• The Journal of Korean Obstetrics and Gynecology
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• v.31 no.4
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• pp.128-146
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• 2018

Objectives: This study was performed to analyze the prescriptions of Korean herbal medicine which had been commonly used during postpartum period. Methods: We searched literature on postpartum cares with Korean Herbal medicine in 4 domestic search engines. After that, we conducted eligibility screening based on inclusion and exclusion criteria. Results: 1. We selected total 48 studies. There were 40 clinical studies (25 case reports and 15 case series) and 8 animal experimental studies. 2. Of the 40 clinical studies, other treatments were used together with herbal medicine : acupuncture (28), chuna manipulation (3), and pharmacopuncture (5). 3. Of the 25 case reports, the most common symptoms were musculoskeletal symptoms (8), followed by mental disorders including postpartum depression (5). Various prescriptions of herbal medicine were used depending on the diseases or symptoms. 4. In 15 case series, 665 subjects in 11 case series had taken Saenghwa-tang-gagam within 1~2 weeks after childbirth, and the average duration of Saenghwa-tang-gagam administration were $9{\pm}4.97$ days. 498 subjects in 9 studies were breast-feeding, and there were no side effects reported. 5. All experimental studies were about the recovery, the immunity and the breast-feeding associated puerperal characteristics. Also, 3 studies used Saenghwa-tang as an intervention. Conclusions: Saenghwa-tang can be commonly used for the purpose of prevention and care of the postpartum symptoms within the first 1~2 weeks after childbirth for 10 days. Also, various prescriptions of herbal medicine may be used depending on the diseases or symptoms, and can be conducted with other treatments like acupuncture, cupping, moxibustion, pharmacopuncture and chuna manipulation.

• Journal of Korean Academy of Nursing
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• v.50 no.4
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• pp.583-598
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• 2020

Purpose: This study was to investigate the operational status of the midwifery birthing centers (MBCs) and midwives' job status (Phase 1) and to develop midwifery practice guidelines (MPG) (Phase 2) in Korea. Methods: In the first phase, the subjects were 15 midwives who operated 11 of 14 MBCs that were opened as of August 2018. The questionnaire consisted of items to measure the operational status of the MBC and midwives' job status. In the second phase, the MPG was developed from literature review, interviews with five midwives opening their MBCs, surveys with 74 midwives, and a validity evaluation conducted by seven experts. Results: The distribution of operating MBCs was five in Gyunggi-do, two each in Seoul and Incheon, one each in Busan, Chungcheongbuk-do, Gyeongsangbuk-do, Gyeongsangnam-do and Jeju-do. The mean age of midwives was 54.3 and all were female. In 2017, a total of 762 births including 81 homebirths were performed by midwives. The job performance was highest in the order of neonatal care 3.81, childbirth care 3.56, and postpartal care 3.53, respectively. The MPG included seven areas of prenatal care, childbirth care, postpartal care, neonatal care, primary health care, law/ethics, and administration, with 56 tasks and 166 task elements. Conclusion: This study provides the valid basic data for the operational status of the MBC and the midwives' job status. The MPG describes the midwife's job and may be used as basic data for preparing policies for the development of midwifery practice in Korea.

• Women's Health Nursing
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• v.26 no.4
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• pp.346-357
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• 2020

Purpose: This descriptive phenomenological study aimed to explore the lived experience and meaning of pregnant women's adaptation. Methods: Ten pregnant women from an ongoing Pregnant Couples' Cohort Study agreed to participate in this study. The data were collected through telephone in-depth interviews regarding what they experienced and felt about pregnancy adaptation. The qualitative data were analyzed using Giorgi's method of descriptive phenomenology. Results: Five core situation components were extracted from the raw data, along with 12 themes and 33 focal meanings. The five core situations were 1) first recognizing the pregnancy, 2) pregnancy-related changes, (3) the upcoming birth, 4) the postpartum period, and 5) parenting. The 12 themes were as follows: "anxiety, pressure, and embarrassment due to pregnancy," "efforts to adapt to physical changes," "efforts to adapt to the psychological difficulties of pregnancy," "efforts to adapt to the financial burden and role changes caused by pregnancy," "connecting with the fetus," "adapting to a new marital relationship centering on the baby," "the frustration of childbirth," "fear of childbirth," "postpartum care, need help with lactation planning," "parenting beyond what I imagined," "dad's willingness to participate in parenting," and "career disconnect and consideration of workplace needs." Conclusion: We identified that pregnant women experience adaptation in physical, psychological, relational, and social aspects. The thematic clusters identified can be used to develop nursing interventions to promote women's adaptation to pregnancy.

• Korean Journal of Child Studies
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• v.35 no.5
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• pp.15-35
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• 2014

The purpose of this study was to investigate parenting stress changes in both continuous working and continuous non-working mothers after the birth of their first child and their relationships with the cognitive variables about child-rearing, using the 3rd Panel Study on Korean Children(PSKC) by the Korea Institute of Child Care and Education(KICCE). The results revealed that the parenting stress of the non-working mothers was higher than the stress experienced by the working mothers. The increase in stress was only found both groups between the second year and the third year of childbirth. The total explanatory power of the knowledge, values and expectations regarding their children saw stress increase for the working mothers, but saw it decrease for the non-working mothers. Finally, the emotional value surrounding parenthood was the most powerful variable for both groups, with the exception of the non-working mothers' stress, as experienced in the first year.

