• Title/Summary/Keyword: 유도분만

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Pregnant Women's Labor Progress, Childbirth Outcome, and Childbirth Satisfaction according to the Presence or Absence of Labor Induction (유도분만 시행 여부에 따른 임산부의 분만진행과정, 분만결과, 분만만족도)

  • Jeong, Yun Ah;Chung, Chae Weon
    • Women's Health Nursing
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    • v.24 no.1
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    • pp.58-70
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    • 2018
  • Purpose: To provide accurate information on induced labor and find strategies to enhance women's childbirth satisfaction. Methods: Participants were pregnant women expected to have normal vaginal delivery. A total of 113 women with induced labor and 61 women with spontaneous labor were surveyed. Data were collected using a questionnaire and electronic medical records. Results: The following variables related to labor progress showed significant differences between the induced labor group and the spontaneous labor group: length of the first stage of labor in primigravidas, use of analgesic, incidence of uterine hyperstimulation, incidence of fetal distress, and medical treatment for the expectant mother. Delivery type and the incidence of postpartum complications showed significant difference between the two groups. Induced labor women's childbirth satisfaction was mainly affected by the process of labor whereas spontaneous labor women's childbirth satisfaction was affected by the outcome of childbirth. Conclusion: Medical staff should have accurate information on the risk of induced labor and the benefits of a natural delivery. Moreover, medical staff should provide necessary information and environment for women to participate in the decision-making process.

Induction of Parturition after Transfer of a Hanwoo-Somatic Cell Cloned Embryo in Holstein Cow (체세포복제수정란 이식에 의한 젖소 수란우의 유도분만)

  • 손동수;서국현;허태영;강석진;류일선;최선호;이장희;박성재;최은주
    • Journal of Embryo Transfer
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    • v.18 no.1
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    • pp.81-84
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    • 2003
  • This study was performed to produce Hanwoo-fetal fibroblast cell clone transferred to Holstein recipient. It was coming on the parturition but didn't show parturition signs until 272 days from the embryo transfer. For the induction of normal parturition, dexamethasone (20 mg) were injected with IM on 272 day and PG $F_{2a}$ (25 mg) plus estradiol (20 mg) was injected with IM after 24hrs. Forty-eight hours after dexamethasone injection, we could find parturition signs and delivered healthy male of offspring (40 kg) about 50 hrs after it's injection. However the recipient was showed retention of afterbirth.h.

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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Effect of Various Factors on Viability of Calves Derived from Embryos Produced In Vitro (체외수정란에서 유래한 송아지의 생존에 미치는 각종 요인들)

  • Park Y. S.;Park H. D.
    • Journal of Embryo Transfer
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    • v.20 no.2
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    • pp.97-104
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    • 2005
  • This study was conducted to investigate the effects of various factors such as recipient parity, delivery season, offspring number, pregnancy period, delivery type, midwifery type and dystocia, on the viability of calves derived from embryos produced in vitro. There was no difference in the abnormality of calves among treatments ($0\~25\%$, respectively). The incidence of a disease was significantly higher in delivered by multiparous $(40\%)$ than nulliparous$(9.9\%)$, in eutocia than dystocia group, in delivered on spring $(20.4\%)$ and winter $(22.7\%)$ than summer$(4.3\%)$ and autumn $(0\%)$, in single offspring $(18.4\%)$ than twin offsprings $(6.7\%)$, and in eutocia group $(17\%)$ than dystocia $(2.7\%)$, respectively (p<0.05). The rate of mortality was significantly higher when transferred into mulliparous $(22.3\%)$ than multiparous$(0\%)$, when were delivered within 270 day $(53.3\%)$ than over 270 day $(14.3\~16.1\%)$, when were dystocia $(41.7\%)$ than eutocia$(14.1\%)$ group, when were induced delivery $(44.4\%)$ than self-delivery $(18.1\%)$, when were non-midwifery $(34\%)$ than midwifery$(10.8\%)$, and when delayed midwifery $(31.6\%)$ than earlier midwifery$(11.5\%)$, respectively (p<0.05). The present study suggested that the proper treatment of parturition may be increased the viability of calves derived from in vitro.

