• Title/Summary/Keyword: 자연분만

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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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발정제어에 따른 분만성적과 분만후 차기번식에 미치는 영향

  • 이명식;임석기;최창용;이지웅;박정준;강만종;문승주
    • Proceedings of the KSAR Conference
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    • 2003.06a
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    • pp.86-86
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    • 2003
  • 한우의 사육규모가 커짐에 따라 농가에서 암소의 번식관리는 더욱 어려워지게 되었으며 이를 효율적으로 조절하고자 다양한 발정제어 처리에 따라 수태시켰으며 이에 따라 임신한 한우번식우의 분만내역과 다음번 번식에 미치는 영향을 규명하고자 수행하였다. 1) 발정유기 방법별분만율은 PeGF$_2$$\alpha$구에서 73%(73/100), PRID구에서 73.3%(22/30), CIDR구에서 76.6%(23/30), GnRH-PGF$_2$$\alpha$-GnRH 처리구에서 81%(81/100)였으며 전체적으로 76.5%(199/260)로 나타났다. 2) 생시체중은 자연발정구에서 암송아지는 23.9kg, 수송아지는 26.2kg인 반면에 발정유기구에서는 암송아지는 24kg, 수송아지는 24.9kg으로써 거의 차이를 보이지 않았고, 4개월령 체중에 있어서도 자연발정구에서 암송아지 72kg, 수송아지 75kg인 반면에 발정유기구에서는 암송아지 75.6kg, 수송아지 78.3kg으로 발육상에 차이가 없었다. 3) 송아지 육성율은 자연발정구에서 86.5%(251/290)이었으며, 발정유기구에서는 87.0% (175/201)로써 유사한 경향을 나타내었으나 농가의 사육경험에 따라 6년 이상에서는 84.0% (105/125)였고, 10년 이상에서 88.4%(146/165) 로써 사육 경험이 많을수록 우수하였다. 4) 분만후 발정재귀일수는 대조구에서 80.7일, PGF$_2$$\alpha$구에서 92.3일, PRID구에서 78.5일, CIDR구에서 64.5일, GnRH-PGF$_2$$\alpha$-GnRH 처리구에서 65.6일로 나타났고 분만 후 수태일수는 대조구에서 137.1일, PGF$_2$$\alpha$구에서 147.6일. PRID구에서 141.3일, CIDR구에서 116.6일, GnRH-PGF$_2$$\alpha$-GnRH 처리구에서 118일로 나타났다.

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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.

종부형태가 돼지의 번식성적에 미치는 영향

  • 김인철;이장희;진현주;손영곤;박창식;김창근
    • Proceedings of the KSAR Conference
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    • 2002.06a
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    • pp.28-28
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    • 2002
  • 본 연구는 종부형태가 이유한 암돼지의 번식성적에 미치는 영향을 조사하기 위하여 이유후 4-6 일경에 자연발정이 발현되어 수정적기라고 판단되는 암돼지에 12시간 간격으로 각각 자연종부 2회, 인공수정 2회 및 혼합교배(자연종부 l회+인공수정 1회)의 형태로 나누어 종부하고 분만율과 산자수를 조사하였다. 분만율은 자연종부 78.5%, 인공수정 76.3% 및 혼합교배 76.0%로 나타나 종부형태간에 유의적인 차이가 없었으나 총산자수는 자연교배 9.89 두와 인공수정 10.04 두의 단독 종부 형태 보다 혼합종부형태가 10.26두로 높게 나타났다(P<0.01). (중략)

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Studies on the Efficiency of Piglet Production by Controlling the Farrowing Time I. Factors on the Normal Farrowing Time in Swine (돼지에 있어서 분만시각의 인위적 조절에 의한 자돈생산 효율에 관한 연구 I. 돼지에 있어서 자돈분만 시각에 미치는 요인에 관한 연구)

