ) - Seoul Metro Government Civil Health Bureau
이미점 ( Lee Mi-Jeom ) - Seoul Metro Government Civil Health Bureau
이화선 ( Lee ·Hwa-Sun ) - Seoul Metro Government Civil Health Bureau
민승기 ( Min Seung-Ki ) - National Police Hospital Department of Urology
김혜옥 ( Kim Hye-Ok ) - CHA University CHA Gangnam Medical Center Department of Obstetrics and Gynecology
안기훈 ( Ahn Ki-Hoon ) - Korea University Anam Hospital Department of Obstetrics and Gynecology
이우령 ( Lee Woo-Ryoung ) - Soonchunhyang University Hospital Department of Pediatrics
손인숙 ( Sohn In-Sook ) - Konkuk University School of Medicine Konkuk University Medical Center Department of Obstetrics and Gynecology
하은희 ( Ha Eun-Hee ) - Ewha Womans University School of Medicine Department of Occupational and Environmental Medicine
주성홍 ( Joo Sung-Hong ) - National Medical Center Department of Obstetrics and Gynecology
김영아 ( Kim Young-Ah ) - Inje University College of Medicine Ilsan Paik Hospital Department of Obstetrics and Gynecology
한정열 ( Han Jung-Yeol ) - Inje University College of Medicine Ilsan Paik Hospital Department of Obstetrics and Gynecology
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Abstract
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Community-based preconception care for men and women of childbearing age has been introduced in Seoul. The program aims to focus on problem areas such as low birth rate, fertility issues potentially due to late marriages, preterm or premature births, and low-birthweight in newborn babies. The district administration officials of Seoul, as well as, academics from the Korean Society of Maternal and Child Health, developed a protocol by using a questionnaire and laboratory test for screening risk factors in pregnancy. The protocol was tested on a trial basis in four local districts in Seoul from July 2017 to 2018, extended to 12 local districts in 2019, and all 25 districts in Seoul in 2020. The protocol includes Anti- Mullerian Hormone tests to assess women’s ovarian reserve and male health checkups that include semen analysis and physical examinations of genitalia. These tests are conducted for early detection and treatment of infertility, especially in cases of late marriages. In order to prevent women being abandoned during pregnancy (leading them to single-parenting), the protocol also emphasizes building a gender-sensitive environment by encouraging more male participation. A monitoring group comprised of Seoul city district officials and academics from the Korean Society of Maternal and Child Health, regularly visited the local districts to observe improvements and keep the program officials up to date. In addition, the group also conducted a mobile phone survey for feedback on the program. The interest and support of the residents in Seoul city, and positive results and development in pregnancy care and childbirth, are needed to stabilize and extend this protocol.
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KeyWords
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Preconception care, Community, Gender sensitive
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원문 및 링크아웃 정보
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등재저널 정보
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