• Title/Summary/Keyword: 임신과 출산

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A Survey on the Understanding of Breast-feeding in Pregnant Woman (임신시 모유수유에 대한 인식조사)

  • Seo, Jeong Wan;Kim, Yong Joo;Lee, Kee Hyoung;Kim, Jae Young;Sim, Jay G;Kim, Hae Soon;Ko, Jae Sung;Bae, Sun Hwan;Park, Hye Sook;Park, Beom Soo
    • Clinical and Experimental Pediatrics
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    • v.45 no.5
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    • pp.575-587
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    • 2002
  • Objective : To investigate the understanding of breast-feeding in pregnant woman and the proper way of encouraging breast-feeding. Methods : Each questionnaire included items about demographic characteristics and the understanding of breast-feeding. The questionnaires were filled up by pregnant women visiting obstetric clinics in Seoul and its vicinities, Busan, Choongjoo and Chungjoo from July 2001 to August 2001. One thousand, two hundred ninety questionnaires were analysed by Chi square tests and multiple logistic regressions. Results : The majority of pregnant women(87.4%) planned breast-feeding. Forty three percent of them had plans to breast-feed for 4-6 months. There were no differences in the level of education, the family size and the source of information about breast-feeding in planning to breast-feed (P>0.05). The main reasons for not choosing to breast-feed were returns to work(41.3%), previous failures of breast-feeding(17.4%), concerns about insufficient amount of breast milk(10.9%), breast and nipple problems(10.3%) and maternal illness(9.4%). The average score on the test of the understanding about breast-feeding was 59.7/100. The average scores on the understanding about the methods and advantages of breast-feeding were 45.3/100 and 86.1/100, respectively. The maternal status of employment, previous history of breast-feeding, the time of decision to breastfeed, person advocating breast-feeding and the understanding on the advantages of breast-feeding were significant determinant factors in planning to breast-feed(P<0.05). Conclusion : Pediatricians should take steps to make an effort to increase the breast-feeding rate and to encourage breast-feeding by timely education. Beyond the medical field, political and social supports for breast-feeding are urgently needed.

A Qualitative Study on the Experiences of Mothers Who Have Abandoned Their Additional Birth Plans (후속 출산을 포기한 한 자녀 어머니들의 임신·출산 및 양육경험에 대한 질적 분석)

  • Jin, Kyong-sun;Kim, Ko Eun
    • Korean Journal of Childcare and Education
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    • v.16 no.4
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    • pp.1-29
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    • 2020
  • Objective: The present study aimed to explore the experiences of mothers who have abandoned their additional birth plans since their first child was born. Methods: During in-depth interviews, mothers were asked to recall their own experiences of motherhood. The interview data were analyzed using the grounded theory. Results: The central phenomenon was 'The burden of raising a child is too heavy for mothers to carry alone.' The causal conditions were 'First experience: Unpredictable life', 'Physical and psychological difficulty', and 'Spouse's absence.' The contextual conditions were 'Expectations and reality of parenting' and 'Workplace conditions.' The mothers used interaction strategies of 'Defusing conflict only on a surface level: Giving up', 'Reliance on grandmothers', and 'Downgrading career aspirations.' These strategies were mediated by intervening conditions, 'Stereotypes and experiences of non-family nanny', 'Child's development', and 'Family conflict.' The results were 'Endless guilt', 'Ambivalence between independence versus interdependence' and 'Unfairness: Why only me?' Finally, the process of psychological conflict was identified to account for the steps leading mothers to give up on their birth plans. Conclusion/Implications: During the first experience of motherhood, mothers' conflict gets escalated despite their struggles. These experiences might discourage their additional birth plans. These results provide implications for policies to increase fertility rates.

Effects of the Culturally Sensitive Education of Perinatal Care on Knowledge, Skills, and Self-Efficacy among Korean Husbands and Vietnamese Wives (베트남 결혼이주여성 부부의 임신·출산 및 양육준비를 위한 개별교육의 효과)

  • Kim, Youngmee;Cho, Kap-Chul
    • Child Health Nursing Research
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    • v.23 no.4
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    • pp.515-524
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    • 2017
  • Purpose: The study was undertaken to see whether the culturally sensitive education for perinatal care using a face to face approach improves understanding of spouse's culture, knowledge of pregnancy and parenting skills, and self-efficacy among Korean husbands and Vietnamese wives. Methods: This study has a pre- and post-test study design conducted in a total of 13 couples who live in Seoul and agreed to participate. The education program consisted of lecture and hands on practice. The self-administered questionnaires and the checklist developed based on the educational purpose were used to assess the education effects. Results: The knowledge scores on Korean/Vietnamese culture, pregnancy and parenting skills as well as the performance scores on hand washing, pelvic strengthening, feedings and newborn bathing techniques were significantly improved in both husbands and wives after education, but pelvic floor exercises were improved only in wives. Conclusion: Overall, the individual education for culturally sensitive perinatal care was effective in our study participants.

