• Title/Summary/Keyword: Childbirth

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A Study on Childbrith in Late Maternal Age (노령출산에 관한 연구)

  • Han Yea Young
    • Journal of Korean Public Health Nursing
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    • v.8 no.2
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    • pp.101-113
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    • 1994
  • Maternity means all the women who are capable to conceive. In the aspect of health and medical care. however. it means the women who are now in pregnancy or have already given birth to a baby or are in a period of being recoverd from physiological changes occurred by pregnancy. According to the rapidly changing social structure. both the Quality and Quantity of the capacity of childbirth experienced by women are changing. Our society. having established a great economical growth by virtue of the highly developing and growing industrialization and urbanization. stimulates the women's advance into society and thereby increasing the number of employed women. When the women's participation in society is increased. their age of marriage is also affected. Which means there are a decrease of the capacity of childbirth in terms of quantity and a trend for women to have less children and to deliver a baby in their old age in terms of quality. On the contrary. since the number of multipara who want to have a baby in their old age is increasing. as a counter functional effect to the political project of decrease of a birth rate. concern has been focussed on childbirth in old age in the present study. And also such kind of the childbirth may be danger to the health of both mother and baby. Therefore the present study intended to provide some basic data of health education in the part of the health management of both mother and baby in the general hospital. based on understanding the realities of childbirth in. old age and things related to them. To achieve such a purpose of the present study. an analytical study by means of SPSS. was done using the data of 269 clinical records on both the newborn .babies and their mothers who had been supported by public general hospitals located in Seoul for 3 years from Jan. 1. 1991 to Dec. 31. 1993. Some significant results from the analytic study are as follows: 1. It appeared that the average age of normal. natural delivery was 33.8 years old and the average age of delivery through the cesarean operation was 35.4 years old. 2. It appeared that danger factors to childbirth women were types of the delivery and placental extrusion and danger factors to newborn babies are not so outstanding. 3. It appeared that the variables of the childbirth capacity which showed a significant difference according to each age group of women were the number of pregnancy. number of still birth, and number of existing children. That is. the age group of 'more than 35 years' had more frequency of experience In all 3 variables than the age group of 'less than 35 years'. 4. It appeared that the variables of the childbrith capacity which showed a significant difference a according to the sex of a newborn baby were number of pregnancy, number of still birth, and number of existing children. That is, the age group of 'more than 35 years' had more frequency of experience in all 3 variables than the age group of 'less than 35 years'. 5. It appeared that the health index of newborn babies which showed a significant difference was only 5 minute APGAR. That is, the health index 9.46 in the age group of 'more than 35 years' was less than an index of 9.72 in the age group of 'less than 35 years'. 6. Since a counter correlation of -0.10, as Pearson Correlation Coefficient, was showed between the age of childbirth mothers and the weight of newborn babies, it indicated that the higher age of childbirth woman, the lesser the weight of newborn baby. 7. It appeared that the number of women who had confirmed the sex of their baby before their delivery were 45 women, $67.2\%$ of total 67 women who had delivered a baby. and the expected sex by women in childbed was male with $73.1\%$ of total childbirth women expecting male birth and with their expression of feeling of female delivery. very regretful' by $39.3\%$ of total childbirth women. The results as shown above may indicate that instead of the possibility of danger to both the mother delivering a baby in old age and the baby delivered, the expectation of getting a son motivates childbirth in old age. As a conclusion, in a dimension of general hospital as well as national reform. it is required that a program of health education for childbirth in late maternal age have to be developed in the part of the health management of both mother and baby in the near future.

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Married Women's Decision on the Job Continuity after Childbirth (사무직 기혼여성의 출산후 취업지속 결정요인)

  • 이기영
    • Journal of Families and Better Life
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    • v.15 no.2
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    • pp.99-110
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    • 1997
  • The purpose of this study is to explore systemetically what makes working women continue or interrupt their job after childbirth, An empirical survey was conducted by using questionnaire and data from 194 women who had clerical job before first childbirth. The major findings are as follows : (1) The significant differences between the two groups are caused by family orientation, motherhood, average monthly wage of her own, emotional support, child carer in the family, maternal policy. (2) The probability of continuing job is higher when the public supports are offered to working married women than in case of being supported privately.

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Effects of an Experience-focused Prenatal Program on Stress, Anxiety, Childbirth Confidence, and Maternal-Fetal Attachment on Women in Their First Pregnancy (체험중심 산전 프로그램이 초임부의 스트레스, 상태불안, 분만자신감 및 태아애착에 미치는 효과)

  • Park, Mira;Lee, Sunok
    • Women's Health Nursing
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    • v.24 no.2
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    • pp.126-137
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    • 2018
  • Purpose: To evaluate the effectiveness of an experience-focused prenatal program on stress, anxiety, childbirth confidence, and maternal-fetal attachment for women in their first pregnancy. Methods: The participants were 57 pregnant women at 32 weeks or more of a first pregnancy who agreed to participate in this study. The data were analyzed with descriptive statistics, t-test, $x^2$ test, and Fisher's exact test using the SPSS 21.0 program. Results: The experimental group showed significant differences in stress, anxiety, childbirth confidence, and maternal-fetal attachment from the control group. Conclusion: The four-week experience-focused prenatal program can be used for women in their first pregnancy to reduce their stress and anxiety and to increase their childbirth confidence and maternal-fetal attachment.

