• 제목/요약/키워드: 모유

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한국 수유부 유즙의 콜린과 베타인 농도 및 영아의 콜린과 베타인 섭취량 (Choline and Betaine Concentrations in Breast Milk of Korean Lactating Women and the Choline and Betaine Intakes of Their Infants)

  • 정한옥;서윤석;정영진
    • Journal of Nutrition and Health
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    • 제43권6호
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    • pp.588-596
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    • 2010
  • 모유 수유를 받는 영아는 생후 6개월까지 모유에 거의 모든 영양소 섭취를 의존하기 때문에 유즙의 콜린 농도가 영아의 콜린섭취에 영향을 미칠 수 있다. 식품에는 콜린과 베타인이 함께 들어 있고 체내에서 콜린은 베타인으로 산화되어 메칠기 운반에 관여하므로 식품속의 총 콜린 함량만이 아니라 베타인 함량도 함께 고려하여야 한다. 따라서 본 연구에서는 수유기간별 유즙의 총 콜린, 유리 콜린, 베 타인의 변화를 조사하고자 하였다. LC-MS방법을 사용하여 수유부 유즙의 콜린과 베타인 농도를 분석하여 영아의 콜린과 베타인의 섭취상태를 알아보고자 하였다. 1) 모유의 총 콜린 농도는 수유 첫 1개월째 145.03 mg/L (1.39 mmol/L), 2개월째 157.83 mg/L (1.52 mmol/L), 3개월째 165.99 mg/L (1.60 mmol/L), 4개월째 153.67 mg/L (1.48 mmol/L), 5개월째 145.05 mg/L (1.39 mmol/ L)이었다. 모유의 유리 콜린 농도는 수유 1개월 24.96 mg/L (0.239 mmol/L), 2개월 29.56 mg/L (0.284 mmol/L), 3개월 29.40 mg/L (0.283 mmol/L), 4개월 23.41 mg/L (0.225 mmol/L), 5개월 24.03 mg/L (0.231 mmol/L)로 수유월령에 따라 큰 차이는 없었다. 모유의 베타인 농도는 수유 1개월에 4.424 mg/L (0.038 mmol/L), 2개월 3.442 mg/L (0.033 mmol/L), 3개월 3.200 mg/L (0.031 mmol/L), 4개월 2.257 mg/L (0.022 mmol/L), 5개월 2.433 mg/L ($0.020\;{\mu}mol/L$)이었다. 2) 수유기간별 영아의 유즙 섭취량은 2개월에 771.1 mL/d, 3개월에 792.0 mL/d, 4개월에 796.5 mL/d, 5개월에 711.0 mL/d이었다. 3) 영아의 총 콜린 섭취량은 2개월 124.61 mg/d, 3개월 120.90 mg/d, 4개월 126.50 mg/d, 5개월 104.09 mg/d로 4개월까지는 큰 변화가 없었으나 생후 5개월에 크게 감소하는 경향이었다. 영아의 체중 kg당 총 콜린 섭취량은 2개월 19.76 mg/d, 3개월 16.67 mg/d, 4개월 16.14 mg/d, 5개월 12.80 mg/d이었다. 4) 영아의 유리콜린 섭취량은 2개월 24.15 mg/d, 3개월 21.57 mg/d, 4개월 19.35 mg/d, 5개월 17.10 mg/d이었고, 수유기간별로 유의적인 차이는 없었으나 점차 감소하는 경향이었다. 영아의 체중 kg당 유리콜린 섭취량은 2개월 3.85 mg/d, 3개월 2.97 mg/d, 4개월 2.47 mg/d, 5개월 2.08 mg/d이었다. 5) 영아의 베타인 섭취량은 2개월 3.12 mg/d, 3개월 2.82 mg/d, 4개월 2.10 mg/d, 5개월 1.83 mg/d로 유리콜린과 유사한 경향을 보였다. 영아의 체중 kg당 베타인 섭취량은 2개월 0.50 mg/ d, 3개월 0.39 mg/d, 4개월 0.27 mg/d, 5 개월 0.22 mg/d이었다. 6) 영아의 콜린 섭취량은 모유의 콜린농도와는 r = 0.982 (p = 0.000), 모유섭취량과는 r = 0.414 (p = 0.028)로 유의적인 양의 상관관계를 보였다. 이상의 연구결과로부터 한국인 수유부 유즙의 총 콜린농도와 유리콜린농도는 외국인 수유부의 유즙에 비해 결코 낮지 않은 수준이며, 이로 인해 영아의 콜린 섭취상태는 부족하지 않을 것으로 사료된다. 더욱이 영아의 총콜린 섭취량은 모유 섭취량보다 모유의 총콜린 농도와 더 강한 양의 상관관계를 나타냄으로써 모유의 콜린농도가 영아의 콜린 섭취량에 영향을 미칠 수 있을 가능성을 보였다.

