학술논문
출산 후 산모의 치골결합 정상화를 위한 산욕기 산후 관리의 중요성
The Importance of Postpartum Care in The Puerperal Period to Normalize The Mother's Pubic Symphysis After Childbirth
The Importance of Postpartum Care in The Puerperal Period to Normalize The Mother's Pubic Symphysis After Childbirth
Document Type
Article
Author
김송자 / Kim Song-ja; 장완성 / Chang Wan-song; 박은경 / Park Eun-kyoung; 김선아 / Kim Sun-a; 김해옥 / Kim Hae-ok; 정명숙 / Jung Myoung-suk; 황기봉 / Hwang Ki-bong; 이지연 / Lee Ji-yeon; 김현주 / Kim Hyun-joo; 장서윤 / Jang Seo-yun; 한영임 / Han Young-im; 김은주 / Kim Eun-joo
Source
한국건강미용문화 응용과학회지 / Korean Academy of Applied Science for Health & Beauty Culture((KAASHBC). Dec 31, 2023 5(1):1
Subject
Language
Korean
ISSN
2713-4628
Abstract
본 연구는 한 쪽 다리를 주로 사용하는 임신부 여성의 치골근과 하지 내전근의 근력 불균형이 대퇴골 방향으로 견인력을 발생하여 치골결합(pubic symphysis) 불균형을 초래할 수 있는지에 대하여 문제를 제기하고 치골결합의 정상적 회복을 위한 산욕기 동안 산후 관리의 중요성을 제시하고자 하였다. 국제 문헌조사 사이트와 대학교 도서관 전자문서 통합검색창을 이용하여 2010년부터 2023년까지 산모의 임신 중 릴렉신 호르몬(relaxin hormone) 작용과 골반 통증 관련 검색어‘임신 출산’,‘산욕기 치골결합’,‘치골결합 내전근’검색결과 각각 120편, 25편, 0편의 국내 논문을 검색하였으며, 임신부의 출산 전·후 신체적 특징, 임신부 골격구조, 산모의 요통 및 골반 통증의 자료를 분석하였다. 분석 자료는 국내 논문 145편이며, 국외 논문 41편을 고찰하여 임신과 출산의 특징을 기술하였고 산욕기 내전근 불균형에 따른 치골결합 분리 가능성을 제시하였다. 연구 결과 첫째, 릴렉신 호르몬(relaxin hormone)은 임신 초기부터 임신부의 관절 연화 과정에 영향을 미쳐 산도를 증가시킨다. 둘째, 산욕기 수면 자세, 수유 자세, 그리고 직립 자세 지양에 관한 균형적 생활 습관의 유지가 필요하다. 셋째, 출산 전 불균형적 한쪽다리 사용은 내전근 장력의 불균형으로 출산 직후 직립 시 치골의 하방 견인력을 발생시킬 수 있다. 결론적으로 산욕기 수면 자세에서는 편안한 앙와위 자세(supine position), 수유 시 의자를 이용, 그리고 가능한 3~5개월 동안 직립자세에서의 장시간 유지를 지양할 것과 출산 직후 보존적 치료를 위한 산후 관리 기간이 필요한 것으로 분석되었다. 추후 임신 전·후 산모의 생활습관에 따른 하지 내전근의 불균형 특성이 치골결합 분리에 직접적으로 영향을 미치는지에 대한 추가적인 실험적 후속 연구가 필요할 것으로 판단된다.
The purpose of the study was to suggest the importance of postpartum care during the puerperal period for normal recovery of the pubic symphysis. Using the international literature search site and university library electronic document integrated search window, search results for 'pregnancy and childbirth', 'pubic symphysis' and 'pubic symphysis adductor muscle' for search terms related to relaxin hormone action and pelvic pain during maternal pregnancy from 2010 to 2023, respectively. We searched 226, 25, and 0 domestic papers, and analyzed data on physical characteristics of pregnant women before and after childbirth, skeletal structure of pregnant women, and maternal back pain and pelvic pain. The data analyzed were 251 domestic papers, and 40 international papers were reviewed to describe the characteristics of pregnancy and childbirth and suggest the possibility of pubic symphysis separation due to adductor muscle imbalance in the puerperal period. Research results: First, relaxin hormone affects the joint softening process of pregnant women from the beginning of pregnancy, increasing acidity. Second, it is necessary to maintain a balanced lifestyle regarding sleeping posture, breastfeeding posture, and avoidance of upright posture during the postpartum period. Third, unbalanced use of one leg before childbirth can cause downward traction on the pubic bone when upright immediately after birth due to imbalance in adductor tension. In conclusion, it was analyzed that a comfortable supine position during the postpartum period, use of a chair when breastfeeding, avoid maintaining the upright position for a long time for 3 to 5 months if possible, and a postpartum care period for conservative treatment immediately after birth were necessary. In the future, it is judged that additional experimental follow-up research is needed to determine whether the imbalance characteristics of the lower extremity adductor muscles according to the mother's lifestyle before and after pregnancy affects the separation of the pubic symphysis.
The purpose of the study was to suggest the importance of postpartum care during the puerperal period for normal recovery of the pubic symphysis. Using the international literature search site and university library electronic document integrated search window, search results for 'pregnancy and childbirth', 'pubic symphysis' and 'pubic symphysis adductor muscle' for search terms related to relaxin hormone action and pelvic pain during maternal pregnancy from 2010 to 2023, respectively. We searched 226, 25, and 0 domestic papers, and analyzed data on physical characteristics of pregnant women before and after childbirth, skeletal structure of pregnant women, and maternal back pain and pelvic pain. The data analyzed were 251 domestic papers, and 40 international papers were reviewed to describe the characteristics of pregnancy and childbirth and suggest the possibility of pubic symphysis separation due to adductor muscle imbalance in the puerperal period. Research results: First, relaxin hormone affects the joint softening process of pregnant women from the beginning of pregnancy, increasing acidity. Second, it is necessary to maintain a balanced lifestyle regarding sleeping posture, breastfeeding posture, and avoidance of upright posture during the postpartum period. Third, unbalanced use of one leg before childbirth can cause downward traction on the pubic bone when upright immediately after birth due to imbalance in adductor tension. In conclusion, it was analyzed that a comfortable supine position during the postpartum period, use of a chair when breastfeeding, avoid maintaining the upright position for a long time for 3 to 5 months if possible, and a postpartum care period for conservative treatment immediately after birth were necessary. In the future, it is judged that additional experimental follow-up research is needed to determine whether the imbalance characteristics of the lower extremity adductor muscles according to the mother's lifestyle before and after pregnancy affects the separation of the pubic symphysis.