• Title/Summary/Keyword: Early Postpartum

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The Comparison of CBC and HRV in the Early 30s, According to Parity (30대 초반의 초산, 경산부의 CBC 및 HRV 비교)

  • Park, Ka-Young;Kim, Tae-Hee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.21 no.4
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    • pp.128-138
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    • 2008
  • Purpose: The purpose of this study was to compare the CBC and HRV of postpartum women in the early 30s. according to parity. Methods: This study was done on 107 postpartum women between 30 and 34 years who admitted for postpartum care in Oriental Hospital of Woosuk University from 3rd February 2008 to 19th September 2008. They took the test of CBC and HRV. The SPSS 12.0 for windows was used to analyze the data and the independent samples t-test were used to verify the results. Results: 1. WBC and Grn of primipara group significantly increased compared with that of multipara group. LYM of multipara group significantly increased compared with that of primipara group. 2. Mean-RR and Complexity of multipara group significantly increased compared with that of primipara group. Mean-HR of primipara group significantly increased compared with that of multipara group. 3. Ln (HF) and Normalized HF of multipara group significantly increased compared with that of primipara group. Normalized LF of primipara group significantly increased compared with that of multipara group. Conclusion: The findings suggest that activation of the sympathetic nervous system in primipara group is higher than in multipara group. and activation of the parasympathetic nervous system in primipara group is lower than in multipara group.

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Mothers' Perception of their Normal and High-risk Newborn During the Early Postpartum Period (산욕 초기 정상 신생아와 고위험 신생아에 대한 어머니의 지각 차이에 관한 연구)

  • Kim Shin Jeong;Jeong Geum Hee
    • Child Health Nursing Research
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    • v.1 no.1
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    • pp.5-15
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    • 1995
  • The quality of mother-infant interaction during early postpartum period has a significant influence on the child growth and development in many aspects. The mother's initial perception of the newborns might have the lasting influence on the development of the mother-infant attachment and mother-infant relationship. Therefore the proper mother-infant interaction should be developed after infant birth. However, it is acknowledged that the high risk infants influence on the mothers' perception because of their abnormalities or disorders of physical condition and the restricted maternal contacts and interactions. The object of this study is to identify the difference of mother's perception of their normal and high-risk newborn during the early postpartum period. The ultimate goal is to contribute to use this basic data to develop nursing intervention toward the promotion of healthy mother-infant relationship and the helping of growth and development of children. The data were collected for this study from Sep. 21, 1990 to Oct. 1. 1991 at E University Hospital. The sample was 83 of mothers who had normal newborns and 73 mothers who had high risk newborns .The instrument was Neonatal Perception Inventory(NPI) designed by the Broussard for the measurement of mothers' perception of newborns about Average Baby and Your Baby. The data were analysed by using an SPSS Program and include percentage mean, SD, t-test, ANOVA. The results of this study are as follows : 1. The normal newborn mothers' perception is more positive than the high-risk newborn mothers(t=7.94, p=0.000). 2. Mothers' perception of the newborns is not related significantly to mothers' general characteristics. In conclusion, in order to promote positive, healthy mother-infant relationship, the nurse need to support, give information, and educate high-risk newborn mothers through early nursing assessment.

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Intracranial Hemorrhage Developed from Patient Who Had Been Preeclampsia at Five Days Postpartum - A Case Report - (전자간이 있던 산모에서 분만 5일후 발생한 뇌실질내 출혈 - 증례보고 -)

  • Lee, Chang-Woo;Kim, Yong-Seog;Park, Moon-Sun;Ha, Ho-Guyn;Lee, Jong-Sun;Jung, Ho;Kim, Joo-Seung
    • Journal of Korean Neurosurgical Society
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    • v.30 no.3
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    • pp.371-375
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    • 2001
  • Intracranial hemorrhage due to preeclampsia in the postpartum woman is rarely documented. Generally, the incidence of stroke is increased during pregnancy and early postpartum. Preeclampsia is considered a main cause of both nonhemorrhagic and hemorrhagic stroke. We present a 32-year-old woman who had intracranial hemorrhage at 5 days postpartum. At admission, her consciousness was semicomatose with elevated blood pressure. Computerized tomography revealed intracranial hemorrhage on right frontal lobe. Additional angiography did not reveal abnormal vascular lesion. Emergency craniectomy with hematoma removal was done. However, the patient showed no recovery and died 2 weeks later. We conclude that postpartum care of preeclampsia is important to prevent intraparenchymal hemorrhage. Relative high risk of stroke during the postpartum period suggests a causal roles for the large decrease in blood volume or the rapid changes in hormonal status that follow a live birth or stillbirth, perhaps by means of hemodynamics, coagulative, or vessel wall changes.

