• Title/Summary/Keyword: 산후

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Psychosocial Risk Factors of Postpartum Depression (산후우울증의 심리사회적 위험요인)

  • Park, Si-Sung;Han, Kwi-Won
    • Korean Journal of Psychosomatic Medicine
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    • v.7 no.1
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    • pp.124-133
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    • 1999
  • Objective : Postpartum depression(PPD) was known to be caused by many factors including various psychosocial risk factors. This study was performed to identify the psychosocial risk factors for ppd, preliminarily in Korea. Methods : A group of 119 postpartum women, each of whom was at 6 to 8 weeks after delivery was identified at the time when they visited to the child health clinic or postnatal check-up clinic. The risk factors were surveyed by the self-reported questionnaire. The items of questionnaire were consisted of known risk factors in other studies and other possible stress-related factors. PPD was assessed by the Edinburgh Postnatal Depression Scale(EPDS) and the degree of postpartum depression was determined by its score. Results : 16 women(13.45%) in the high risk group were diagnosed as PPD among the 119 women. Risk factors including past experience of depressive symptoms and low level of marital satisfaction were founded more frequently in women in the high risk group than in the low risk group. The score of EPDS was significantly high in the group who experienced depressive symptoms in the past, anxiety or depression during pregnancy, stressful life event during the period of recent pregnancy and postpartum, and who had low level of marital satisfaction. There was a positive correlation between age and the score of EPDS. However, the postpartum depressive symptoms were not influenced by the level of education, job, retirement due to pregnancy and delivery, wanted or unwanted pregnancy, delivery method, feeding method, the hospitalization of infant, expected and real gender of infant. Conclusion : These results suggest that PPD is quite frequent at postpartum period. Various risk factors contribute to the development of PPD. If clinicians pay attention to the risk factors of PPD and give appropriate psychiatric intervention to the mothers during pregnancy and postpartum, it will be easy for the clinicians to recognize and treat PPD in the early stage.

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Somatization and Poor Adherence to 'Doing the Month' Practices in Korean Women with Somatoform Disorders (여성 신체형장애의 신체증상 호소와 부족한 산후조리)

  • Park, Yong-Chul;Song, Ji-Young;Choe, Bong-Keun;Park, Jong-Hack;Oh, Dong-Jae;Lim, Ok-Geun;Kim, Jong-Woo
    • Korean Journal of Psychosomatic Medicine
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    • v.16 no.2
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    • pp.103-111
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    • 2008
  • Background : It was not uncommon authors as psychiatrists faced women patients with somatoform disorders who expresses their symptoms has been started after the poor adherence to 'Doing the month' practices (DMP). DMP is known as a traditional ritual for Korean postpartum women. Aims : This study is an cultural approach to explore the practices of Korean women during the postpartum period are related with the formation of somatoform disorders. Methods : 41 multipara women with somatoform disorders diagnosed by DSM-IV criteria and 91 healthy normal control were enrolled. Subjects were given scales of SOM scale of SCL-90R, Somatic Symptom Scale-Korean version, Korean 'Doing the month' practices Scale(40 items), Postpartum Sick Scale(14 items), Beck Depression Scale and State Anxiety Scale. Results : 1) The period of DMP less than one week were prevalent in the patients group(43.9%) compared to the control group(7.9%, p<0.01). 2) The period of DMP after the abortions showed no difference between two groups. 3) Subjective rate for their poor DMP was significantly high in the patients group(73.2%) compared to the control group(33.0%), and the patients group showed high score in Postpartum Sick Scale as well(4.1, 1.6 respectively). 4) Poor DM was negatively correlated with SOM scale of SCL-90R(correlation coefficient r=-0.47, p<0.01). Conclusion : Poor DMP may make a crucial role for their heath condition after the deliveries and which would be one of the major factors of the somatoform disorders in Korean women. And postpartum physical symptoms after the poor DMP could be last long enough to be diagnosed as somatoform disorders. By understanding the cultural nature of the somatization phenomena the doctor-patient relationship could be enhanced.

