• Child Health Nursing Research
• /
• 제1권1호
• /
• pp.5-15
• /
• 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.

• Clinical and Experimental Pediatrics
• /
• 제62권5호
• /
• pp.149-154
• /
• 2019

The World Health Organization recommends that infants should be exclusively breastfed for the first 6 months of life to provide optimal nutrition in this critical period of life. After this, infants should receive nutritionally adequate and safe complementary foods while breastfeeding continues for up to 2 years of age or beyond. For nonbreastfed infants, infant formula is an available option to provide the nutrition needed. Infant formula is usually prepared from industrially modified cow's milk and processed to adjust for the nutritional needs of infants. However, cow's milk is one of the most common causes of food allergy, affecting 2%-5% of all formula-fed infants during their first year of life. One strategy to prevent cow's milk allergy in nonbreastfed infants is the use of partially hydrolyzed formula (pHF) in high-risk infants, which are infants born in families with atopic disease. However, based on an epidemiological study, approximately half of the infants who develop allergy are not part of the at-risk group. This is because the non-at-risk group is significantly larger than the at-risk group and the non-at-risk infants have approximately 15% risk of developing allergies. This study aimed to evaluate the effects of partially hydrolyzed whey formula (pHF-W) in nonbreastfed infants and determine whether pHF-W can prevent atopic disease in high-risk infants and can be used as routine starter formula regardless of the allergy risk status.

• 한국가정과학회지
• /
• 제9권3호
• /
• pp.47-62
• /
• 2006

The purpose of this study is comparing parenting efficacy, knowledge of infant-care and sensitivity, The subjects of this study were 100 parents having 12-24 monthes old child in the city of Jeonju, Korea. Parenting efficacy was developed by Shin, Suk-Jae(1997) and consisting of 16 questions. The knowledge of infant-care was assessed using Knowledge of Child Development Inventory(KCDI) by Yoon Hyung Ju, which was modified by pedology Professor and 3 graduate school students in master's or doctorate courses. In addition, by using a tool made by Gwon, Mi-Gyeong(1998) centering on the literatures on infant cue in Barnard's NCAST program, the parents' sensitivity of infant cue is investigated. The statistical analysis of the collected data is done with SPSS 10.0, and frequency, percentage, average, standard deviation, t/F test and Pearson's correlation are also used. The results of this study were as following: First, mother's parenting efficacy was higher than father's. There were significant differences in parenting efficacy by eudcational level of mothers. Second, knowledge of infant-care was higher in mothers than fathers. Areas that mothers have knowledge of infant-care in the order of the lowest areas are emotional development, sociality development, physical development and cognitive development. Third, mothers reaction to infant cue is more sensitive and positive than father's. Fourth, There were positive correlations with father's parenting efficacy and knowledge of infant-care on emotional development, and paternal parenting uneasiness has negative correlations with his sociality development and emotional development.Meanwhile, There were positive correlations with mother's parenting efficacy and knowledge of infant-care on emotional development. Maternal parenting efficacy has negative correlations with her knowledge of infant-care on emotional development.

• 대한가정학회지
• /
• 제35권6호
• /
• pp.235-248
• /
• 1997

This study was aimed to validate the Infant/Toddler Environment Rating scale (ITERS). The rating scale was translated and adjusted appropriately by two researchers majoring child studies. An item-by-item comparison of the ITERS with criteria of NAEYC was conducted as the measure of content validity. 88% of the items of the ITERS was covered on the NAEYC criteria. Criterion validity was assessed by comparing ITERS scores and the Assessment Profile for early childhood Programs scores. The total correlation of two scores was .87. The sample for the inetrater reliability and internal consistency studies included 30 infant/toddler classes in 30 day care center in Inchon city. Two observers independently rated each class on the ITERS during a single visit. The Spearman's correlation coefficient for interater reliability on the overall scale was .74. For the measure of internal consistency, the Cronbach's Alpha score on the overall scale was .93. The rating results show that national/public child care centers have better quality in Adult Needs and Learning Activities subscales than private child care centers have.

• 대한가정학회지
• /
• 제40권7호
• /
• pp.1-14
• /
• 2002

This study investigated infant, mother/famny, and nonmaternal care characteristics contribution to infant- mother attachment through ecological perspective. Participants were forty 12-to 18-month-o1d infants and their mothers. Infants were observed in the Strange Situation to assess the pattern of infant-mother attachment; the Observational Ratings of the Caregiving Environment was used to assess the caregiving environment. Mothers were interviewed with the questionnaires, and observed in the laboratory "living room". There were significant effects of material sensitivity/responsiveness and good quality child care on secure attachment. Infant, mother/family, and nonmaternal care characteristics were mutually related.

• 아동학회지
• /
• 제20권1호
• /
• pp.147-164
• /
• 1999

The purpose of this study was to investigate (1) intergenerational transmission from mother's internal working model of relationships formed in her childhood and infant's attachment patterns and (2) the associations among maternal working models, maternal sensitivity, and infant attachment patterns. The subjects were twenty 12- to 20-month-old infants and their mothers. The Adult Attachment Interview (1996) was used to assess mother's internal work model of relationships. Interviews were audio-recorded and transcribed verbatim. Each dyad was videotaped in the modified Ainsworth Strange Situation(1978) and filmed for 3 minutes in the Questionaire Situation of Smith and Pederson (1988). Mothers were classified as autonomous(F), dismissing(Ds), preoccupied(E), or unresolved/disorganized(Ud). Infants were classified as secure(B), insecure-avoidant(A), or insecure-resistant(C). Exact A/B/C/D and Ds/F/E/Ud agreement was observed in 55% of the dyads. Maternal sensitivity was related to infant attachment patterns but not to maternal working models.