• Korean Journal of Child Studies
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• v.30 no.6
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• pp.29-41
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• 2009

In the last thirty years, societal changes have affected Korean families at a fast pace. Some of these changes include the fall of childbirth rate, expansion of women in the workforce, delay of first marriages, and rise of divorces, remarriages, and international marriages. These new trends have created and diversified new contexts for family structures and parent-child relationships. Both parents and children are now confronted with a myriad of new challenges and in need of understanding the newly transformed-family environments in respond to new ecological pressures. Contemporary issues concerning parent-child relationships are discussed by analyzing the new trends and research issues on particular social issues and pressures. Future policy issues are discussed based on these analyses combined with the critical impact of the parent-child relationships on child development.

• Journal of the Korean Home Economics Association
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• v.49 no.9
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• pp.59-72
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• 2011

This study examined whether there are underlying latent classes of growth trajectories of maternal depression in the Korean population. Data from the first phase of the Panel Study of Korean Children (PSKC) of the Institute of Child Care and Education (KICCE) were used for this study. The final sample of participants included 1,471 mothers, who completed three interviews: at birth, at one month, and at four months. A two-class model consisting of depression (12.3%) and non-depression (87.7%) was considered the best-fitting solution using Mplus 3.13. The changes in postnatal depression in the Korean population within four weeks after childbirth, which is the period of "postpartum onset", seem to be important. Logistic regression analysis showed that duration of breast-feeding and planned pregnancy effects were significantly associated with trajectory class membership.

• Child Health Nursing Research
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• v.25 no.1
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• pp.65-73
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• 2019

Purpose: This study aimed to identify factors associated with maternal attachment of breastfeeding mothers, with a focus on the mothers' breastfeeding characteristics. Methods: Data were collected from 217 mothers who breastfed their healthy baby for 1 month after childbirth and had no postpartum complications. The data were analyzed by hierarchical regression analysis. Results: The factors significantly associated with maternal attachment were an emotional exchange with one's baby (${\beta}=.41$, p<.001), breastfeeding confidence (${\beta}=.20$, p=.022), depression ('quite a bit or more', ${\beta}=-.18$, p=.005), and depression ('a little', ${\beta}=-.14$, p=.024). The model explained 38.4% of variance in maternal attachment. Conclusion: In order to improve attachment, nurses should be actively supported in helping mothers in the first month postpartum adapt to breastfeeding. Interventions to prevent postpartum depression should also be conducted.

• Korean Journal of Childcare and Education
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• v.13 no.4
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• pp.53-73
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• 2017

Objective: This study intended to examine whether working mothers' job satisfaction has a moderating effect on the relationship between their parenting stress and second childbearing intention. Methods: The subjects were 202 working mothers in Seoul and Gyeonggi province, all of who had a single child under 36 months old. Working mothers' parenting stress, job satisfaction and second childbearing intention were assessed with questionnaires completed by the mothers. The data were analyzed using descriptive statistics, t-test, one-way ANOVA, Duncan test, Pearson's correlation, and moderator regression analysis. Results: First, a significant difference was revealed in the mothers' second childbearing intention depending on the type of their child's main caregiver. The second childbearing intention of the mothers who relied on babysitters to care for their children was lower than that of the mothers whose mothers, mother-in-laws or child care teachers cared for their children. Secondly, working mothers' parenting stress and job satisfaction significantly affected their second childbearing intention. Thirdly, the mothers' job satisfaction moderated the relationship between their parenting stress and second childbearing intention. Conclusion/Implications: It is necessary to provide working mothers with social support for enhancing their job satisfaction and alleviating their job stress, in order to increase their second childbearing intention.

• Women's Health Nursing
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• v.8 no.1
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• pp.55-68
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• 2002

While the survival rate of preterm infants and employment rates of mothers with infants have been dramatically increasing, little is known about the impact of maternal employment and having premature infants on maternal health recovery after delivery. The purpose of this longitudinal study was to examine differences in postpartum health by mother's employment and infant's prematurity over time during the first 3 months postpartum. The study used a longitudinal design and was secondary data analysis from a large study. A convenience sample of 132 mothers was recruited with mothers who had fullterm or preterm infants through the postpartum unit. They were followed up for 3 times (at 1-2 days, 6 weeks, and 3 months) during the first 3 months postpartum period. Level of fatigue and hysical symptoms were indicators for postpartum physical health; Positive affect and negative affect were assessed for postpartum mental health, and role functional status after childbirth was for role performance. Finding indicated that health indicators changed significantly over time but there was no main or interaction effect for maternal employment status. There were main effects of infant's prematurity on positive affect, negative affect, and role functional status (self-care and social and community activities). This study enhanced the understanding of postpartum health of mothers with preterm infants as well as those with fullterm infants during the postpartum period.

• KIEAE Journal
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• v.17 no.4
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• pp.5-12
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• 2017

Purpose: Recently, a sudden increase in one household in Korea has become an important social problem. Changes in lifestyles such as population change, marriage, childbirth, and divorce are becoming increasing factors for single-family households. As a result of these changes, the government has implemented policies for one accredited state. However, the policy for one domestic applicant is insufficient compared to other countries. As a measure to cope with the increase in the number of applicants, Shared House has emerged and research on Shared House is necessary. Method: First, we analyze the overall characteristics of domestic share house. And it does a spatial analysis of domestic share house. Especially, it analyzes the relationship between private space and public space. Finally, the plan characteristics are derived based on the analysis results. Result: The results are as follows. First, the type of share house is classified according to the combination of the arrangement of private space and the public space. Second, the larger the scale, the more vertical arrangement than horizontal arrangement. Finally, the character of the share house changes according to the characteristics of the resident.