University Students's Views on a Childbirth in the Lower Birth Rates (저 출산시대 대학생의 출산관에 관한 현상학적 연구)

  • Kim, Kyung-Won
    • Korean Parent-Child Health Journal
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    • v.13 no.1
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    • pp.8-16
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    • 2010
  • Purpose: This study aimed to explore university students' views on a childbirth to gaining a deeper understanding of their individual thinking and the meaning that it hold for them. Methods: A Phenomenological approach was used. Subjects were 10 university students who go to university in D city. The method proposed by Colaizzi (1978) was used to guide the process of data analysis. Results: The formulated meaning were classified into nine themes. And then the nine themes were finally grouped into five theme clusters as follow: 'a smooth life', 'the law of nature', 'living a real life', 'fear and burden'. Conclusion: University students' views on a childbirth reflect with the run of the lower birth rate and the aging population in Korean society. Therefore, nursing interventions should be directed toward supporting their positive thinking and changing their negative thinking on childbirth.

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Effect of Taegyo-focused Prenatal Education on Maternal-fetal Attachment and Self-efficacy Related to Childbirth

  • Chang SoonBok;Park Somi;Chung ChaeWeon
    • Journal of Korean Academy of Nursing
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    • v.34 no.8
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    • pp.1409-1415
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    • 2004
  • Purpose. To examine the effect of Taegyo-focused prenatal classes on maternal-fetal attachment and self-efficacy related to childbirth. Methods. Over 4 weeks, 49 women, 20 to 36 weeks of gestation participated in a prenatal program led by the nurse who developed it. In addition to Lamaze content it included; understanding ability of fetus to respond, sharing motivation, purpose of pregnancy, and preconceptions of experiencing childbirth, training in maternal-fetal interaction, writing letters and making a declaration of love to unborn baby. Using a pre-experimental design, data were collected by self-report, before and after program, using Cranley's Maternal-Fetal Attachment Scale (1981), and Shin's(1997) Labor Self-Efficacy Measurement. Results and Conclusion. Paired t-test showed significant changes in scores of maternal-fetal attachment (t=6.91. p<.001) and self-efficacy related to childbirth (t=10.19, p<.001). Taegyo opens the possibility of integrating Western ideas with Korean traditional health behavior. Incorporation of Taegyo into existing prenatal classes is recommended.

A Survey on Child Rearing Conditions and Parent Education for Parents before and after Childbirth (자녀출산 전후의 부모들을 위한 양육여건 및 부모교육 실태 조사 - 대전광역시를 중심으로-)

  • Park, Young-Yae;Lee, Gab-Sook;Rha, Jong-Hye
    • Korean Journal of Human Ecology
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    • v.12 no.4
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    • pp.463-495
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    • 2003
  • The purpose of this study was to obtain a fundamental data for developing a policy concerning women and child rearing and a parent education program for young parents who are around their childbirth, a period crucially important both for the parents in terms of the role adjustment, career management, and family finance, and for the infants in terms of its physical and psychological well-being. The subjects were 509 mothers before and after childbirth currently living in the Metropolitan City of Daejeon. Data were obtained through questionnaires and interviews in two major areas of pregnancy-delivery-childcare and parent education. Data were analyzed using SAS, mostly through frequency analysis, percentiles, t-tests, and F-tests. Results of descriptive analyses were organized along the following areas and issues: Pregnancy(family planning, regular check-ups, difficulties, prenatal education, costs, etc.); delivery(type of delivery, delivery related experience, costs, clinic/medical institute of choice, worries/problems, help/supports, etc.); postpartum care(place, kinds of help and helper, costs, postpartum care facilities, etc.); childcare circumstances(place, carer, time schedules, childcare centers or facilities feeding and weaning, etc.); husband's attitudes and involvement in the overall process; working mothers(maternity leave, temporary retirement for child rearing, etc.); and, parent education(family planning, pregnancy, delivery, postpartum care, child rearing, areas or issues needing parent education, facilitative and hindering factors to ideal parenting, etc.). Differences between groups of pregnant mothers and postpartum mothers, working- and non-working mothers, groups of different income levels, mothers and fathers of different educational levels, mothers of first pregnancy(or childbirth) and experienced mothers were also analyzed. Several conclusions with suggestions were drawn in relation to the need for strong implementation as well as developing of policies on women and childcare and for developing a new parent education program for parents before and after childbirth.