모유수유 임파워먼트 프로그램이 완전모유수유에 미치는 효과 (Effects of a Breast-Feeding Empowerment Program on Exclusive Breast-Feeding)

  • 김윤미
    • 대한간호학회지
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    • 제39권2호
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    • pp.279-287
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    • 2009
  • Purpose: The purpose of this study was to develop an antepartum-postpartum breast-feeding program titled "Breastfeeding Empowerment Program" and to measure the effects of this program on breast-feeding empowerment and the rate of exclusive breast-feeding. Methods: The study design was a nonequivalent control group design with repeated measures. Results: The scores for breast-feeding empowerment of the experimental group (EG) were higher than those of the control group (CG) at week 1, 4, 8, 12. The rates for exclusive breast-feeding of the experimental group were also higher than those of the control group: 86.4% in the EG and 40.9% in the CG at week 1; 100% vs 42.9% at week 4; 86.4% vs 38.1% at week 8; 95.5% vs 38.1% at week 12; 94.7% vs 31.6% at 6 months; 89.5% vs 26.3% at 12 months. Conclusion: The study provided evidence that raising consciousness and strengthening mother's will and skills for exclusive breast-feeding helps them to achieve successful breast-feeding by themselves. In addition mothers need to be empowered to breastfeed starting before delivery and continuing after delivery. This approach could make long-term exclusive breast-feeding successful.

유방울혈이 있는 제왕절개분만 산모를 위한 모유수유 증진 프로그램의 개발 및 평가 (Development and Evaluation of Breastfeeding Promotion Program for Mothers with Breast Engorgement following Cesarean Birth)

  • 조정숙;안숙희
    • 대한간호학회지
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    • 제44권2호
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    • pp.170-178
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    • 2014
  • Purpose: This study was to develop a breastfeeding promotion program and to test effects of the program on levels of breast discomfort, breast size, sodium in breast milk, and type of feeding in mothers with breast engorgement following cesarean birth. Methods: A non-synchronized non-equivalent control group pretest-posttest design was used in this study. The participants were 70 postpartum mothers who were admitted to a postpartum care center and experienced breast engorgement following cesarean birth. The planned nursing intervention was the breastfeeding promotion program consisting of breast massage and 1:1 breastfeeding education, counseling, and support focusing on individualized problem solving provided for 10 days. Fifty-three women completed the program (experimental group 26, control group, 27). Measurements were level of breast discomfort, breast size, sodium in breast milk and type of feeding at pre and posttest. Results: Women who participated in the program experienced lower scores for breast discomfort, greater decrease in breast size, lower levels of sodium in breast milk, and practiced breastfeeding more than those in the control group. Conclusion: Results indicate that this breastfeeding promotion program is effective in reducing breast engorgement and improving breastfeeding practices, and is therefore recommended to enhance breastfeeding promotion practice in postpartum care centers.

모유수유 교육이 초산모의 모유수유 방법, 태도 및 지속정도에 미치는 효과 (The Effect of Breast-feeding Education on Method, Attitude, and Duration of Breast-feeding by Primipara)

  • 안신영;고효정
    • 여성건강간호학회지
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    • 제5권1호
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    • pp.21-35
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    • 1999
  • The purpose of this study is to investigate the effect of breast-feeding education on skills, attitude, and duration of breast-feeding among primipara mothers. The educational session was offered during the period of June through September at the T medical center in T city. One hundred thirteen primiparas were selected for this study, 61 who received breast-feeding education(lecture, demonstration, and additional telephone counselling) served as the experimental group and 52 who did not as the control. Data collection was done by self-reporting method. the reliability of the instrument was from .77 to .87. Duration of breast-feeding was classified into I through V according to the WHO classification at the time point of 4 weeks of postpartum. The results were as follows : 1. The score for the experimental group on the skills of breast-feeding techniques was significantly higher than those of the control(t=9.12, p=.000). 2. The score for the experimental group in the attitude toward breast-feeding was significantly higher than those of the control(t=6.12, p=.000). 3. Duration of breast-feeding for the experimental group was significantly longer than that of the control at the time of 4 weeks of postpartum($x^2$=20.79, p=.001). In conclusion, the breast-feeding practice can be promoted effectively through the breast-feeding education.

