• Title/Summary/Keyword: Korean pregnant women

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Impact of dental imaging on pregnant women and recommendations for fetal radiation safety: A systematic review

  • Thiago Oliveira Gamba;Fernanda Visioli;Deise Renata Bringmann;Pantelis Varvaki Rados;Heraldo Luis Dias da Silveira;Isadora Luana Flores
    • Imaging Science in Dentistry
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    • 제54권1호
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    • pp.1-11
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    • 2024
  • Purpose: This study was conducted to investigate the safety of dental imaging in pregnant women with respect to fetal health. Materials and Methods: Searches were conducted of the PubMed, Scopus, and Web of Science databases in May 2023. The inclusion criteria encompassed cross-sectional and longitudinal studies that focused on the analysis of diagnostic dental imaging in pregnant women, as well as studies utilizing phantoms to simulate imaging examinations. The exclusion criteria consisted of reviews, letters to the editor, book chapters, and abstracts from scientific conferences and seminars. Results: A total of 3,913 articles were identified. Based on a review of the titles and abstracts, 3,892 articles were excluded, leaving 21 articles remaining for full-text review. Of these, 18 were excluded, and 4 additional articles were included as cross-references. Ultimately, 7 articles underwent quantitative-qualitative analysis. Three retrospective studies were focused on pregnant women who underwent dental imaging procedures. The remaining 4 studies utilized female phantoms to simulate imaging examinations and represent the radiation doses absorbed by the uterus or thyroid. Conclusion: Few dental radiology studies have been conducted to determine the safe radiation threshold for pregnant women. Additionally, the reviewed articles did not provide numbers of dental examinations, by type, corresponding to this dose. Dental imaging examinations of pregnant women should not be restricted if clinically indicated. Ultimately, practitioners must be able to justify the examination and should adhere to the "as low as diagnostically acceptable, being indication-oriented and patient-specific" (ALADAIP) principle of radioprotection.

Associated factors of depression in pregnant women in Korea based on the 2019 Korean Community Health Survey: a cross-sectional study

  • Kim, Eun Gyeong;Park, Sook Kyoung;Nho, Ju-Hee
    • 여성건강간호학회지
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    • 제28권1호
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    • pp.38-45
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    • 2022
  • Purpose: Various individual and social factors influence depression in pregnant women. The purpose of this study was to identify the influence of socioeconomic status, health behaviors, and health status on depression of pregnant women in Korea. Methods: This study analyzed data from the 2019 Korean Community Health Survey conducted from August to October 2019. A structural questionnaire with Patient Health Quetsionnaire-9 (PHQ-9), health behavior, health status, and psychological characteristics was used. The data of 1,096 pregnant women between the ages of 19 and 55 years were analyzed using descriptive statistics, independent-test and chi-square tests, and multiple regression. Results: The mean score of prenatal depression as measured by the PHQ-9 during pregnancy was 2.35 points out of 0 to 27 points. Low income (B=0.69, p<.001), low-education level (B=0.70, p<.001), skipping breakfast (B=0.34, p=.001), less than 8 hours of sleeping (B=0.26, p=.009), binge drinking during pregnancy (B=0.46, p=.001), and stress (B=1.89, p<.001) were significantly associated with increased depression scores. In contrast, depression scores significantly decreased as subjective health status (B=-0.59, p<.001) and subjective oral health status (B=-.17, p=.003) increased. Conclusion: Findings support the need for healthcare policies and clinical screening to alleviate prenatal depression, especially for pregnant women with low socioeconomic status, poor health behavior, poor health status, and high stress.

The Iron Status of Korean Pregnant Women

  • Park Jin-Ah;Yun Sung-Seob;Juhn Suk-Lak;Roxana Irimescu;Sakaguchi Noboru;Raj Juneja Lekh;Chun Ho-Nam
    • Nutritional Sciences
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    • 제9권3호
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    • pp.195-200
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    • 2006
  • We surveyed Korean pregnant women who participated in the Maeil mothers' club and factory tour from March to April, 2004 and assessed volunteers' hemoglobin (Hb) levels. The average Hb level of 747 subjects was $11.5{\pm}1.5g/dl$ and anemic subjects were 268 women, 35.9% of total subjects. The ratio of anemic subjects was 42.9% in the first trimester, 43.6% in the second trimester and 29.1 % in the third trimester. About 87.9% of subjects began to take health foods after conception. Seventy nine percent of subjects took iron supplement as one of health foods and 73.8% of them began it in the second trimester. The results of this study showed that health foods were more effective than iron supplement alone in improving the iron status of Korean pregnant women. Therefore, the better improvement effects are expected when pregnant women begin health food-based approaches as early as possible before pregnancy to improve pre-pregnancy iron reserve.