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Relationships between Biological Factors during the Voluntary Waiting Period and Reproductive Performance in Dairy Cows

  • Shin, Dong-Hyun;Jeong, Jae-Kwan;Kang, Hyun-Gu;Kim, Ill-Hwa
    • Journal of Veterinary Clinics
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    • v.38 no.2
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    • pp.49-55
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    • 2021
  • We aimed to identify the biological factors during the voluntary waiting period (VWP) that are associated with subsequent reproductive performance in dairy cows. Two hundred and one pregnant dairy cows had their body condition score (BCS) evaluated and blood samples taken 4 weeks before calving, at calving, and 1, 2, 4, 6, and 8 weeks after calving, to measure serum metabolite and progesterone concentrations. In addition, any peri- and postpartum disorders within 4 weeks of calving, and the mean milk yields 4 and 8 weeks postpartum, were recorded. The cows were allocated to two groups according to whether they had become pregnant or not by 120 days after calving: a pregnant group (n = 50) and a non-pregnant group (n = 151). Analyses of serum metabolite concentrations showed that the aspartate aminotransferase and γ-glutamyltransferase activities 2 weeks (p < 0.05) and the non-esterified fatty acid concentration 6 weeks (p < 0.01) postpartum were higher in the non-pregnant than in the pregnant group. However, the albumin concentrations between 2 and 8 weeks and the total cholesterol and magnesium concentrations between 4 and 8 weeks postpartum were lower in the non-pregnant group (p < 0.05). The BCS (p < 0.05) and percentages of cows that had resumed cyclicity (p < 0.001) by 6 and 8 weeks postpartum were higher in the pregnant than in the non-pregnant group, whereas the incidence of peri- and postpartum disorders was higher in the non-pregnant group (p < 0.05). In conclusion, high serum enzyme activities, which imply liver damage, imbalances in energy metabolites and magnesium, and a higher incidence of peri- and postpartum disorders, are associated with poorer reproductive performance, whereas high BCS and early resumption of cyclicity during the VWP are associated with superior reproductive performance in dairy cows.

A Case Report of Bell’s Palsy during Early Puerperium (산욕 초기에 발생한 벨마비 치험 1례)

  • Yoon, Soo-Hyeon;Lee, Ji-Yeon;Lee, In-Seon;Cho, Hye-sook;Jeon, Soo-Hyung;Jeong, Jong-Hun
    • The Journal of Korean Obstetrics and Gynecology
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    • v.28 no.4
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    • pp.77-87
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    • 2015
  • Objectives : The purpose of this study is to report the effect of traditional Korean medicine therapy on Bell’s palsy during early puerperium. Methods : The patient who had Bell’s palsy during early puerperium were treated with traditional Korean medicine such as Gunggwijohyeol-eum, Saenghwa-tang, Gunggwijohyeol-eumhabBulsu-san and Sasang constitution medicine. The progresses of symptoms were evaluated by House-Brackmann facial nerve grading system and Numeric Rating System (NRS). Results : After treatment, the patient’s symptoms of Bell’s palsy and puerperium were improved. Conclusions : This case study shows that the postpartum care in traditional Korean medicine therapy and Sasang constitution medicine is effective for the patient who had Bell’s palsy during early puerperium.

Progesterone assays as an aid for improving reproductive efficiency in dairy cattle IV. Milk progesterone profiles for monitoring postpartum ovarian activity (Progesterone 농도측정(濃度測定)에 의한 유우(乳牛)의 번식효율증진(繁殖效率增進)에 관한 연구(硏究) IV. 유즙(乳汁)중 progesterone 농도측정(濃度測定)에 의한 분만후(分娩後) 난소기능(卵巢機能) 회복상태(回復狀態)의 검토(檢討))