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한국인(韓國人) 모유(母乳)의 우유(牛乳)와 성분조성(成分組成)에 관(關)한 비교연구(比較硏究) (II) -한국인(韓國人) 모유(母乳)와 우유지방중(牛乳脂肪中)의 지방산(脂肪酸) 조성(組成)의 비교(比較) 연구(硏究)- (Comparative Studies on the Composition of Korean Human and Cow's Milk (II) -Studies on the Fatty Acid Composition of Human and Cow's Milk fats of Korea-)

  • 고영수;임원명;이경자
    • Journal of Nutrition and Health
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    • 제3권3호
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    • pp.137-140
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    • 1970
  • 한국인(韓國人) 모유(母乳)와 우유(牛乳)에 대(對)해서 GLC법(法)에 의(依)하여 지방산(脂肪酸) 조성(組成)을 구(求)하여 비교(比較)하고 또 채취(採取)한 시료(試料)에 대(對)해서의 일반조성(一般組成)의 치(値)도 기재하였다. 인유(人乳)의 지방산(脂肪酸)은 Butyric acid, Caproic acid 및 Caprylic acid 등(等)의 지방산(脂肪酸)을 거의 함유(含有)하고 있지 않은 점(點)과 우유(牛乳)의 지방산(脂肪酸)은 저급(低級) 지방산(脂肪酸)을 함유(含有)하고 있는 반면(反面) Linol산(酸)의 함량(含量)이 인유(人乳)에 비(比)해서 훨씬 적었다는 점(點)이다.

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모유수유실천 예측요인 (A Study of Predictors of Breastfeeding)

  • 이선옥;정은순;안숙희;문길남;박남희
    • Child Health Nursing Research
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    • 제9권4호
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    • pp.368-375
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    • 2003
  • Purpose: The purpose of this study was to determine rate of breastfeeding practice at 3 months and to examine predictors for breastfeeding practice. Method: Study subjects were 114 mothers who gave birth at one hospital in Busan area. Data regarding breastfeeding practice and potentially related factors to breastfeeding were collected through a self-administered questionaire at 1 weeks and a telephone survey at 3 months. Logistic regression was used to identifiy significant the predictors on breastfeeding practice. Result: Rate of breastfeeding practice was 46.5% at three months of postpartum. The significant predictors for performing breastfeeding were lower the experience of breastfeeding trouble problem(OR=.88 compared with breastfeeding women, 95% CI; 78-.99), higher first breastfeeding satisfaction (OR=1.81 compared with non-breastfeeding women, 95% CI; 1.08-3.32), higher breastfeeding confidence(OR=1.84 compared with non-breastfeeding women, 95% CI; 1.08-3.32). Conclusion: The findings suggest the necessity of support program for mothers during the positive postpartum period to provide correct information about breastfeeding knowledge and attitude and to teach problem-solving skills for any breastfeeding problems for highere rate of breastfeeding practice

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모유수유 임파워먼트 프로그램이 초산모의 모유수유 자기효능감, 적응 및 지속에 미치는 효과 (Effects of Breastfeeding Empowerment Program on Breastfeeding Self-efficacy, Adaptation and Continuation in Primiparous Women)

  • 송선미;박미경
    • 대한간호학회지
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    • 제46권3호
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    • pp.409-419
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    • 2016
  • Purpose: The purpose of this study was to develop a breastfeeding empowerment program and to investigate the effects of the breastfeeding empowerment program on self-efficacy, adaptation and continuation of breastfeeding for primiparous women. Methods: The 5 session breastfeeding empowerment program was developed and a non-equivalent control group non-synchronized quasi-experiment design was used. Fifty-five participants were assigned to either the experimental group (n=27) or the control group (n=28). Effects were tested using repeated measures ANOVA and $x^2-test$. Results: Scores for self-efficacy, adaptation and continuation of breastfeeding of in the experimental group after program were significantly higher than 1week, 4weeks, 8weeks scores in control group. Conclusion: The effects of the breastfeeding empowerment program for elevating self-efficacy, adaptation and continuation of breastfeeding in primiparous women were validated. Therefore, this program can be recommended for vigorous use in clinical practice.