  • 정영채;김창근;윤종택;이종완;전광주;이석우;이학철;이관순;나광빈
    • Korean Journal of Animal Reproduction
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    • v.24 no.2
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    • pp.171-178
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    • 2000
  • To improve the pig farm management and efficiency of swine industry by inducing the farrowing to day-time from night, In the first experiment, reproduction records of purebred and crossbred pigs were collected and analyzed to estimate the $\varepsilon$ ffec 잉 of factors affecting day and night farrowing. The general linear model was used to estimate the least square means of the factors affecting various reproductive characteristics. And also, chi-square tests were used to examine the independence of the reproductive traits and environmental factors using the SAS (1992). The comparisons between pure and crossbred pigs for total number born, percentage of number born alive, gestation length, time length for farrowing were determined. The results indicated that the gestation length of crossbred (115.11 d) was slightly longer than that of purebred (114.89 d, p<0.05). For the seasonal effects on total number born, the largest was found in spring and no differences were found among summer, fall and winter. The average gestation length was 1 day longer in spring and winter than in summer and fall. The total number born and number born alive were smaller in first, second, and greater or equal to sixth parity than other parities. And also, the percentage of no. born alive was least in greater or equal to sixth parity. For the effect of mating methods, natural and artificial insemination, on total number born and number born alive, no differences between the two methods were found. However, the percentage of number born alive for natural mating was 98.06% and was higher than artificial insemination(93.75%). The time length for farrowing was I hour were found for the 6 hrs of farrowing time. In general situation of pig farms, day-time farrowing was 34.8% and night farrowing was 65.2%, indicating that night farrowing was almost double of the night farrowing.

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발정 제어 방법과 계절번식이 한우의 차기수태에 미치는 영향

  • 이명식;최창용;이지웅;조숙현;박효숙;손삼규;문승주
    • Proceedings of the KSAR Conference
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    • 2002.06a
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    • pp.75-75
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    • 2002
  • 한우의 사육규모가 다두화 된 농가에서 전년도 발정제어 처리에 따라 수태한 임신우의 분만내역과 차기번식에 미치는 영향을 규명하고자 수행하였다. 1. 발정유기방법별 계절번식처리우의 분만율은 PGF₂α구에서 73%(73/100), PRID 구에서 73.3%(22/30), CIDR 구에서 76.6%(23/30), GnRH-PGF₂α-GnRH 처리구에서 81%(81/100)였으며 전체적으로 76.5%(199/260)로 나타났다. 2. 계절번식농가의 자연발정 수정구에서 암송아지는 23.9㎏, 수송아지는 26.2㎏인 반면에 발정유기구에서는 암송아지는 24㎏, 수송아지는 24.9㎏로써 생시체중에 거의 차이를 보이지 않았고, 4개월령 체중에서 자연발정 수정구에서 암송아지 72㎏, 수송아지 75㎏인 반면에 발정유기구에서는 암송아지 75.6㎏, 수송아지 78.3㎏으로 발육상에 특별한 차이가 나타나지 않았다. 3. 다두사육농가의 자연발정 수정구에서 송아지 육성율은 86.5%(251/290)이였으며, 발정제어처리구에서는 87.0%(175/201)로써 유사한 경향을 나타내었으나 농가의 사육경험에 따라 6년 이상에서는 84.0%(105/125)였고, 10년 이상에서 88.4%(146/165)로써 사육경험이 많을수록 육성율이 우수하였다. 4. 발정유기방법별 분만후 발정재귀일수는 대조구에서 80.7일, PGF₂α 구에서 92.3일, PRID 구에서 78.5일, CIDR 구에서 64.5일, GnRH-PGF₂α-GnRH 처리구에서 65.6 일로 나타났고 분만 후 수태일수는 대조구에서 137.1일, PGF₂α 구에서 147.6 일, PRID구에서 141.3일, CIDR구에서 116.6일, GnRH-PGF₂α-GnRH 처리구에서 118일로 나타났으며 평균 134.3일이었다.