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Study on the Influence of Child Birth Promotion Policy Due to postpartum care and Maternity Leave to Economical Activities in the Era of Convergence (융복합시대 산후조리와 육아휴직으로 인한 출산장려정책이 경제활동에 미치는 영향에 관한 연구)

  • Jang, Myung-Sook;Yang, Hae-Sool
    • Journal of Digital Convergence
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    • v.13 no.10
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    • pp.245-254
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    • 2015
  • This research aims to look into correlation between Korea's childbirth promotion policy caused from women's maternity leave and economic activity. For the purpose, 300 surveys were distributed to mothers using postnatal care centers located in Seoul. Listed postnatal care centers such as Babe Glory, Shinsegae, Happy, Miznomall and out of 260, 222 surveys were selected for the research. Several advanced studies regarding child birth promotion policy backed up by current government and related domestic and overseas documents were used as reference. Decisive factors including social insurance, tax, cost for child birth and rearing service, social culture were derived as trait elements for child birth promotion. Mentioned factors along with economic activity by childbearing women were used when setting up the research model and hypothesis. Relation with material leave was employed as parameter for this study of which purpose lies in empirical analysis and investigation.

Sanhujori Subjectivity in Husbands of Pregnant Women (산후조리에 대한 임부 남편의 주관성 연구)

  • Park, So-Yeon;Wee, Hwee
    • Journal of the Korea Convergence Society
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    • v.10 no.9
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    • pp.141-151
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    • 2019
  • Purpose: This study aimed to identify the type of Sanhujori subjectivity experienced by husbands of pregnant women, and analyzed the characteristics of each type. Method: Q-methodology was used and 207 statements were extracted. Finally, 37 Q-samples were derived and 40 P-samples used the 9-point scale to distribute statements. Data were collected from March-May 2018 and analyzed using PC-QUANL program. Results: The analysis of factor weights and variables showed that 48.0% of the total variance was explained by three types of subjectivity, namely, 'couple-centered pursuit of women's health', 'expecting emotional recovery and requiring social support', and 'each family makes their own family system' for which the explanatory powers were 38.1%, 5.8%, and 4.1%, respectively. Conclusion: This study is meaningful as it explores Sanhujori from the viewpoint of husbands; its findings can be used to both evaluate Sanhujori service in Korea and provide basic data to develop convergent services for Sanhujori.

A Study on Factors on Postpartum Obesity and Postpartum Depression in Korea (국내 산후 비만과 산후 우울증 관련 요인 연구)

  • Ku, Jung-Eun;Kim, Gyu-Ri
    • Journal of Digital Convergence
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    • v.19 no.6
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    • pp.429-438
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    • 2021
  • This study aims to prevent maternal social isolation by analyzing the causes of postpartum obesity and postpartum depression and stress in Korea. Gneral characteristics of mothers as a result of the study: 91.1% (102 people) answered that they had social experience, and only 8% (9 people) answered that they had no social experience. In the question of whether to return to society, 17.9% responded that they have already returned, 54.5% did not, and 18.8% were on maternity leave. As a result of examining the level of BMI increase among mothers through chi-square test of BMI changes before and after childbirth and general characteristics, 55% experienced below-average BMI increase; 45% experienced above-average BMI increase. Those in their 30s accounted for 40.2%, and those in their 40s accounted for 57.1%. Postpartum obesity and maternal psychological status (t-test): Mothers with postpartum obesity were more hypersensitive (t = -1.997, p = 0.048) and more prone to suffer from hard breathing (t = -1.930, p = 0.056), emptiness (t = -2.673, p = 0.010), and body numbness (t = -2.315, p = 0.024) than mothers who are not suffering from not postpartum obesity. Per the results of postpartum BMI increase and maternal psychological state (t-test) analysis, mothers with an average increase in postpartum BMI were more depressed than mothers who did not. Research Results - Postpartum obesity due to pregnancy and childbirth has been identified as an important individual cause affecting mental and physical problems after childbirth. In conclusion, I also think that the government should support the management of maternal obesity and the elimination of depression through the results of this study.

A Convergence Study on Feasibility of Expanding Establishment of Public Postpartum Care Centers: Benefit-Cost Analysis (공공산후조리원 확대의 타당성에 관한 융합 연구: 편익-비용 분석을 중심으로)

  • Bae, Hyun-Ji;Kim, Jin-Hyun
    • Journal of the Korea Convergence Society
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    • v.11 no.12
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    • pp.409-418
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    • 2020
  • The purpose of this study is to analyze the economic feasibility of public postpartum care centers established for health care of low-income postpartum mothers. 6 of 8 public postpartum care centers were used to verify the economic feasibility and research data were collected through the centers. A sensitivity analysis was performed with the bed turnover rate, assuming that users in a postpartum care center will be decreased. As a result, B/C ratio was estimated to be 1.50 and the net benefit was estimated to be KRW 186,557 in million. A sensitivity analysis showed that B/C was 1.42 at 17.4 of bed turnover rate and 1.26 at 15.4 which indicates the lowest bed turnover rate among subjects. A public postpartum care center was evaluated as economically feasible as public works. Therefore it is necessary that the public postpartum care centers operated by local governments should be expanded through legal amendment.

