• Journal of Preventive Medicine and Public Health
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• v.31 no.4 s.63
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• pp.751-769
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• 1998

This study was conducted to assess the attitude of pregnant women toward delivery method, understanding of the reason for determining her own delivery method, participation in decision-making process and satisfaction with delivery method after labor. Study subjects were 693 pregnant women who had visited obstetric clinic for prenatal care in the last month of pregnancy in one general hospital and one obstetrics-gynecology specialty hospital in Taegu city from February 1 to March 31 in 1998. A questionnaire was administered before and after labor and a telephone interview was done one month after labor. Proportion of women who had health education and/or counselling about delivery method during prenatal care was 24.0% and this proportion was higher for women who had previous c-section(35.5%) than others. Women thought vaginal delivery is better than c-section for both maternal and baby's health regardless of previous delivery method. About 90% of primipara and multiparous women who had previous vaginal delivery wanted vaginal delivery for the index birth, while 85.6% of multiparous women who had previous c-section wanted repeat c-section. Reasons for choosing c-section in pregnant women who preferred vaginal delivery before labor were recommendation of doctors(81.9%), recommendation of husband (0.8%), agreement between doctor and pregnant woman(4.7%), and mother's demand (12.6%). Reasons for choosing vaginal delivery were mother's demand(30.6%) and no indication for c-section(67.2%). Reasons for choosing c-section in pregnant women who preferred c-section before labor were recommendation of doctors(76.2%), mother's demand(20.0%), recommendation of husband(1.3%), and agreement between doctor and pregnant woman(2.5%). Of the pregnant women who had c-section, by doctor's recommendation, the proportion of women who had heard detailed explanation about reason for c-section by doctor was 55.1%. Mother's statement about the reason for c-section was consistent with the medical record in 75.9% . However, over 5% points disparities were shown between mother's statement and medical record in cases of the repeat c-section and mother's demand. In primipara and multiparous women who had previous vaginal delivery, the delivery method for index birth had statistically significant association with the preference of delivery method before labor(p<0.05). All of the women who had previous c-section had delivered the index baby by c-section. Among mothers who had delivered the index baby vaginally, 84.9% of them were satisfied with their delivery method immediately after labor and 85.1% at 1 month after labor. However, mothers who had c-section stated that they are satisfied with c-section in 44.6% immediately after labor and 42.0% at 1 month after labor. Preferred delivery method for the next birth had statistically significant association with delivery method for the index birth both immediately after labor and in 1 month after labor. The proportion of mothers who prefer vaginal delivery for the next birth increased with the degree of satisfaction with the vaginal delivery for the index birth but the proportion of mothers who prefer c-section for the next birth was high and they did not change significantly with the degree of satisfaction with the c-section for the index birth. These results suggest that the current high technology-based, physician-centered prenatal and partritional cares need to be reoriented to the basic preventive and promotive technology-based, and mother-fetus-centered care. It is also suggested that active involvement of pregnant woman in decision-making process for the delivery method will increase the rate of vaginal birth after c-section and decrease c-section rate and improve the degree of maternal satisfaction after delivery.

• The Journal of the Convergence on Culture Technology
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• v.4 no.1
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• pp.111-117
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• 2018

This study was conducted to examine the relationship between perineal demage, a physiological element that mothers experience immediately after delivery, and postpartum depression. The postpartum depression level of women after delivery was $6.67{\pm}4.34$ points at delivery, $7.41{\pm}4.77$ after 2 weeks, and $7.77{\pm}5.27$ after 6 weeks. The degree of mild postpartum depression increased to 26% after delivery, 33% after 2 weeks, and to 41.4 after 6 weeks. At 2 weeks and 6 weeks postpartum, the feeling of discomfort during walking or sitting caused by perineal incision had a direct correlation with postpartum depression. Therefore, in order to prevent postpartum depression, management of discomfort associated with the perineal incision should be given priority.

• Journal of Embryo Transfer
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• v.20 no.3
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• pp.271-277
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• 2005

This study was undertaken to determine the normal appearance of the postpartum uterine involution. Postpartum changes in uterine shape, architecture, echogenicity and diameter were monitored with ultrasonography in 8 Cocker spaniel bitches. The excretory period of vaginal discharges in 8 normal bitches of uterine involution was finished completely at 23.20$\pm$2.77 days (Mean$\pm$SD) postpartum. The short axis shape of the uterus was varied from polygonal to circular. This lasted until 1600$\pm$2.12 days Postpartum, during which time the short axis uterine shape gradually changed to circular. Also, the long axis shape of the uterus was created a beaded appearance of the horns until 25.60$\pm$2.51 days postpartum. The uterine diameter was decreased not only in the placental sites from 24.20$\pm$2.06mm at 1 day to 13.18$\pm$0.84mm at 7 days postpartum, but also in the interplacental sites 14.26$\pm$2.22mm at 1 day, 9.81$\pm$0.7mm at 7 days postpartum. There was a general trend of decreasing uterine diameter, which occurred more rapidly at the placental sites. In conclusion, normal postpartum uterine involution in Cocker spainel bitches appeared to be completed around 68 days postpartum by gross findings such as vaginal discharges, and by ultrasongraphic findings, uterine shape and echogenicity.

