Journal of the Korean Medical Association (대한의사협회지)

Korean Medical Association (대한의사협회)
권호 표지
DOI QR코드

DOI QR Code

Future of neonatology in Korea: the way forward

한국 신생아학의 미래: 앞으로 나아갈 방향

  • Chang, Yun Sil (Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 장윤실 (성균관대학교 의과대학 삼성서울병원 소아청소년과)
  • Received : 2016.04.20
  • Accepted : 2016.05.10
  • Published : 2016.07.01
⟨ Previous Next ⟩

Abstract

Throughout the past several decades in Korea, the field of neonatology has developed enormously along with the advancement of modern neonatal intensive care units, which has resulted in significant improvement of treatment effectiveness for high-risk newborn and premature infants. Since the deaths of newborn infants are closely related to the infant death rate - one of the most important indicators of national health - neonatal intensive care is significant as a major element of the basic infrastructure of the national healthcare system. In Korea, where a noteworthy decrease in birth rates and an aging population has serious consequences for the future, interest at the national level and policy support for neonatal intensive care as well as for the effective continuous and systematic organization of perinatal care is strongly needed. Important topics for future exploration in the field of neonatology in Korea include the establishment of regionalization and organization of an effective perinatal care system, active quality improvement in neonatal care, and the improvement of evidence-based neonatal medicine through active multicenter clinical trials and the development of new research subjects for unresolved problems in the neonatal field. In addition, suggestions for multidisciplinary treatment and interest in family-oriented and developmental care for newborn infants as well as long-term follow-up research after discharge from the neonatal intensive care unit will also be discussed.

