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J Korean Soc Matern Child Health > Volume 26(3); 2022 > Article
Journal of The Korean Society of Maternal and Child Health 2022;26(3):146-163.
DOI: https://doi.org/10.21896/jksmch.2022.26.3.146    Published online July 31, 2022.
Review and Future Perspectives of the Korea Counseling Center for Fertility and Depression Based on User Characteristics: Focusing on Those During Pregnancy and Early After Delivery
Jangrae Kim1, Kyungjin Chu1, Seung Joo Chon2, Seo-Eun Cho2, Taek Hoo Lee3, Seung Jae Lee3, Chul Min Tae4, Jun Young Lim5, Jung Bo Yang6, Anna Choi1 
1Korea Counseling Center for Fertility and Depression, National Medical Center, Seoul, Korea
2Incheon Regional Counselling Center for Fertility and Depression, Gachon University Gil Hospital, Incheon, Korea
3Daegu Regional Counselling Center for Fertility and Depression, Kyungpook National University Hospital, Daegu, Korea
4Jeonnam Regional Counselling Center for Fertility and Depression, Hyundai Women’s & Children’s Hospital, Suncheon, Korea
5Gyeonggi-do Regional Counselling Center for Fertility and Depression, Korea Population, Health and Welfare Association Gyeonggi Branch, Suwon, Korea
6Gyeongsangbuk-do Regional Counselling Center for Fertility and Depression, Andong Medical Center, Andong, Korea
난임·우울증상담센터 대상자 특성에 근거한 서비스 체계 고찰 및 개선방안 – 임산부 및 양육모 중심으로
김장래1, 추경진1, 전승주2, 조서은2, 이택후3, 이승재3, 태철민4, 임준영5, 양정보6, 최안나1 
1국립중앙의료원 중앙난임·우울증상담센터
2가천대길병원 인천권역난임·우울증상담센터
3경북대병원 대구권역난임·우울증상담센터
4현대여성아동병원 전남권역난임·우울증상담센터
5인구보건복지협회 경기도지회 경기도권역난임·우울증상담센터
6안동의료원 경상북도권역난임·우울증상담센터
Correspondence:  Anna Choi, Tel: +82-2-2276-2276, Fax: +82-2-2276-2117, 
Email: annacm@nmc.or.kr
Received: 29 June 2022   • Revised: 17 July 2022   • Accepted: 20 July 2022
Abstract
Purpose
This study examined the current status of counseling services provided by the Korea Counseling Center for Fertility and Depression, analyzing the characteristics of peripartum women and baby-rearing mothers and establishing guidelines for providing psychological support, and suggesting measures for improving the system.
Methods
Data on 3,660 peripartum women & their spouses and baby-rearing mothers counseled through the service over the last 4 years were collected and a demographic analysis was conducted. By analyzing the clinical information of 216 peripartum women and 219 baby-rearing mothers who have registered with the Center and received routine counseling services, factors affecting depression were identified. Finally, a paired sample t-test was conducted to verify the effect of counseling services.
Results
An overall 20.4% of pregnant women & their spouses were screened for high risk for depression, of whom 27.3% received registered counseling services; further, 26.2% of baby-rearing parents were at high-risk group for depression, of whom 25% received registered counseling services. Results of a logistic regression analysis suggested that, for peripartum women, level of education and conflicts with partner and family were the crucial factors predicting moderate or severe depression. For baby-rearing mothers, obstetric history of spontaneous abortion was the crucial predicting factor.
Conclusion
For the early detection and prevention of peripartum depression, screening tests that start from early pregnancy should be routinely administered. Further, continuous management—covering the periods before and after childbirth—should be provided by establishing organic ties between domestic projects.
Key Words: Peripartum depression, Counseling system, Risk factors, Screening test, Postpartum depres sion, Pregnancy


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