  • Kang, Byong-kyu;Choi, Han-sun;Choi, Sang-gong;Son, Chang-ho;Kang, Hyun-ku
    • Korean Journal of Veterinary Research
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    • v.34 no.4
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    • pp.881-890
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    • 1994
  • Skim milk progesterone($P_4$) profiles in 74 dairy cows were determind to monitor postpartum ovarian activity by radioimmunoassay. Milk samples were collected from each cow every 5 days from 10 to 90 days postpartum. Signs of estrus were observed twice daily, and status of the ovaries and uterus were examined every 10 days by rectal palpation. Results are summarized as follows: 1. Cows were categorized into five types by the change of skim milk $P_4$ profiles; Type I(normal) : Cyclic changes of skim milk $P_4$ profiles appeared within 20 days postpartum(12 cows, 16.2%), Type II(cycle delayed) : Cyclic changes of skim milk $P_4$ profiles appeared from 21 to 60 days postpartum(39 cows, 52.7%), Type III(cycle ceased with low $P_4$) : Onset of the estrous cycle within 20 days postpartum but ceased later with low levels of $P_4$ (7cows, 9.5%), Type IV(cycle ceased with high $P_4$) : Onset of the estrous cycle within 20 days postpartum but ceased later with high levels(>3.0 ng/ml) of skim milk $P_4$ (4 cows, 5.4%), Type V(acyclicity) : Skim milk $P_4$ concentration remained low(<1.0 ng/ml) until 80 days postpartum(12 cows, 16.2%). 2. Out of the 17 cows classified as the Type III and Type V by skim milk $P_4$ profiles, 13 cows had inactive ovaries and remaining 6 cows had single or multiple follicular cysts in their ovaries by rectal palpation. All 4 cows of Type IV had a persistent corpus luteum in their ovaries. 3. Approximately eighty percent of the cows had begun ovarian activity by 60 days postpartum and 90.6% by 90 days by skim milk $P_4$ profiles, but only 39.2% by 60 days and 71.7% by 90 days had shown visible estrus signs. The mean days from parturition to the first, second and third ovulations determined by skim milk $P_4$ profiles was $28.0{\pm}11.0$, $46.4{\pm}13.3$ and $66.4{\pm}11.5$ days and the visible estrus signs were 9.3%, 38.1%, and 48.6%, respectively. The mean days from parturition to the first visible estrus was $57.2{\pm}15.9$ days. These results indicated that milk $P_4$ profile of each Types by radioimmunoassay can be utilized for monitoring postpartum ovarian and would be useful for the early detection of ovarian dysfunction in dairy cow.

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Effect of Improved Cooling System on Reproduction and Lactation in Dairy Cows under Tropical Conditions

  • Suadsong, S.;Suwimonteerabutr, J.;Virakul, P.;Chanpongsang, S.;Kunavongkrit, A.
    • Asian-Australasian Journal of Animal Sciences
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    • v.21 no.4
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    • pp.555-560
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    • 2008
  • The effects of utilizing evaporative cooling system equipped with tunnel ventilation on postpartum ovarian activities, energy balance and milk production of early lactating dairy cows under hot and humid climates were studied from parturition to 22 wk postpartum. Thirty-four crossbred Holstein-Friesian (93.75% HF$\times$.25% Bos indicus) primiparous cows were randomly assigned to one of two groups. Cooled cows (n = 17; treatment) were housed in the tunnel ventilated barn equipped with evaporative cooling system and uncooled (n = 17; control) were housed in the naturally ventilated barn without supplemental cooling system. Cooled cows had greater (p<0.05) dry matter intake and milk production than uncooled cows. Days to the energy balance (EB) nadir did not differ between groups. However, days to equilibrium EB for uncooled cows was longer (p<0.05) than for cooled cows. There was no significant difference in postpartum anovular condition between cooled and uncooled cows. The interval from parturition to first postpartum ovulation did not differ between groups ($31.4{\pm}4.3$ and $26.1{\pm}3.6$ day, respectively). These results suggest that the evaporative cooling and tunnel ventilation has the potential to decrease the severity of heat stress and improve both milk production and metabolic efficiency during early lactation without affecting reproductive function in dairy cows under hot and humid climates.

Predictors of Quality of Life in Mothers of Premature Infant (미숙아를 출산한 어머니의 삶의 질 예측요인)

  • Choi, Hyosin;Shin, Yeonghee
    • Women's Health Nursing
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    • v.23 no.3
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    • pp.191-200
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    • 2017
  • Purpose: The purpose of this study was to determine the factors that may affect quality of life of mothers who delivered premature infants. Methods: With survey design, data were collected from 145 mothers of premature infants with corrected age of 2 months to 12 months from January 9 to February 2, 2017. Quality of life was assessed with two measures of direct survey in the selected hospital and online survey. A self-report questionnaire was administered regarding personality of the mothers and the infants, postpartum depression, parenting stress, social support, and the quality of life. Data were analyzed using t-test, ANOVA, Pearson correlation coefficients, and multiple regression. Results: The quality of life of the mothers of the premature infants was influenced by postpartum depression, parenting stress, parents-infant dysfunctional interactions, and social support accounted for 65% of the variance. Conclusion: These results indicate that early screening and continuous management of postpartum depression during postpartum period are important to improve the quality of life of the mothers of the premature infants. Education program and information and social support systems need to be developed to monitor mother-infant interaction and their role development.

