북한이탈주민 설문조사를 통해 본 북한의 모성과 신생아 건강관리 실태
김희숙, 이혜원, 박상민
Purpose: The purpose of this survey was to understand the current status of maternal and newborn health management child health in North Korea.
Methods: This survey was descriptive study based on data from North Korean defectors. A structured questionnaire was self-administered from May 1st to June 30th 2012. The participants were recruited from North Korean defectors who were all over 20 years old in Seoul and Gwangju-si. The analyses focused on antenatal care, pregnancy care, delivery, emergency treatment and postpartum
care in maternal health. The data of child health got within newborn health, breastfeeding and vaccination.
Result: In the maternal health, a percentage of 61.8 had experience of antenatal care. The timing of the first antenatal contact was average 8.2 weeks. Doctor (45.5%), midwife (19.1%) and nurse (2.7%) were included as health care provider in antenatal care. Reported content of antenatal care during pregnancy were height/weight taken (29.1%), blood pressure (34.5%), urine analysis (51.8%) and blood analysis (37.3%). The majority of the women (67.3%) delivered at hospital, amounted to 32.7% of women delivered at home. A nurse/midwife assisted at 26.4 percent of the births while doctors assisted with the delivery of the remaining 38.4 percent of births. During labor, 38.2 percent had serious emergency indications and needed to transfer recommending hospital. Moreover, 40.5 percent could not get opportunity to move other hospital. Of the total participation, 30.9 percent had experience of postpartum care. In the child health, findings in healthy newborn infants were 59.7 percent and hospital delivery (40.9%) was relatively high compared to home delivery (22%). Most of women (82.7%) breastfeed a baby more than one month. A percentage of 77.3 received routine vaccination.
Conclusion: The survey investigated the key maternal and child health in North Korea. These baseline data can be used to develop maternal and child health-improvement program. Overall, the findings will provide a unique opportunity to support North Korea from other institution and non-governmental organization.