산후 모유수유 교육 방법에 따른 초산모의 모유수유 적응, 태도 및 실천효과 (Effects of Breast-feeding Adaptation, Attitude and Practice of Primipara Depending on Method of Postpartum Breast-feeding Education)

  • 연승은;이혜경
    • 여성건강간호학회지
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    • 제18권2호
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    • pp.75-84
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    • 2012
  • Purpose: This study was done to identify the effects of individual postpartum breast-feeding education on adaptation, attitude and practice of breast-feeding in primiparas. Methods: A quasi-experimental nonequivalent design was used to examine the effects of individual postpartum breast-feeding education among primiparas. The data were analyzed using $x^2$-test, Fisher's exact test and paired t-test. Results: There was a significant difference in breast-feeding adaptation (t=-12.94, p<.001), breast-feeding attitude (t=-2.71, p=.011) and breast-feeding practice ($x^2$=16.47, p<.001) between the group education (experimental group I) and individual education after group education (experimental group II). Conclusion: The results indicate that individual education on breast-feeding compared to group education has more positive effects on increasing breast-feeding adaptation, attitude and practice in primiparas. This result also indicates that many primiparas should be given opportunities of various types of education to improve breast-feeding practice such as individual approaches and postpartum breast-feeding education programs.

산모의 모유수유에 대한 지식수준정도와 산모가 인지한 간호사의 모유수유 관련 간호활동 정도 (Study on Mother′s knowledge level of Breast feeding and Nursing Activities related to Breast feeding perceived by Mother)

  • 성미혜
    • Child Health Nursing Research
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    • 제6권1호
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    • pp.78-88
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    • 2000
  • The purpose of this study was to investigate the mother's knowledge level of breast feeding and nursing activities related to breast feeding perceived by mothers. The subjects were 77 mothers who within 3 days after child birth in 2 Obstetric Clinic in Seoul and P city from Dec 1 to 31, 1999. Data were collected by a questionnaire developed Jung et al.(1994). This study was statistically analyzed according to Frequency, t-test and ANOVA. The results are as follows : 1) The characteristics of subjects : The majority of subjects were aged 30-34 years(44.2%), high school & college graduate(93.6%), had one child(51.9%), had no religion(42.9%), jobless(72.7%) and had no experience of breast feeding(59.7%). 2) Mean score of mother's knowledge level of breast feeding was ranged from 7-16. Mean score of breast feeding was 11.56 points out of possible 20 points meaned that it was a low level. 3) General characteristics were significantly related to mother's knowledge level of breast feeding as follow : age(F= 3.99, P < 0.001) and religion(F= 4.30, P < 0.05). 4) Mean score of nursing activities related to breast feeding by mothers was ranged from 30-146. Mean score of nursing activities related to breast feeding perceived by mothers was 100.05 points out of 150 points meant that it was a high level.

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산후 첫주간의 모유수유 문제에 관한 연구 (Breast Feeding Practice according to the Breast-Feeding Problem during the First Week of Postpartum)

  • 문길남;정주희;이선옥;조겸순;김영자;정은순;배정이
    • 여성건강간호학회지
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    • 제4권3호
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    • pp.416-428
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    • 1998
  • In Korea, breast-feeding practice has been decreased since 1980's. The purpose of this study was to determine the factors that influence breast-feeding practice. The total numbers of study subjects were 139 mothers in their postpartum one week. The study was carried out for the period of three months from June 17 to August 26, 1998. The tool for breast-feeding problem was developed by Kearney et. al(1990). The data were analyzed by SAS and the results were as follows ; 1. The reported breast-feeding problems were nipple pain, demand of frequent feeding, prolonged feeding, milk leakage, experience of difficulty in breast feeding. 2. Breast-feeding problem defined were prolonged feeding, baby's whimpering after breast-feeding, nipple pain, experience of difficulty in breast feeding, difficulty of breast feeding due to mother's general discomfort.

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