Recognition of the appearance and fashion style of women who experience childbirth (출산을 경험한 여성의 외모에 대한 인식과 패션스타일)

  • Kim, Koh Woon
    • The Research Journal of the Costume Culture
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    • v.29 no.3
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    • pp.453-470
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    • 2021
  • The aims of this study are to explore the experiences of modern Korean women who experience childbirth and to examine the perceptions of body and appearance in everyday life and how fashion provides a means of self-expression. The study utilizes focused ethnography (a qualitative research method) of cultural technology magazines, conducted to observe women's behavior and language, and to explore their life values, such as beliefs, attitudes, and behaviors in fashion style in everyday life. The purpose of this study is to reveal the actual meaning of childbirth, the resulting change in appearance, and patterns of specific style expression. This will enable a better understanding of the experiences of married women with children in Korea using vivid language, by which an in-depth understanding of their lives may be promoted. A survey of 24 women (aged 25~40) who had experienced pregnancy and childbirth were included in the study, categorized as early pregnancy, pre-birth, and post-birth parenting. Subcategories were derived as "unfeasible pregnancy," "unpredictable and unprepared anxiety," "self-awareness of changing bodies," "pressure on healthy bodies," "opportunity to let go of pressure on appearance management," "pressure on hard parenting," and "experience of change in unmanaged areas." Pregnant women and women with children demonstrated tastes and preferences in style suitable for differentiated situations and roles, along with perceptions of appearance.

Birth weight for gestational age patterns by sex, plurality, and parity in Korean population (한국의 성별, 태아수별, 출산수별 임신주수에 따른 출생체중)

  • Lee, Jung Ju
    • Clinical and Experimental Pediatrics
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    • v.50 no.8
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    • pp.732-739
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    • 2007
  • Purpose : A universal standard of the birth weight for gestational age cannot be made since birth weight distribution varies with races, nations and eras. This report aims to establish the birth weight for gestational age patterns by sex, plurality, and parity, specific for Korean live births. Methods : The national birth certificate data of all live births in Korea from January 2000 to December 2004 were used: for live births with gestational age 24 weeks to 42 weeks (n=2,585,5160), mean birth weight, standard deviation and 10th, 25th, 75th and 90th percentile values were obtained for each gestational age group by one week increment. To establish final standard values of Korean birth weight distribution by gestational age, the finite mixture model to eliminated erroneous birth weights was used for respective gestational age. Same as above method the birth weight for gestational age standard by sex, plurality, and parity were completed. Results : The male newborns are more heavier than female during the entire gestational age. The singletons are more heavier than twin during the entire gestational age. The para 2 are more heavier than the para 1 during the entire gestational age. Korean standard was more heavier in 10th and 50th percentile than Lubchenco's standard. Alexander's standard was more heavier in 50th and 90th percentile than Korean standard. Conclusion : These birth weight for gestational age patterns by sex, plurality, and parity are similar to the other standards. I hope that for Korean infants, this curve will help clinicians in defining and managing the large for gestational age infants and also for infants with intrauterine growth retardation.

A Clinical Study on 1 Case of Infertility Patient with Premature Ovarian Failure (한방치료를 통한 월경주기 회복 후 배란유도를 통해 임신과 출산에 성공한 조기난소부전 환자 치험 1례)

  • Jang, Sae-Byul;Jung, Eun-Hye;Choi, Kyung-Hee;Yoo, Dong-Youl
    • The Journal of Korean Obstetrics and Gynecology
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    • v.27 no.3
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    • pp.135-142
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    • 2014
  • Objectives: The purpose of this study is to report the effects of herbal medicine on infertility caused by premature ovarian failure. Methods: The patient in this case was 38-year-old female. The patient was diagnosed premature ovarian failure by serum hormone assay. The chief complain is amenorrhea and infertility. She was treated by traditional treatment, such as herbal medicine (Buickjihwang-hwan), acupuncture and moxibustion. Results: After the treatment, the patient recovered the menstrual cycle and became pregnancy and delivery. Conclusions: This case shows that traditional Korean treatment might be effective in infertility caused by premature ovarian failure.

Nursing Performance and Requirements of Visiting Nurses at Public Health Centers according to Omaha system (오마하체계에 따른 보건소 방문간호사의 간호업무 수행도와 필요도)

  • Choi, In-Hee
    • Journal of the Health Care and Life Science
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    • v.8 no.2
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    • pp.143-154
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    • 2020
  • The aim of this study was to identify the performance and requirements of the visiting nursing care using Omaha system in public health center. The highest performance were 'personal hygiene', 'pain', 'medication regimen', 'nutrition', 'physical activity', 'sanitation', 'sleep and rest patterns', 'oral hygiene', 'mental health' in order. The lowest performance were 'sexuality', 'postpartum', 'income', 'family planning', 'pregnancy', 'spirituality', 'abuse', 'reproductive function', 'neglect' in order. Problems such as 'postpartum', 'pregnancy' and 'family planning' need to strengthen the role of visiting nurses according to the region. this result will be the basis for visitung nursing care.