A Study on the user′s Satisfaction and Actual Condition in the Postpartum Care Center. - Focused on the Private Room for Postpartum Mother. (산후관리시설의 이용자 만족도와 현 실태에 관한 연구 - 산모실을 중심으로 -)

  • 이종희
    • Archives of design research
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    • v.16 no.3
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    • pp.381-390
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    • 2003
  • The purpose of this study was to examine satisfactory of users and actual condition in the postpartum care center. This study focused on the private room for postpartum mothers. Data were collected through questionnaire survey including observations and interviews. The subjects of this subjects study were 240 postpartom mothers. The interviews were carried out from March 8th. 2003. to March 29nd. 2003 The data were analyzed by using SPSS-Win. The major results of this study were as follows: 1) The ambient elements such as noise, ventilation, and natural light should be considered primarily for the postpartum mother rooms. 2) The functional elements such as the size of the room, window, toliet are important factor of the satisfaction for users

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Sleep Quality, Fatigue, and Postpartum Depression of Mother at Six Months after Delivery (산후 6개월 이내 산모의 수면의 질, 산후 피로도 및 산후 우울)

  • Kim, Mi-Eun;Hur, Myung-Haeng
    • Women's Health Nursing
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    • v.20 no.4
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    • pp.266-276
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    • 2014
  • Purpose: This study was correlation study to identify the factors influencing sleep quality, fatigue, and postnatal depression in mothers who have given birth during the past 6 months. Methods: The study was conducted using a survey with questionnaires to 329 mothers who visited E University Medical Center, or three local clinics located in D city, between August and October 2013. Collected data were analyzed using the SPSS/WIN 20.0 program. Results: Out of 329 subjects, 18.2% showed that they had mild postnatal depression whereas 24.3% had severe postnatal depression. Accordingly, 42.5% reported having postnatal depression. Postnatal depression had a significant correlation with sleep hours after childbirth (r=-.16, p=.003), spousal support (r=-.28, p<.001), sleep quality (r=-.35, p<.001), physical fatigue (r=.66, p<.001), psychological fatigue (r=.69, p<.001), and neurosensory fatigue (r=.56, p< .001). Factors influencing postnatal depression include psychological fatigue, sleep quality, number of child births, and neurosensory fatigue, and these accounted for 53% of postnatal depression. Conclusion: Results indicate that factors influencing postnatal depression involve psychological fatigue, sleep quality, number of child births, and neurosensory fatigue. Therefore for nursing intervention for postpartum mothers, it is necessary to assess the level of depression, fatigue, and sleep quality, and to provide interventions to relieve depression.

Analysis of the Use of Ambulance Services Among Pregnant, Childbearing, and Postpartum Women Using Data from the Korea Health Panel (한국의료패널을 이용한 구급 이송 서비스 이용 특성 분석: 임신, 출산, 산후기 여성을 중심으로)

  • Kang, Kyunghee
    • Fire Science and Engineering
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    • v.33 no.6
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    • pp.152-158
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    • 2019
  • This study examined the socio-economic and clinical characteristics associated with the use of ambulance services among pregnant, childbearing, and postpartum women based on data from the 2008-2016 Korea Health Panel. The analysis revealed that among the pregnant, childbearing, and postpartum women, the proportion using all ambulance services was 18.9% whereas 12.0% used private and 119 ambulances. Moreover, among those using ambulance services, delivery was the most common reason (38.7%) followed by complications of labor and delivery (20.0%) and pregnancy with abortive outcome (17.3%). There were statistically significant differences between the users and non-users of ambulance services in terms of the average annual household income, emergency arrival time, and delayed arrival at the emergency room. As childbirth becomes more complicated due to low fertility and elderly mothers, the expansion and improvement of ambulance services as a social safety net for pregnant, childbearing, and postpartum women will become increasingly important.