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J Korean Matern Child Health > Volume 22(2); 2018 > Article
Journal of Korean Maternal and Child Health 2018;22(2):88-95.
DOI: https://doi.org/10.21896/jksmch.2018.22.2.88    Published online May 31, 2018.
Risk Management Study for Preventing Population Decline in the Low Fertility Age
Nan Hee Yee1, Hyea Suk Song2
1Korea Institute for Health and Social Affairs, Korea
2Department of Medical & Health Administration, U1 University
저출산시대 인구감소 방지를 위한 고위험임신 관리방안
이난희1, 송혜숙2
1한국보건사회연구원
2유원대학교 의료보건행정학과
Correspondence:  Nan Hee Yee,
Email: yeenh@kihasa.re.kr
Abstract
Purpose
The purpose of this study is to identify variation in pregnancy wastage prevalence by type and age among married women aged 15~44 in Korea.
Methods
The study data is based on 3% patient sample data extracted from the Health Insurance Review & Assessment Service in 2011 and 2014. For analysis, ANOVA and t-tests were performed using the SAS program. All data was weighted.
Result
The number of women experiencing pregnancy wastage in Korea was approximately 110,000 and 114,000 in 2011 and 2014 respectively, figures 20% higher than the equivalent numbers of births in both cases. Of wastage types, spontaneous abortion was shown to have the highest prevalence, while the 30 to 34 years category represented the highest prevalence among age groups. Test outcomes regarding age difference demonstrated that, in 2011, the average maternal age in the “other abortion” type was older than that for spontaneous abortion. Age was shown to have a significant effect on surgery status; surgery experience was associated positively with maternal age.
Conclusion
In this study, we defined terms for pregnancy wastages, derived the diseases codes related to pregnancy wastages, and ascertained the status of pregnancy wastage among women in Korea. Consequently, we suggest that the problem of pregnancy wastage in Korea should be recognized not only as a personal, but also a community, social, and national issue.
Key Words: pregnancy wastage, miscarriage, stillbirth, medical abortion
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