• Journal of Korean Neurosurgical Society
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• v.29 no.3
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• pp.434-437
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• 2000

Unilateral hydrocephalus is an uncommon disease which may result from obstruction of the foramen of Monro. Congenital or acquired lesions obstructing this foramen have been reported. We present a case of prenatally diagnosed fetal unilateral hydrocephalus. Ventriculoperitoneal shunt operation was performed and following the procedure, ventricular size was decreased and patients neurological status was improved.

• Women's Health Nursing
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• v.20 no.1
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• pp.38-47
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• 2014

Purpose: This study aimed to identify related factors of prenatal depression by stress-vulnerability and stress-coping models for pregnant women. Methods: A cross-sectional survey design with a convenience sampling was used. A total of 107 pregnant women who visited a general hospital in a metropolitan city were recruited from August to October, 2013. A structured questionnaire included the Korean version of Beck Depression Inventory II, and the instruments measuring Self-Esteem, Marital Satisfaction, Pregnancy Stress, Stressful Life Events, and Coping. The data were analyzed using descriptive statistics, t-test, Parson's correlation analysis, and stepwise multiple regression. Results: The mean score of prenatal depression was $11.95{\pm}6.2$, then showing 19.6% with mild depression, 15.0% with moderate depression, and 0.9% with severe depression on BDI II scale. Prenatal depression had positive correlation with pregnancy stress (r=.55, p<.01), stressful life events (r=.26, p<.01) and negative correlation with self- esteem (r=-.38, p<.01), marital satisfaction (r=-.40, p<.01), and coping (r=-.21, p<.05). Factors of pregnancy stress, self-esteem, stressful life events, and planned pregnancy explained 38% of the total variance of prenatal depression. Conclusion: These findings show that health providers need to assess prenatal depression and to control the influencing factors.

• Women's Health Nursing
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• v.24 no.1
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• pp.1-13
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• 2018

Purpose: To develop educational material about nutrition during antepartum period for women pregnant with twins by using smartphone applications. Methods: A series of steps according to ADDIE model, including Analysis, Design, Development, Implementation, and Evaluation were used to develop smartphone application of antepartum nutrition care for women pregnant with twins. Results: Based on experts' evaluation, the average score was $4.6{\pm}0.39$ in total. Content score was $4.7{\pm}0.40$. Interface design score was $4.5{\pm}0.55$. Content score was higher than interface design score. User evaluation was conducted in the form of interview. Results of interviews revealed that users generally responded positively to the accuracy, understanding, and objectivity for content items of the smartphone app. As for the evaluation of consistency for the evaluation item of interface design, users answered "ordinary" or "generally yes". For design suitability and accuracy of vocabulary, they answered 'generally suitable'. Conclusion: The smartphone app developed through this study is expected to aid antepartum care for women pregnant with twins. It will also contribute to health promotion of both pregnant women and twin fetus.

• 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.

• Women's Health Nursing
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• v.10 no.3
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• pp.210-217
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• 2004

Purpose: The purpose of this study was to identify the relationship among mother-daughter relationship, husband-wife relationship, and prenatal attachment according to pregnant women's internal working model. Method: A convenience sample of 68 pregnant women was recruited from two OBGYN hospitals in M city. Data collection was conducted through the use of an Adult Attachment Interview and questionnaires. This study used a descriptive correlational design and the period of investigation was from July 3-20, 2002. 41 of the 68 women were in a secure pregnant women's internal working model and 27 of the 68 in insecure ones. The data were analyzed by Chi-square test, t-test, and Pearson Correlation Coefficient. Result: The results of this study were as follows: Mean score of the prenatal attachment of the secure pregnant women and mean score of the mother-daughter relationship of the secure pregnant women was significantly higher than that of insecure ones. 3) Prenatal attachment was negatively and significantly related to mother-daughter attachment and husbandwife attachment in the secure pregnant women's internal working model. However it was not significantly relationship in insecure pregnant women's internal working model. Conclusion: It is found in this study that there is an intergenerational attachment relationship during pregnancy. Further findings support the development of creative strategies to enhance positive attachment relationships for pregnant women. It is recommended to develop nursing education of attachment for the insecure pregnant women's internal working model.