• Journal of The Korea Institute of Healthcare Architecture
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• v.2 no.3
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• pp.7-20
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• 1996

According as the living standard has been high, the demands on hospital facilities become incresing. That fact made LDR/P(Labor, delivery, Recovery/Postpartum) which followed patient-centered concept proposed in the department of delievery. And in recent years. LDR/P in department of delievery is also introduced in our country as medical demands expands. This study aims to represent the standards for architectural planning of the LDR/P in department of delievery according to domestic situation.

• Journal of The Korea Institute of Healthcare Architecture
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• v.3 no.5
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• pp.17-28
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• 1997

The demands on hospital facilities are increasing because of the higher living standard and the advanced medical technology. The user-oriented concept of LDR/P(Labor, Delivery, Recovery/Postpartum), which reflects the current demand, were proposed in the delivery center and was recently introduced to Korea. This study aims to represent the data base for architectural planning and the design of the LDR/P in delivery center reflecting the domestic situation. The case study was performed to investigate the change of space and to consider the architectural characteristics of LDR system in delivery center.

• Women's Health Nursing
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• v.29 no.2
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• pp.137-145
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• 2023

Purpose: This non-randomized study was performed to evaluate the effects of music therapy on labor pain, the childbirth experience, and self-esteem in women during vaginal delivery. Methods: In total, 136 primiparous women over 37 weeks of gestation receiving epidural analgesia during vaginal delivery were recruited via convenience sampling. To minimize diffusion effects, data from the control group (n=71) were collected first (April 2020 to March 2021), followed by data from the music group (n=65; April 2021 to May 2022). Participants in the music group listened to classical music during labor, while the control group was offered usual care (no music). Labor pain was measured using a numeric rating scale (NRS), and self-esteem and childbirth experience were collected using self-report questionnaires. Data were analyzed using the independent t-test, chi-square test and Cronbach's α coefficients. Results: The overall pain level (NRS) at baseline was 0 in both groups. Mothers in the music therapy group had lower levels of latent pain (t=1.95, p=.005), active pain (t=3.69, p<.001) and transition-phase pain (t=7.07, p<.001) than the control group. A significant difference was observed between the two groups, and the music therapy group expressed more positive perceptions of the childbirth experience (t=-1.36, p=.018). For self-esteem, the experimental group's score was slightly higher, but without a statistically significant difference from the control group. Conclusion: Using music therapy during labor decreased labor pain and improved the childbirth experience. Music therapy can be clinically recommended as a non-pharmacological, safe, and easy method for nursing care in labor.

• Proceedings of the KSMRM Conference
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• 2002.11a
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• pp.136-136
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• 2002

목적： 골반 자기공명영상의 치골 결합부가 보이는 횡단면에서 특징적인 H-모양을 보이는 질의 H-모양 횡축과 종축이 만나는 내측 각도를 질각이라고 하는데, 이 질각은 질과 인접한 자궁이나 골반부 구조물의 변형이 있을 경우 그 각도가 달라질 수 있다. 한국 정상 성인 여성인 질각 평균치를 연령별로 구하는 것이 본 연구의 목적이다. 대상 및 방법： 최근 8개월간 본원에 내원하여 골반 자기공명영상을 시행한 환자 중에서, 자궁과 질을 포함한 골반부에 특별한 질병을 가지고 있지 않은 50명의 성인 환자를 대상으로 하였다 환자의 연령은 21-84세(평균 54세)였다. 44명은 출산의 경험이 있었는데, 이 중 28명은 질식 분만, 14명은 제왕 절개술, 2명은 질식 분만과 제왕 절개술 모두를 경험했다 치골 결합부가 보이는 자기공명영상 횡단면에서 질각의 유무와 모양을 관찰하고, H-모양의 좌우측 질각을 측정하였다. 질각의 평균값을 산출하고, T-test를 이용하여 양측 질각의 차이 및 환자의 연령과 출산 경로에 따른 질각의 차이를 통계적으로 검증하였다.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.9
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• pp.5716-5725
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• 2014

