• Title/Summary/Keyword: 분만

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Decision-making process and satisfaction of pregnant women for delivery method (임산부의 분만방법 결정과정과 만족도)

  • Jun, Hae-Ri;Park, Jung-Han;Park, Soon-Woo;Huh, Chang-Kyu;Hwang, Soon-Gu
    • 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.

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Relationship between BCS during Prepartum, Calving and Postpartum Periods and Fertility of Korean Brown Cattle (한우에서 분만 전, 분만 시 및 분만 후의 body condition score와 이후의 번식능력과의 상관관계)

  • Choi, In-Su;Kim, Ui-Hyung;Kang, Hyun-Gu;Kim, Ill-Hwa
    • Journal of Veterinary Clinics
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    • v.25 no.4
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    • pp.280-285
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    • 2008
  • This study evaluated the correlation between the body condition score (BCS) during prepartum, calving and postpartum periods and the reproductive performance of Korean brown cattle. The BCSs of 33 cows who underwent 73 calvings over a two and a half period [the parities of the cows ranged from 1 to 4 ($mean{\pm}SD,\;2.0{\pm}0.9$)] were scored at months 2 and 1 prepartum, calving, and every month postpartum until month 7. A marked prepartum loss of BCS in the month preceding calving was noted. The correlations between the interval from calving to conception and the month 1 prepartum, calving and months 1 and 2 postpartum BCSs were analyzed by Pearson correlation analysis. The correlation between the interval from calving to conception and the prepartum body condition loss was also evaluated. The interval from calving to conception correlated positively with the month 1 prepartum BCS (r = 0.389, P = 0.0007) and the prepartum body condition loss (r = 0.488, P < 0.0001) but did not correlate significantly with the BCS at calving (r=-0.070, P=0.56) or months 1 (r=0.107, P=0.37) or 2 (r=0.102, P=0.39) postpartum. The prepartum body condition loss correlated positively with the month 1 prepartum BCS (r=0.587, P<0.0001). In conclusion, the month 1 prepartum BCS may be a good criterion for predicting subsequent reproductive performance. Moreover, the prevention of obesity and/or excessive prepartum body condition loss may result in higher fertility in Korean brown cattle.

Squatting in Childbirth; A New Look at an Old Transition (전통적 분만자세에 대한 새로운 조명: 쪼그리고 ?는 자세)

  • Romand Jain Leemis;Baker Irene Taylor
    • The Korean Nurse
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    • v.26 no.1 s.139
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    • pp.43-48
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    • 1987
  • 분만진행에 수직체위가 효과적이라는 것을 연구하는 연구자는 이러한 체위가 자궁수축력을 강화하고 분만시간을 단축하여 분만시 동통을 감소시킨다는 것을 파악했다. 분만과 출산 시 쪼그리고 앉는 방법이 역사적으로 오랜 기간 동안 적용되어 왔음에도 불구하고 연구자들은 여러가지 분만방법의 장점에 대한 연구가 부족한 실정이다. 임상 경험에 의해 쪼그리고 앉는 자세가 보다 효과적임을 알면서도 여러가지 위험을 우려하여 적용을 기피하고 있다. 그러나 연구자들은 앞으로 이러한 체위의 가치를 확인하고 특별히 다른 체위와 비교하여 쪼그리고 앉는 행위가 경관열상의 빈도, 분만 1,2기의 시간, 분만 중이나 분만 후의 뇨정체의 유무, 제대탈출의 빈도등이 어떠한지를 파악하여야 할 것이다. 쪼그리고 앉는 체위에 대한 가장 좋은 잇점을 얻기 위해 조산자는 이러한 체위를 언제 어떻게 할 것인가에 대한 지식을 가져야 한다. 또한 융통성있고 창조적인 접근방법을 시도하여 의학적수행과 분만시 사정을 용이하게 하고 산부와 의료요원이 보다 편안하도록 하여야 한다. 조산교육자나 조산자는 분만시 그들의 체위에 대한 교육을 포함하여 쪼그리고 앉은 방법의 효과적인 적용을 위해 노력해야 한다. 임부에게 안전, 편안함, 분만의 효과적인 진행, 모든 선택 가능한 체위들을 교육하고 그러한 체위 중 쪼그리고 앉는 방법을 선택하도록 격려해야 한다.

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A Convergence Study about Married Couples' Attitude toward Family-Birth according to the Spouse's Participation Range of Family-Birth (배우자의 가족분만 참여범위에 따른 부부의 가족분만에 대한 태도에 관한 융합연구)

  • Lee, Sun-Young;Oh, Sangeun
    • Journal of the Korea Convergence Society
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    • v.9 no.6
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    • pp.107-116
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    • 2018
  • Purpose: The purpose of the study was to assess married couples' attitude toward family-birth according to the range of spouse's participation in family-birth. Method: Data were obtained by the 54 couples who used to visited in order to participate on family-birth at two teritary women's hospital in G-city. Result: There was a significant difference in pregnant woman's attitude : the status of having a job(Z=-2.01, p=.044) & type of nuclear family(Z=-2.17, p=.029), planned pregnance(Z=-2.54, p=.011). The spouse who partly participated in the process of family-birth showed higher(t=2.30, p=.030) compared to the spouse who participated in the whole process of family-birth. Conclusion: The results of the study suggest that hospitals and women's hospitals should support pregnant woman's social work and encourage spouse who partly participation and develop education programs.