• Korea Journal of Hospital Management
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• v.6 no.1
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• pp.41-61
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• 2001

The purpose of this study was to assess pregnant women's knowledge of, attitude to, and satisfaction with prenatal ultrasound and to determine the factors that influence their perception. A self-administered questionnaire survey was completed by two hundred eighty five pregnant women who visited the obstetric departments of three hospitals located in Seoul from October 17, 2000 to October 28, 2000. The major results are as follows. 1. Overall, the respondents did not fully understand the purpose of prenatal ultrasound. 92.2% of respondents stated that the main purpose of prenatal ultrasound was to check the fetus' age, growth and development but only 44.5% of respondents were aware of the fact that chromosomal abnormalities cannot be diagnosed only by prenatal ultrasound. The majority of respondents were aware of the diagnostic limitations of ultrasound. 2. While the majority of respondents were aware of the importance of pre-examination information, only 31.8% of respondents received such information from their health care providers. 3. Regarding the examination quality, 80.3% of respondents were satisfied with the competency of the examination. But more than 50% of respondents stated the cost and waiting time were not acceptable. 4. The knowledge of, attitude to, and satisfaction with prenatal ultrasound showed statistically significant differences according to the characteristics of each hospital. 5. From multiple regression analysis, the major components for knowledge of prenatal ultrasound were characteristics of hospitals, religion, income and gestational age. The major components for attitude toward prenatal ultrasound were characteristics of hospitals, religion and gestational age. The major components for satisfaction with prenatal ultrasound were characteristics of hospitals, income and drinking during the pregnancy. In conclusion, the respondents' perception of prenatal ultrasound is considerably low. More effective educational material or programs with prenatal ultrasound information should be provided to pregnant women prior to prenatal ultrasound examination. New strategies such as process reengineering are recommendable to increase the satisfaction with prenatal ultrasound.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.7
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• pp.3310-3318
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• 2013

The purpose of this study was to examine the effects of individual breast-feeding promotion program on breast-feeding attitude and breast-feeding practice in the non-equivalent control group non-synchronized design. The subjects of this study were 64 pregnant women who were more than 32 weeks of pregnancy period (Exp. group; 32, Con. group; 32) at a Maternal and Child health center. The data were analyzed with frequency, percentage, $x^2$-test and t-test using a SPSS statistical program. The results are as follows. The experimental group that participated in the individual breast-feeding promotion program was higher scores of breast-feeding attitude and breast-feeding practice rate than the control group. There was significant difference between two groups with time period change. In conclusion, this program could be an effective nursing intervention to improve breast-feeding attitude and breast-feeding practice.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.15 no.4
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• pp.2179-2188
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• 2014

During pregnancy, the woman experiences physical and psycho-social changes. Such changes and other factors may become stress for the pregnant woman, making it difficult to maintain healthy and happy pregnant period. In this study, we identify factors for the stress, marital intimacy, family support, and fatigue, in order to provide the foundation for developing intervention programs and improve the quality of nursing. The subjects of there search were 185 pregnant women. Stress had a negative correlation with marital intimacy and family support, and positive correlation with fatigue. Family support, fatigue, adjustment to change due to pregnant, and breastfeeding experience were the influencing factors on the stress of pregnant women. A stress management program for pregnant women needs to be designed to help them with their physical and psychological adjustments. The program will be more effective when accompanied by the family support.

• Journal of Chest Surgery
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• v.43 no.6
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• pp.725-728
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• 2010

Rhabdomyoma is the most common benign cardiac neoplasm in neonates. Most patients with rhabdomyoma experienced spontaneous regression. Yet some of them need surgical therapy because of hemodynamic problems of the heart such as arrhythmia, outflow tract obstruction and valvular dysfunction. We found multiple masses in both ventricles on the patient's fetal echocardiogram. Heart failure caused by severe left ventricular outflow tract obstruction quickly presented after birth. The mass interfering with the outflow tract was resected via the transaortic approach at the first day of birth. Postoperative echocardiography showed complete release of the outflow tract obstruction. He was discharged on the postoperative day 8. During the 3 years of follow up, we found that the sizes of the remnant masses had gradually decreased.

• Journal of Digital Convergence
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• v.18 no.6
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• pp.335-344
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• 2020

This study was to develop a screening tool to identify the pregnant women who are required to have a concrete checkup or education about preterm birth. The items for the screening tool were drafted from literature review and the result of interviews with women who are hospitalized after preterm delivery based on the biopsychosocial framework. The validity and reliability of the items was performed after the content validity and the pilot survey. The screening tool for the risk of preterm birth in pregnant women was consisted of two parts. One was consisted of 9-items for the biomedical risks and another one was consisted of 17-items for the psycho-physical risks. The screening tool for the risk of preterm birth in pregnant women reveals valid and reliable. It could be applied to identify the pregnant women who have some risks of preterm birth.