A Study on the Contents of Child Rearing in Household Textbooks during the 1920s-30s ($1920{\sim}30$년대 가사 교과서 육아단원의 외형 및 내용 분석)

  • Goh Sang-Ok;Jun Mi-Kyung
    • Journal of Korean Home Economics Education Association
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    • v.18 no.2 s.40
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    • pp.135-149
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    • 2006
  • This study analyzed the unit of child rearing in four Household textbooks approved by the Department of Education during the 1920s-30s. These Household textbooks is contained a unit related to child rearing among Household textbooks approved by the Department of Education at that time. The results of the analysis are summarized as follows. First, the structure of the child rearing unit in the Household textbooks were largely composed of 'part, chapter and section' and this structure and contents were similar among all the textbooks. Second. in general, the four textbooks spared a large space for 'childcare,' nursing' and 'new-born babies and infants,' suggesting the importance of these contents. Third, cautions for pregnant women were taught to call attention not only of pregnant women but also of their families to importance of pregnancy. Fourth, the child rearing unit contained many illustrations and pictures and some pictures were shared among the textbooks. Firth, in acquiring medical knowledge related to diseases, the textbooks demanded child-rearing mothers to 'observe' and 'scrutinize' any symptoms appearing in the child. These contents were connected with commercial products but far distant from the realities. The detailed method of 'nursing' also required a lot of time and accuracy impractical in real life.

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Characteristics of Dairy Cow's Vocalization in Postpartum Related with Calf Isolation (출산 후 새끼와의 분리에 따른 유우의 발성음 특성)

  • Kim, Min-Jin;Son, Seung-Hun;Rhim, Shin-Jae;Chang, Moon-Baek
    • Journal of Animal Science and Technology
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    • v.52 no.1
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    • pp.51-56
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    • 2010
  • This study was conducted to clarify the characteristics of Holstein dairy cow's vocalization in postpartum related with calf isolation. Vocalizations of 16 individuals of cows were recorded 6 hours per day (1:00am~4:00am and 1:00pm~4:00pm) using digital recorder and microphone during October 2008 and May 2009. Vocalizations were divided into 4 types. Characteristics of frequency, intensity and duration were analyzed by GLM (general linear model) and Duncan's multi-test. There were significant differences in frequency and intensity based on analyses of spectrogram and spectrum among 4 types of vocalizations. Frequencies of vocalizations were dramatically decreased on 2nd and 3rd day. Vocalization would be important factor affecting the motheryoung bond in Holstein dairy cattle.

Treatment Strategies for Depression during Pregnancy and Lactation (임신과 수유기 우울증의 치료 전략)

  • Lee, Soyoung Irene;Jung, Han-Yong
    • Korean Journal of Biological Psychiatry
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    • v.14 no.2
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    • pp.91-98
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    • 2007
  • Objectives : Considering the impact of depressive illness on physical and mental health of both mother and fetus, specification of a treatment algorithm for depressive disorder during pregnancy is legitimated. This article provides a systemic review of treatments for depressive disorder during pregnancy and lactation. Methods : According to the search strategy of the Clinical Research Center for Depression of Korean Health 21 R & D Project, PubMed and EMBASE were searched using terms with regard to the treatment of depressive disorders during pregnancy and lactation. Reference lists of related reviews and studies were searched. In addition, relevant practice guidelines were searched using the PubMed. All identified clinical literatures were reviewed and summarized in a narrative manner. Results : Pharmacotherapy during pregnancy and lactation requires a comprehensive assessment of the risks and benefits of treatment for both mother and fetus or neonate. Recently, there is growing evidence that the use of tricyclic and selective serotonin reuptake inhibitors during pregnancy and lactation does not result in increased risks of teratogenicity. Treatment strategies are described according to the point of time of pregnancy or lactation. FDA categories for antidepressants during pregnancy and lactation are described. In addition, issues regarding to the electroconvulsive therapy and psychosocial treatment are discussed. Conclusion : The treatment option for depressive disorders during pregnancy and lactation depends on the severity of depressive illnesses of the individual patient. For mild to moderate depression, the non-pharmacological treatment should be considered first. For moderate to severe depression, pharmacotherapy should be administered in addition to the psychosocial treatment. ECT is recommended for depressive disorder of severe intensity. As the research knowledge is limited, the recommendations should based on the best judgement of psychiatrists.

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