Behavioral Recovery of Sows and Behavioral Development of TheirPiglets Postpartum (분만 후 모돈의 행동적 회복과 포유자돈의 행동적 발달)

  • Jeon, J.H.;Kim, D.J.;Han, J.H.;Yeon, S.C.;Chang, H.H.
    • Journal of Animal Science and Technology
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    • v.45 no.6
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    • pp.1089-1096
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    • 2003
  • We investigated postpartum behaviors of sows and their litters. The aim of this study was to determine the behavioral recovery of sows and the behavioral development of their piglets postpartum. Five multiparous sows(Landrace${\times}$Yorkshire) and their litters were studied over a period of 5 days postpartum. The litter size varied from 8 to 13 with a mean of 11.2 piglets. The behaviors of sows and their piglets were recorded using five CCD cameras, a multiplexer and a time lapsed VCR. The videotapes were scanned every 2 min to obtain an instantaneous behavioral sample. In the behaviors of sows, ‘Lying ventrally’ increased from 1 h postpartum to 26 h postpartum, then decreased gradually, and stabilized after 80 h postpartum. ‘Lying laterally’ decreased from 1 h postpartum to 26 h postpartum and stabilized after 80 h postpartum. ‘Standing, drinking and feeding’ increased from 1 h postpartum to 23 h postpartum, then decreased gradually, and increased again from 60 h postpartum. ‘Sitting’ increased from 1 h postpartum to 46 h postpartum and then decreased. In the behaviors of piglets, ‘Lying’ increased rapidly from 1h postpartum to 45h postpartum, and then was maintained at an almost constant level. ‘Massaging and Suckling’ decreased rapidly from 1 h postpartum to 36 h postpartum, and then was maintained at an almost constant level. ‘Walking’ increased from 1 h postpartum to 21 h postpartum, then decreased gradually. These results suggest that the behavioral recovery of the sow is almost completed at 80h postpartum and that the behavioral development of the piglet is almost completed at 45h postpartum.

Effect of Calving Season on Growth Performance, Feed Intake and Disease Occurrence of Hanwoo Calves (한우 송아지의 분만계절이 성장, 사료섭취량 및 질병 발생에 미치는 영향)

  • Kwon, E.G.;Cho, Y.M.;Park, B.K.;Choi, C.W.;Kim, Y.G.;Paek, B.H.
    • Journal of Animal Science and Technology
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    • v.49 no.1
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    • pp.59-66
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    • 2007
  • Sixty-seven Hanwoo calves were allocated into two groups, 27 spring calves (SC) and 40 fall calves (FC) to investigate the effects of calving season on water and nutrient intakes, growth performance and disease occurrence for the nursing and the post-weaning period. Mean DMI of 3 to 4 mo old FC was lower than that of SC due to low temperature in winter for FC. Water intake was higher for FC (birth to 1 mo old) but lower for SC (2 to 4 mo old) than the others. Mean BW did not differ between SC and FC, but average daily gain for over 2 mo old SC were significantly higher than FC. Diarrhea was mainly observed when the calves were before 60 d old; in particular, it occurred more frequently for less than 30 d old FC compared with SC. The present results indicate that calving season may affect water intake, feed intake and growth performance of Hanwoo calves.

전환기 사양관리 - 영양적 관점(상)

  • 이도형
    • 월간낙농육우
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    • v.23 no.3 s.251
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    • pp.180-183
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    • 2003
  • 전화기 사양관리시 전환기를 일컫는 기간은 여러 연구자들에 따라 약간의 기간적 차이가 있지만 여기서는 건유기간 $60\~70$일 중 건유후기(분만 전 3주)와 분만 및 분만직후 기간(분만 후 3주간)을 포함한다. 전화기 사양관리는 다음 산차의 유생산에 중요한 요인으로 작용할 뿐만 아니라 젖소의 건강과 번식성적 개선 측면에서도 중요한 요인으로 작용한다.

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The Relationship between Perineal Demage in Delivery and Postpartum Depression (분만 시 회음부 손상과 산후 우울간의 관계)

  • Jang, Hyun-Jung
    • 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.

AI Analysis Method Utilizing Ingestible Bio-Sensors for Bovine Calving Predictions

  • Kim, Heejin;Min, Younjeong;Choi, Changhyuk;Choi, Byoungju
    • The Journal of Korean Institute of Information Technology
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    • v.16 no.12
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    • pp.127-137
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    • 2018
  • Parturition is an important event for farmers as it provides economic gains for the farms. Thus, the effective management of parturition is essential to farm management. In particular, the unit price of cattle is higher than other livestock and the productivity of cattle is closely associated to farm income. In addition, 42% of calving occurs in the nighttime so accurate parturition predictions are all the more important. In this paper, we propose a method that accurately predicts the calving date by applying core body temperature of cattle to deep learning. The body temperature of cattle can be measured without being influenced by the ambient environment by applying an ingestible bio-sensor in the cattle's rumen. By experiment on cattle, we confirmed this method to be more accurate for predicting calving dates than existing parturition prediction methods, showing an average of 3 hour 40 minute error. This proposed method is expected to reduce the economic damages of farms by accurately predicting calving times and assisting in successful parturitions.

An Efficient Loop Splitting Method on Single Loop with Non-uniform Dependences (비균일 단일루프에서의 효율적인 루프 분할 방법)

  • Jeong Sam-Jin
    • The Journal of the Korea Contents Association
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    • v.5 no.4
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    • pp.204-211
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    • 2005
  • This paper introduces three loop splitting methods such as minimum dependence distance method, Polychronopoulous' method, and first dependence method for exploiting parallelism from single loop which already developed. And it also Indicates their several problems. We extend the first dependence method which is the most effective one among three loop splitting methods, and propose more powerful loop splitting method to enhance parallelism on single loop. The proposed algorithm solves several problems, such as anti-flow dependence and g=gcd(a,c) > 1, that the first dependence method has.

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