This study examined the effects of a prenatal education program of labor and delivery experience for primigravidas in mid-pregnancy. This investigation was designed as a one group pre-post quasi-experimental study, aiming to determine the effects of prenatal education on anxiety, confidence and knowledge in delivery by demonstrating knowledge and actual situations including understanding labor, breast-feeding, baby care and others, and experiencing the education program. Subjects were collected randomly from an on-line club in D city. The simulation education proceeded for 2 hours a week from April to June, 2014, and there were 6 sessions each in the first and second periods. We included 35 primigravidas who attended all 6 sessions. The data was analyzed using descriptive statistics, exploratory factor analysis and a paired t-test. According to the study results, the subjects showed a significant difference in knowledge in delivery (t=-9.07, p<001), confidence in delivery (t=-9.00, p<001) and anxiety (t=14.39, p<001) after participating in the prenatal education program. An evaluation of satisfaction revealed experience to be the most differentiating factor, and the simulation experience was identified as most effective. The desired appropriate number of class sessions was 4 times, and 88.6% of the pregnant women intended to attend the program at their next birth, indicating a high response rate.

• Journal of Korean Clinical Nursing Research
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• v.14 no.3
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• pp.87-97
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• 2008

Purpose: The purpose of this study was to evaluate the effects of Doula support during labor on anxiety, labor pain, and perceived childbirth experience of primiparas. Method: Of 65 primiparas who were hospitalized in LDR from March 1 to September 30, 2007. 32 women were placed in the Doula group and 33 in the control group. VAS was used to measure the degree of labor pain and anxiety in the latent, active, and transitional phases. Perceived childbirth experience was measured within 2 hours after birth. Results: The Doula group had a significantly lower anxiety level than the control group in the active phase (t=-2.13, p=.04) and the transitional phase (t=-3.99, p=.000). The degree of labor pain of the Doula group was significantly lower than that of the control group for the active phase (t=-3.10, p=.003) and the transitional phase (t=-7.24, p=.000). Also, There was no significant difference in perceived childbirth experience between the two groups (t=.19, p=.85). Conclusion: The results of this study show Doula support in LDR decreases not only anxiety of primiparas but also labor pain in the active and transitional phases. Therefore Doula support by nurses in LDR can be a useful intervention during childbirth.

• Journal of Animal Science and Technology
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• v.44 no.2
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• pp.191-200
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• 2002

This study was conducted to estimate the effects of environmental factors on certain reproductive traits in Korean cattle on the basis of data from Korean Cattle Improvement Areas which were surveyed from 1986 to 1995. Results obtained were summarized as follows ; 1. Least square means of the reproductive traits estimated were 466.11${\pm}$5.72 days for age at 1st service, 480.10${\pm}$6.15 days for age at 1st conception, 742.79${\pm}$7.48 days for age at 1st calving, 64.97${\pm}$1.42 days for days at 1st service postpartum, 72.06${\pm}$1.73 days for days open, 355.93${\pm}$1.92days for calving interval, 285.38${\pm}$0.42 days for gestation length and 1.21${\pm}$0.02 days for number of services for conception, respectively. 2. The ranges of the least squares means for the districts were 447.62${\pm}$5.94-490.72${\pm}$5.94 days for age at 1st service, 464.27${\pm}$6.38-505.20${\pm}$6.39 days for age at 1st conception, 721.91${\pm}$7.85-772.75${\pm}$7.80 days for age at 1st calving, 62.27${\pm}$1.55-68.97${\pm}$1.74days for days at 1st service postpartum, 69.74${\pm}$1.97-74.36${\pm}$2.27days for days open, 352.71${\pm}$2.18-359.64${\pm}$2.09 days for calving interval, 284.52${\pm}$0.42-286.04${\pm}$0.47days for gestation length and 1.11${\pm}$0.02-1.30${\pm}$0.02 days for number of services for conception, respectively. 3. Age at 1st service was latest in the cows with Basic Register and tended to be earlier for the more advanced registers. The number of services per conception tended to increase for the more advanced registers. 4. Days at 1st service postpartum was longest in the 2nd parity and tended to be shorter with the advancement of parity. The number of services per conception tended to decrease with the advancement of parity. 5. As the calving year advances from 1987 to 1995, days at 1st service postpartum, days open and calving interval tended to be longer, and number of service per conception tended to increase. 6. Days at 1st service postpartum, days open and calving interval were shorter in the cows that calved in spring and summer than in the cows that calved in fall and winter. The number of services per conception was larger in the cows that cocalved in fall and winter than the cows that calved in spring and summer.