Estrus Synchronization and Artificial Insemination in Dairy Goats (유산양에서 발정동기화 유도와 인공수정 효율)

  • Chang, Suk-Min;Kang, Jae-Goo;Choi, Ki-Myung;Kim, Hong-Rye;Jin, Dong-Il
    • Korean Journal of Agricultural Science
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    • v.34 no.1
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    • pp.61-65
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    • 2007
  • This study was conducted to evaluate the response of CIDR-S on estrus synchronization of dairy goats and the effect of artificial insemination on conception rate. Estrus synchronization of sexually matured Saanen goats was induced with insertion of CIDR-S into vagina for 15 days and injection of 500 IU PMSG before removal of CIDR-S. Artificial insemination was conducted using liquid or frozen semen by intra-cervical insemination with synchronized does. Estrus synchronization was 90% using CIDR-S insertion for 15 days. Conception rate of inseminated does was 20% - 25%, while that of natural mated does was 100%. These results suggested that synchronization of dairy goats can be successfully induced and artificial insemination method has to be improved for the practical use in dairy goats.

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발정동기화방법이 경산돈의 번식성적에 미치는 영향

  • 김인철;이장희;김현종;진현주;조창연;정경용;손동수;박창식
    • Proceedings of the KSAR Conference
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    • 2001.03a
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    • pp.83-83
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    • 2001
  • 본 연구는 이유한 경산돈의 발정동기화방법이 번식성적에 미치는 영향을 조사하기 위하여 대조구(자연발정), T1(Regumate+PMSG+hCG), T2(PMSG+hCG) 및 T3(PG600)처리구로 발정을 유기한 후 12시간 간격으로 2회 인공수정 하여 수태율, 분만율 및 산자수를 조사하였다. 본 실험에 사용된 액상정액은 축산기술연구소 돼지인공수정센타의 종모돈 5두 정액을 혼합하여 이용하였으며, BTS(Beltsville thawing solution) 보존액으로 1회 주입 정자농도를 3.0$\times$$10^{9}$이 되도록 조절하였다. 수태율은 72구가 95.2%, 73처리구가 93.6%로 발정동기화 유도하지 않는 대조구의 91.3%보다 다소 높은 수태율을 나타내었으나 통계적인 유의차는 없었으며, T1 동기화 방법이 87.2%로 가장 낮은 수태율을 나타내었다(P<0.05). 분만율은 T2처리구가 90.4%로 가장 높았으며(P<0.05), T3구는 수태율은 높았으나 분만율이 가장 낮게 조사된 것은 임신 확인 후 각종 사고로 인한 조기 도태 매각 때문인 것으로 분석되었다. 복당 평균 총산자수는 대조구에 비하여 발정 동기화유도 처리구 모두 증가하였으나 통계적인 유의차는 인정되지 않았다.

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수유모돈의 조기발정과 임신

  • Kim, Myeong-Jin
    • The Korea Swine Journal
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    • v.6 no.9 s.61
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    • pp.118-121
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    • 1984
  • 수유모돈 56두로 4차에 걸쳐 PMS와 HCG로 발정을 유도, 임신시키는 시험을 실시하였다. 분만25일된 수유모돈에 PMS 1,500IU를 근육주사하고 그후 96시간에 HCG1,000IU를 근육주사하면 수유중인 모돈에 발정이 온다. HCG주사후 24시간과 36~42시간에 2회 수정하여 임신시켰다.

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Clinical Evaluation of Cesarian Section Anerohesia (제왕절개술 마취에 대한 임상적 고찰)

  • Park, Dae-Pal
    • Journal of Yeungnam Medical Science
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    • v.3 no.1
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    • pp.63-66
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    • 1986
  • Maternal and fetal effects of anesthesia for 423 cesarian section, performed during the past three and quarter years period in this hospital, have been evaluated. It is emphasized that the selection of anesthetic agent and method should depend upon the physical status of the patients and the ability of both obstetrician and anesthesiologists. Author results were as follows: 1. The incidence of c-section was 13.9% of total deliveries. 2. More than about three fourths of total cases were emergency cases. 3. Almost all cases were operated under general anesthesia. 4. The good physical states of patients resulted in better Apgar score of infants. 5. The shorter the interval from induction of anesthesia to delivery, the better was the Apgar score of infants.

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