Responses of Holstein Cows to Different Bovine Somatotropin (bST) Treatments during the Transition Period and Early Lactation

  • Gulay, M.S.;Garcia, A.N.;Hayen, M.J.;Wilcox, C.J.;Head, H.H.
    • Asian-Australasian Journal of Animal Sciences
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    • v.17 no.6
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    • pp.784-793
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    • 2004
  • Major objective was to evaluate three doses of bST (POSILAC(R)) injected into Holstein cows during the transition period and through 56 d of lactation for potential to improve DMI, BCS, BW, metabolites, hormones, IGF-I and milk production. Biweekly injections of bST (0, 5.1, 10.2, or 15.3 mg bST/d) began 28 d before expected parturition and continued through 56 d postpartum. Twenty-three of the 25 multiparous Holstein cows assigned randomly to four groups completed experiment (7, 5, 6 and 5 cows/group, respectively). The DMI, BW and BCS were recorded weekly throughout the prepartum and postpartum periods and blood samples were collected thrice weekly for analyses of ST, insulin, $T_{4}$, $T_{3}$, IGF-I, glucose and NEFA. Milk yields were recorded daily through 60 d postpartum and milk components measured once weekly. Mathematical model for data analyses for prepartum and postpartum periods included treatment, calving month, and the two-factor interaction. Cows injected with 10.2 and 15.3 mg bST prepartum had greater mean prepartum concentrations of ST and IGF-I. Prepartum injections of bST did not affect prepartum BW or BCS. On average, cows injected postpartum better maintained their BCS during first 60 d of lactation (3.15$\pm$0.06, 3.12$\pm$0.007, 3.20$\pm$0.006 and 3.58$\pm$0.009). Treatments did not affect mean prepartum DMI but cows injected with 15.3 mg bST/d had greatest DMI and greatest mean daily MY during the first 3 wk and tended to be greater during first 60 d of lactation. Cows injected with two highest bST doses (10.1 and 15.2 mg/d) had greater mean postpartum concentrations of ST and $T_{3}$, but IGF-I, $T_{4}$, glucose and NEFA did not differ across groups. No adverse effects of bST treatment were observed.

Skinfold Thickness and Arm Circumference of Korean Breast Fed and Formula Fed Infants from 1 to 3 Postpartum Months (모유영양아와 인공영양아의 피하지방 및 상완위의 성장발육 상태-영아의 피하지방 및 상완위 발육상태-)

  • 최경숙;최혜미;구재옥;임경숙;김주혜;김숙배
    • Journal of the East Asian Society of Dietary Life
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    • v.7 no.1
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    • pp.87-95
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    • 1997
  • One- to three-month-old infants (n=232) were compared their upper arm cumference and skinfold thickness(triceps, subscapular) by feeding methods in cross-sectional study. There were two groups : breast-fed(BF) and formula-fed groups(FF). As reported previously, weight, length, head and chest circumferences of these infants were good, and overall growth status was not significantly different by feeding methods, but weight, weight velocity and chest circumference of formula-fed infants were higher than breast-feds at 3month, significantly. Hear, the triceps skinfold thickness of infants at 1, 2, and 3 postpartum months were 7.4, 9.5 and 10.5 mm, respectively. The triceps skinfold thickness of breast-fed infants were higher than formula-feds at 1 and 2 postpartum month, but at 3 month that of formula-fed infants was greater than breast-fed infants, insignificantly. The subscapular skinfold thickness of infants were 6.4, 9.2 and 10.6 mm at 1 to 3 postpartum months, respectively. The upper arm circumference of infants were 11.7, 13.4, 14.3cm, and the arm muscle diameter were 34.5,39.3 and 41.7cm at one to three postpartum months, respectively. The upper arm circumference of male infants was higher than females at 2, 3 postpartum months. Overall, there were no signifiant differences between feeding methods in triceps and subscapular skinfold thickness, upper arm circumference and arm muscle diameter. But 3-month-old formula-fed male infant showed bigger significantly in arm circumference than the breast-feds. From this survey, long-term survey on growth and body composition of large scales might be necessary to determine the effect of feeding methods of infants after 3 months and to set proper body composition standard for infant.

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