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The Effects of Muscle Energy Technique (MET) for Peroneal Nerve Palsy after Normal Delivery: A Case Report (자연분만 후 발생한 비골신경마비 환자에 대한 Muscle Energy Technique(MET)의 병행치료 효과 증례보고)

  • Jo, Na-Young;Roh, Jeong-Du
    • The Journal of Korean Obstetrics and Gynecology
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    • v.29 no.4
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    • pp.46-56
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    • 2016
  • Objectives: The purpose of this study is to evaluate the clinical effects of Muscle Energy Technique (MET) for peroneal nerve palsy after normal delivery. Methods: Two patients with peroneal nerve palsy were treated with acupuncture, moxibustion, cupping and MET. MET was performed in piriform, gluteus medius, anterior tibial and adductor muscles. To evaluate the effect of MET, we analyzed Ankle dorsiflexion range of motion (ROM), Manual Muscle Test (MMT), Numerical Rating Scale (NRS) and Ankle Hindfoot Scale (AHS). Results: In Case 1, ROM score was changed from −5 to 20, and MMT score was changed from 0 to 4. NRS score was changed from 5 to 1, and her AHS score was changed from 54 to 94 after treatment. In Case 2, ROM score was changed from 0 to 20, and her MMT score was changed from 1 to 5. NRS score was changed from 4 to 1, and her AHS score was changed from 64 to 97 after treatment. Conclusions: MET may be a useful treatment for patients who, shortly after childbirth or while breastfeeding, strongly refuse to treat the irritation.

체세포 복제란 이식우의 번식 생리학적 특성에 관한 연구(II) 복제 수정란 이식우의 분만 시 태반 및 혈중 TGF-$\beta$1 및 Progesterone의 분비 양상

  • 성환후;장유민;임석기;최재혁;우제현;양병철;노환국;임기순;장원경
    • Proceedings of the KSAR Conference
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    • 2002.06a
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    • pp.55-55
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    • 2002
  • 본 연구는 체세포 복제 가축의 정상 분만율이 낮은 원인을 규명하고, 복제란 이식우의 분만전후 생리적인 특성을 검토하기 위하여 혈중 또는 태반내 TGF-β1 과 progesterone 농도를 분석하여 검토하였다. 축산기술연구소에서 자체 생산된 체세포 복제란을 자연 발정이 유기된 수란우에 이식하였으며, 분만 예정일 하루 전에 제왕절개수술을 실시하여 태반 및 혈액을 채취하여 실험에 공시하였으며, 대조구의 시료는 분만직전에 제왕절개수술을 실시하여 공시하였다. (중략)

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The Design of Maternity Monitoring System Using USN in Maternity Hospital (USN을 이용한 산모 모니터링 시스템 모델 설계)

  • Lee, Seo-Joon;Sim, Hyun-Jin;Lee, A-Rom;Lee, Tae-Ro
    • Journal of Digital Convergence
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    • v.11 no.5
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    • pp.347-354
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    • 2013
  • In contrast to the increase in demand for high quality healthcare, there is limited medical human resources such as doctors and nurses so an excessive amount of workload is being forced to them. Therefore, a patient monitoring system using USN(Ubiquitous Sensor Network) is becoming a solution. This paper proposes a patient monitoring system applying USN in maternity hospital to reduce the workload of nurses. According to the efficiency evaluation test based on the model of two university hospitals(S, K University Hospital) and their doctor's diagnosis, the results showed that under the circumstances that one nurse is in charge of 12 patients(6 normal delivery patients and 6 cesarean delivery patients), a total of 1,260 minutes of workload was saved during hospitalization period(5 days). Also, we compared the workload of nurses with or without our proposed system, and the figures showed that in case of normal delivery patients, the workload of nurses decreased by 50 minutes per patient, whereas in case of cesarean delivery patients, the workload of nurses decreased by 130 minutes per patient.