• 부모자녀건강학회지
• /
• 제3권2호
• /
• pp.67-80
• /
• 2000

This study was described as midwife's role and obstacle of midwife's role expansion. Midwife as primary medical personal who practices for a mother and infant health care and promotion of mother infant interaction. As the trend of increasing natural childbirth, midwifery has to provide childbearing care those who want delivery in a midwifery center. This study conducted to survey for 44 midwives who work at the midwifery center. The results of the study as fellows. 1. Most of the midwives role was care of pregnancy, delivery, postpartum women and babies. Another role was conducted educational classes childbirth, breast feeding, contraception and sexual education. 2. Some midwives role perform breech, vaccum delivery, episiotomy and suture, pitocin induction and augmentation, ultrasonogram, giving medication, anesthesia, collecting specimen from Pap smear and vaginal discharge. Midwife perform these roles without medical law support. 3. Most of the obstacles of the midwife role was the medical law limitation. Midwives want revise medical law to perform simple treatment for childbearing women and babies. 4. Half of the midwives refer cases to medical doctor in case of complication of women and newborns. 5. Current frequency of home birth rate is slightly higher than before and me cases like to have delivery under water. Finally, midwife and midwifery have to prepare to meet childbearing woman, baby and family's need. For activation and expansion of midwife's role, every midwife has to be aware of medical law accurately and they must know what practice they can do and what practice they can not do.

• 대한가정학회지
• /
• 제41권7호
• /
• pp.91-106
• /
• 2003

Multiple features of infant day-care are explored, including age of entry, quantity, quality and stability of day-care. And relative contribution of day-care and family factors on maternal behaviors are examined. Data were gathered from 299 mothers who have infants aged under 36 months using self-report questionnaires. Results show that more than 40% infants enter day-care before 6 months of their life and about 85% of infants have far more than 30 hours of care a week. Half of the infants experience different day-care arrangements more than once. Compared to the other types of day-care, frequency of day-care arrangement change and quality of care are highest in private child-care centers. A series of Hierarchical regression results reveal that quality of day care is negatively related to mothers' control behavior whereas positively related to mothers' responsive behavior. But in general, family and child characteristics play a greater role in mothers' parenting behaviors than infant day-care characteristics.

• 대한가정학회지
• /
• 제44권1호
• /
• pp.37-45
• /
• 2006

The study aimed to determine the effects of Early Childhood STEP on parenting stress and child's behavior. The study subjects were 29 Korean mothers and their child. The researcher translated the Parent's guide of the Early Childhood STEP into Korean, along with the video tapes for parents. The experimental group was educated with the Early Childhood STEP program (lecture, reading educational material, discussion, watching video). To determine the pre- and post-test differences of parenting stress and infant behavior, t-test was used. The results are presented below. First, Early Childhood STEP exhibited a decreasing effect on the parenting stress of mothers. Second, STEP exhibited a decreasing effect on the infant behavior, particularly the behaviors in the areas of incapability, revenge, and power reactions.

• 부모자녀건강학회지
• /
• 제8권2호
• /
• pp.123-136
• /
• 2005

This research is to compare the infant's temperament and parenting stress perceived by premature infants' mother and full-term infants' mother. It aims at establishing the healthy relationship between mothers and infants. It investigates the basic data of nursing intervention program to help the mother of premature infant. The period of data collection was from May 1, 2005 to May 30, 2005, and the subjects were total 123 mothers: 44 mothers of premature infants and 79 mothers of full-term infants under 6 months who visited general hospitals, individual pediatrics, and health center located in G city. "What My Baby Is Like(WBL)" developed by Pridham, Chang, and Chiu(1994) and translated by Bang Kyeong Sook(1999) was used as a measuring instrument of infants' temperament, and Parenting Stress Index (PSI) developed by Abidin(1990) and revised and complemented by Kim Dong Hee(1997) was used as a measuring instrument of parenting stress. Collected Data were analyzed through $X^2$-test, t-test, Pearson's correlation with SPSS 12.0 window program. The results are as follows: 1. There was a significant difference in the infant's temperament perceived by premature infants' mothers and full-term infants' mothers (t=-4.08, p=.00). In subcategory, there were significant difference between premature infants' mother and full-term infants' mother in geniality(t=-3.62, p=.00), adaptation(t=-3.43, p=.00) and reaction(t=-2.01, p=.05). 2. There was a significant difference in parenting stress between premature infants' mother and full-term infants' mother(t=6.57, p=.00). The parenting stress of premature infants mothers appeared to be higher than full-term infants' mothers. They showed the higher stress in the mother-child relationship area(t=6.27, p=.00) and child area(t=7.38, p=.00) among 3 areas of parenting stress. 3. There were negative correlation between infants' temperament and parenting stress. As mothers perceived the infant's temperament negatively, the parenting stress. Especially, the negative correlation of infants' temperament and parenting stress of premature infants' mothers(r=-.44) was stronger than that of full-term infants' mothers(r=-37). From the research, as mothers of premature infants receive more stress, their stress can cause the serious problem to the relationship of the mother and the infant. Therefore, the nursing intervention should be carried out in order to change the negative perception of mothers towards their infants into the positive perception reduce the parenting stress.