Original Article Neonatal Med 2013 Feb;20(1):146 -154 http://dx.doi.org/10.5385/nm.2013.20.1.146 pISSN 2287-9412 . eISSN 2287-9803
Changes in Birth Rate, Perinatal Risk Factors and Outcome in Newborns in Multi-cultural Family: Ten-year Experience in One Center Hae In Jang, M.D., Joon Sik Choi, M.D., Eun Song Song, M.D., and Young Youn Choi, M.D. Department of Pediatrics, Chonnam National University Medical School, Gwangju, Korea
ABSTRACT Purpose: The aim of this study is to investigate the periodical changes of birth rate, perinatal risk factors and outcome of newborns in multi-cultural families with Korean male and non-Korean, Asian female in Gwangju, Chonnnam province. Methods: We enrolled newborns born in or transferred from other hospital to Chonnam National University Hospital between January 2001 and December 2010. They were categorized into two periods: data from 2001 to 2005 was defined as period I and from 2006 to 2010 was defined as period II. The clinical data of the birth rate, perinatal risk factors and outcome were retrospectively reviewed. Results: Number and rate of newborns in multicultural families increased signi ficantly. The nationality of the mother changed: Vietnamese, Chinese and Cam bodian significantly increased; and Japanese and Filipino significantly decreased. As the maternal age tended to be younger in period II, the age gap between the spouses increased, and the paternal age significantly increased, especially in age group of over 45 year-old. Among other perinatal risk factors, premature rupture of membranes and oligohydramnios were decreased. There were no statistical difference in morbidity (except hyperbilirubinemia) and mortality. However, congenital anomalies significantly increased. Conclusion: As the number of newborns in multicultural families has increased, the incidence of congenital anomalies also increased. We carefully presumed this result could be caused by increasing paternal age. Careful concern and management are needed for these families and further prospective studies are needed in a larger number of subjects.
Received: 31 August 2012 Revised: 16 Octobrt 2012 Accepted: 6 February 2013 Correspondence to: Young Youn Choi, M.D., Ph.D. Department of Pediatrics, Chonnam University Hospital, 42 Jebong-ro, Dong-gu, Gwangju 501-757, Korea Tel: +82-62-220-6646, Fax: +82-62-222-6103, E-mail:
[email protected]
Key Words: Multi-cultural family, Newborn, Incidence, Risk factor, Outcome, Con genital anomaly Copyright(c) By Korean Society of Neonatology. All right reserved.
Neonatal Med 2013 Feb;20(1):146-154 http://dx.doi.org/10.5385/nm.2013.20.1.146
서론
147
결과
다문화 가족 혼인은 1990년대 1.2-3.4%이었던 것이 2000년대
1. 다문화 가정 신생아 수와 빈도
들어 급격히 증가하기 시작하여 2005년 13.5%로 정점에 도달한
대상인 NMF 수는 I기 50명에서 II기 154명으로 세 배 증가하였
후 2010년 10.5%로 약간 주춤하는 추세이며, 이들에서 출생한 신
다. 이를 구체적으로 살펴보면, 전남대학교병원에서 원내 분만한
생아는 2010년 기준 20,312명으로 전체 출생아의 약4.3%을 차지
전체 신생아는 I기 4,551명에서 II기 4,387명으로 오히려 감소한
1)
할 만큼 사회적으로 중요한 부분을 차지하고 있다 . 따라서 정부
반면, NMF는 32명(0.70%)에서 111명(2.53%)으로 3배 이상 증가하
에서는 다양한 정책을 통해 이들을 지원하고 사회적 인식도 개선
였다(P
