고위험산모와 일반산모의 산후 6주간 증상에 대한 전향적 관찰 연구 -일개 한방병원 산후조리원을 이용한 산모를 중심으로

Objectives: The aim of this study was to observe the changes of women''s postpartum symptoms, the quality of life and depression scale over the first six weeks after childbirth. Methods: Twenty seven mothers who received Korean medical treatment in the outpatient department treatment (from September 27th, 2017 to January 5th, 2018) were evaluated for Verbal numerical rating scale (VNRS), edema index, EuroQol Visual Analogue Scale (EQ-VAS), and Edinburgh Postnatal Depression Scale (EPDS). Results: There were 17 high risk participants (63.0%) and 10 normal participants (37.0%). The VNRS of edema is the highest in the first week, and the VNRS of joint pain is the highest from the second week to the sixth week in all patients. The Extra Cellular Water/Total Body Water (ECW/TBW) of high risk group significantly decreased from 0.403±0.011 to 0.387±0.006(p<0.05) in the first 2 weeks. The ECW/TBW of normal group significantly decreased from 0.393±0.070 to 0.383±0.011 (p<0.05) in the first 2 weeks. The EQ-VAS of high risk group increased from 64.12±13.941 to 69.35±18.155 (p<0.05) in the first 2 weeks. But this difference was not significant statistically (p=0.234). The EQ-VAS of normal group significantly increased from 62.50±21.763 to 74.00±9.661 (p<0.05) in the first 2 weeks. The difference of EPDS was not statistically significant between the first week and the sixth week in every participants. Conclusions: VNRS was the highest in edema in the first week, joint pain was the highest from the second week to six week. The edema index of high risk groups was higher than that of the normal group in the first week (p<0.05). The EQ-VAS of normal group significantly increased (p<0.05) in the first 2 weeks but high risk group didn’t. In the EPDS, the ratio of nine or more points of high risk group was more than twice than normal group in the first 2 weeks.