Keywords

References

  1. Korean Statistical Information Service. Birth statistics. Deajeon: Statistics Korea; 2015 [cited 2016 Jun 30]. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1B80A03&vw_cd=MT_ZTITLE&list_id=A21_5&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=E1.
  2. Statistics Korea. Infant, maternal and perinatal mortality statistics 2009-2011. Daejeon: Statistics Korea; 2012.
  3. Bronstein JM, Ounpraseuth S, Jonkman J, Lowery CL, Fletcher D, Nugent RR, Hall RW. Improving perinatal regionalization for preterm deliveries in a Medicaid covered population: initial impact of the Arkansas ANGELS intervention. Health Serv Res 2011;46:1082-1103. https://doi.org/10.1111/j.1475-6773.2011.01249.x
  4. Bae CW. Perinatal care center system for high risk pregnancy and newborn in Japan. Korean J Perinatol 2011;22:269-279.
  5. Shim JW, Kim MJ, Kim EK, Park HK, Song ES, Lee SM, Lee JH, Jin HS, Kim ES, Chang YS; Committee on Data Collection and Statistical Analysis, the Korean Society of Neonatology. The impact of neonatal care resources on regional variation in neonatal mortality among very low birthweight infants in Korea. Paediatr Perinat Epidemiol 2013;27:216-225. https://doi.org/10.1111/ppe.12033
  6. Park WS. Development of national patient transfer system for the integrated approach in high-risk mother and infant care. Sejong: Ministry of Health and Welfare; 2015.
  7. Chang YS, Ahn SY, Park WS. The establishment of the Korean Neonatal Network (KNN). Neonatal Med 2013;20:169-178. https://doi.org/10.5385/nm.2013.20.2.169
  8. Korean Neonatal Network. Korean Neonatal Network 2013 [Internet]. Cheongju: National Research Institute of Health; 2013 [cited 2016 Jun 22]. Available from: http://www.knn.or.kr/index.jsp.
  9. Executive Committee of Korean Neonatal Network. 2014 Annual report of Korean Neonatal Network. Seoul: Korea Centers for Disease Control and Prevention; 2015.
  10. Lee BS, Moon WH, Park EA. Real-time data display system of the Korean Neonatal Network. J Korean Med Sci 2015;30 Suppl 1:S12-S18. https://doi.org/10.3346/jkms.2015.30.S1.S12
  11. Choi CW, Park MS. Data management and site-visit monitoring of the multi-center registry in the Korean Neonatal Network. J Korean Med Sci 2015;30 Suppl 1:S19-S24. https://doi.org/10.3346/jkms.2015.30.S1.S19
  12. Chang YS, Park HY, Park WS. The Korean Neonatal Network: an overview. J Korean Med Sci 2015;30 Suppl 1:S3-S11. https://doi.org/10.3346/jkms.2015.30.S1.S3
  13. Ellsbury DL, Ursprung R. A primer on quality improvement methodology in neonatology. Clin Perinatol 2010;37:87-99. https://doi.org/10.1016/j.clp.2010.01.005
  14. Lee J, Kim HS. Current status of neonatal clinical trials in Korea. Neonatal Med 2014;21:1-9. https://doi.org/10.5385/nm.2014.21.1.1
  15. National most premature microprimie born at near 5 monthsʼ gestation discharged to home. Yohap News. 2013.5.3[cited 2013 Aug 10]. Available from: http://www.yonhapnews.co.kr/society/2013/05/03/0706000000AKR20130503158300017.HTML.
  16. Fanaroff AA, Hack M, Walsh MC. The NICHD neonatal research network: changes in practice and outcomes during the first 15 years. Semin Perinatol 2003;27:281-287. https://doi.org/10.1016/S0146-0005(03)00055-7
  17. Smith PB, Ambalavanan N, Li L, Cotten CM, Laughon M, Walsh MC, Das A, Bell EF, Carlo WA, Stoll BJ, Shankaran S, Laptook AR, Higgins RD, Goldberg RN; Generic Database Subcommittee; Eunice Kennedy Shriver National Institute of Child Health Human Development Neonatal Research Network. Approach to infants born at 22 to 24 weeksʼ gestation: relationship to outcomes of more-mature infants. Pediatrics 2012;129:e1508-e1516. https://doi.org/10.1542/peds.2011-2216
  18. Ahn SY, Chang YS, Sung DK, Sung SI, Yoo HS, Lee JH, Oh WI, Park WS. Mesenchymal stem cells prevent hydrocephalus after severe intraventricular hemorrhage. Stroke 2013;44:497-504. https://doi.org/10.1161/STROKEAHA.112.679092
  19. Chang YS, Ahn SY, Yoo HS, Sung SI, Choi SJ, Oh WI, Park WS. Mesenchymal stem cells for bronchopulmonary dysplasia: phase 1 dose-escalation clinical trial. J Pediatr 2014;164:966-972.e6. https://doi.org/10.1016/j.jpeds.2013.12.011
  20. Fanos V, Van den Anker J, Noto A, Mussap M, Atzori L. Metabolomics in neonatology: fact or fiction? Semin Fetal Neonatal Med 2013;18:3-12. https://doi.org/10.1016/j.siny.2012.10.014
  21. Matamoros S, Gras-Leguen C, Le Vacon F, Potel G, de La Cochetiere MF. Development of intestinal microbiota in infants and its impact on health. Trends Microbiol 2013;21:167-73. https://doi.org/10.1016/j.tim.2012.12.001
  22. Doyle LW, Anderson PJ. Adult outcome of extremely preterm infants. Pediatrics 2010;126:342-351. https://doi.org/10.1542/peds.2010-0710
  23. Halamek LP; Association of Medical School Pediatric Department Chairs, Inc. Teaching versus learning and the role of simulation-based training in pediatrics. J Pediatr 2007;151:329-330. https://doi.org/10.1016/j.jpeds.2007.06.012

Cited by

  1. Past, present, and future of neonatology in Korea vol.59, pp.7, 2016, https://doi.org/10.5124/jkma.2016.59.7.487
  2. Experiences of Mothers of Premature Infants Receiving Rehabilitation Therapy vol.24, pp.3, 2018, https://doi.org/10.4094/chnr.2018.24.3.298
  3. Prediction of In-Hospital Mortality After 24 Hours in Very Low Birth Weight Infants vol.147, pp.1, 2016, https://doi.org/10.1542/peds.2020-004812
  4. Parenting experiences among fathers of prematurely-born children with cerebral palsy in South Korea vol.27, pp.1, 2021, https://doi.org/10.4094/chnr.2021.27.1.75
  5. Research Trends of Follow-Up Care after Neonatal Intensive Care Unit Graduation for Children Born Preterm: A Scoping Review vol.18, pp.6, 2016, https://doi.org/10.3390/ijerph18063268
  6. Defining Preterm Birth and Stillbirth in the Western Pacific: A Systematic Review vol.33, pp.5, 2021, https://doi.org/10.1177/10105395211026099