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Effects of Doula Support in LDR (Labor-Delivery-Recovery) on Anxiety, Labor Pain, and Perceived Childbirth Experience of Primiparas (일개대학병원 가족분만실에서 듈라(Doula)식 분만지지간호가 초산부의 불안, 분만통증 및 분만경험지각에 미치는 효과)

  • Park, Kwang Hee;Choi, Jung Sun;Lee, Jeong Hwa;Jin, Bo Kyung
    • Journal of Korean Clinical Nursing Research
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    • v.14 no.3
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    • pp.87-97
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    • 2008
  • Purpose: The purpose of this study was to evaluate the effects of Doula support during labor on anxiety, labor pain, and perceived childbirth experience of primiparas. Method: Of 65 primiparas who were hospitalized in LDR from March 1 to September 30, 2007. 32 women were placed in the Doula group and 33 in the control group. VAS was used to measure the degree of labor pain and anxiety in the latent, active, and transitional phases. Perceived childbirth experience was measured within 2 hours after birth. Results: The Doula group had a significantly lower anxiety level than the control group in the active phase (t=-2.13, p=.04) and the transitional phase (t=-3.99, p=.000). The degree of labor pain of the Doula group was significantly lower than that of the control group for the active phase (t=-3.10, p=.003) and the transitional phase (t=-7.24, p=.000). Also, There was no significant difference in perceived childbirth experience between the two groups (t=.19, p=.85). Conclusion: The results of this study show Doula support in LDR decreases not only anxiety of primiparas but also labor pain in the active and transitional phases. Therefore Doula support by nurses in LDR can be a useful intervention during childbirth.

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Effect of Childbirth Age on Bone Mineral Density in Postmenopausal Women

  • We, Ji Sun;Han, Kyungdo;Kwon, Hyuk-Sang;Kil, Kicheol
    • Journal of Korean Medical Science
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    • v.33 no.48
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    • pp.311.1-311.10
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    • 2018
  • Background: In postmenopausal women, there is rapid bone loss due to estrogen depletion. In women, reproductive factors such as age at menarche, breastfeeding, and parity are considered risk factors of osteoporosis. Many reports suggest that obesity is associated with a reduced risk of osteoporosis. This nationwide, population-based study aims to identify the association between maternal age and osteoporosis risk in postmenopausal women of different obesity classifications. Methods: We assessed data from the Korean National Health and Nutrition Examination Survey 2010-2012. The study included 1,328 postmenopausal women, after excluding women with missing data for reproductive history among 4,546 postmenopausal women in the survey. Multivariate regression was used to identify the association between childbirth age and postmenopausal bone mineral density after adjustments for confounding factors. Results: The prevalence of postmenopausal osteoporosis was 35.24% (n = 468). After dividing the subjects into obese and non-obese groups based on body mass index (BMI) and waist circumference, there were significant differences between non-osteoporosis and osteoporosis groups with regard to age at first childbirth, age at last childbirth, and parity in the BMI-based general obesity group. The prevalence of osteoporosis was highest in women older than 35 years old at last childbirth. The prevalence of osteoporosis was also greater in women with parity ${\geq}4$ compared to those with lower parity levels. Conclusion: Postmenopausal women of older age at last childbirth and higher parity were at increased risk of osteoporosis in the BMI-based non-general obesity group.

Childbirth and Socioeconomic Status Changes in Korean Women: Using Propensity Score Matching and Difference-in-Differences Method (출산과 여성의 사회경제적 상태 변화: 성향점수매칭과 이중차이를 활용한 분석)

  • Jung, Yun Sun;You, Chang Hoon;Kwon, Young Dae
    • The Journal of the Korea Contents Association
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    • v.19 no.10
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    • pp.667-676
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    • 2019
  • The purpose of this study was to assess the impact of childbirth on socioeconomic status changes of women. Data were collected from Korean Health Panel (2008-2015). A difference-in-differences model with propensity score matching was applied to assess the impact of childbirth on socioeconomic status changes. As a result, variables showing significant differences in the interaction terms indicating the impact of birth were the savings, economic activity, and occupational status. The impact of birth were significant in decreasing the amount of savings and negatively affecting women's economic activities, but in increasing the probability of full-time and regular employees in occupational status. Childbirth appears to have a negative impact on the home economics and socioeconomic status of women. The belief that home economies can be stabilized even after childbirth should be established, and a long-term and sustained support plan should be set up to realize this belief.

Effects of Married Women's Couple Equality on the Intent to Additional Childbirth (기혼 여성의 부부 평등성이 추가 출산 의향에 미치는 영향)

  • Lee, Dan-Bi;Nam, Jin-Young
    • The Journal of the Korea Contents Association
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    • v.22 no.2
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    • pp.379-389
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    • 2022
  • This study analyzed 10,352 married women to find the correlation between marital equality felt by married women and additional childbirth intentions. Frequency analysis and chi-square test analysis were performed to analyze the general characteristics of the investigator, and studies were conducted through binary logistic regression analysis and interaction analysis to analyze the relevance between each variable and additional childbirth. As a result, the 4-point group based on the 0-point group that lowest marital equality had 2.01 times higher willingness to additional birth. And, the 3-point group and the 2-point group were 1.46 times and 1.41 times higher than 0-point group with marital equality and additional childbirth intentions. In addition, intention of additional childbirth was increased when the higher the number of children, if they own a house, and if wives are non-regular or unemployed. This study analyzed the relationship between married women's intention to give birth additionally, focusing on marital equality. It is suggested that specific and reasonable policies at the macro level are required to improve the fertility rate.