임신부의 철분 영양잠재위험집단의 조기선별을 위한 스크리닝 도구의 개발 II (A Screening Tool for Identifying High-Risk Pregnant Women of Fe Deficiency Anemia : Process II)

  • 박정아;윤진숙
    • 대한지역사회영양학회지
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    • 제8권2호
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    • pp.160-170
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    • 2003
  • Pregnant women in South Korea are a highly risk group fur iron deficiency anemia. Previous studies indicated that the 24-hour recall method was insensitive in distinguishing iron deficiency anemic women from normal women. This method is also impractical to when used at community health centers where no public health dietitians are employed. The objective of this study was to develop a convenient tool to evaluate the usual iron (Fe) intake of pregnant women. The study participants were 115 pregnant women (age 23 to 37 years) at gestational stage of 13 to 24 weeks. Anemic subjects were classified on the basis of their serum ferritin < 12.0 ${\mu}$g/L and hemoglobin < 12.0 g/dL levels. Food frequency questionnaires with 46, 29, and 15 commonly consumed food items were used to measure the usual intake of iron of the subjects. Hemoglobin and serum ferritin were measured from fasting blood samples. Nutrients intake was assessed on three consecutive days using the 24-hour recall method and the food record method. The iron index score calculated using the food frequency method showed a significantly positive correlation with iron intake for the three days dietary intake. The iron index showed a significantly difference (p < 0.05) between the normal and anemic groups. However, there was no significant difference in the iron intake between the anemic and the normal women as measured by the 24-hour recall and food record method. Our study indicated that the 29-food items questionnaire could be used as a screening tool to identify poor dietary intake of iron. (Korean J Community Nutrition 8(2) : 160170, 2003)

Does family support mediate the effect of anxiety and depression on maternal-fetal attachment in high-risk pregnant women admitted to the maternal-fetal intensive care unit?

  • Yoon, Se-Hee;Sung, Mi-Hae
    • 여성건강간호학회지
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    • 제27권2호
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    • pp.104-112
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    • 2021
  • Purpose: This study investigated the mediating effect of family support in the relationships of anxiety and depression with maternal-fetal attachment among pregnant women admitted to the maternal-fetal intensive care unit (MFICU) in Korea. Methods: The participants were high-risk pregnant women with a gestational age of at least 20 weeks who were admitted to MFICUs in Busan and Yangsan. The Korean versions of four measurement tools were used for the self-report questionnaire: Spielberger's State-Trait Anxiety Inventory, the Edinburgh Postnatal Depression Scale, Cobb's family support measurement, and Cranley's maternal-fetal attachment scale. Data were collected from June 22 to September 20, 2020. Out of 124 participants, data from 123 respondents were analyzed. Descriptive statistics and regression analysis were done. Results: The average age of participants was 34.1 years. Their anxiety level was moderate (43.57±11.65 points out of 80) and 53.6% were identified as having moderate depression (average 10.13±5.48 points out of 30). Family support was somewhat high (average 43.30±5.03 points out of 55). The average score of maternal-fetal attachment was also somewhat high (73.37±12.14 points out of 96). Family support had a partial mediating effect in the relationships of anxiety and depression with maternal-fetal attachment among high-risk pregnant women admitted to the MFICU. Conclusion: Maintaining family support is challenging due to the nature of the MFICU. Considering the mediating effect of family support, establishing an intervention plan to strengthen family support can be helpful as a way to improve maternal-fetal attachment for high-risk pregnant women admitted to the MFICU.

농촌(農村) 가정보건사업지역(家庭保健事業地域)의 가임여성(可妊女性)의 영양(營養) 및 기생충조사(寄生蟲調査) (Nutrition and Parasite Survey of Rural Fertile Women of the Family Health Project Area in Korea)

  • 박명윤;이보숙;이경자;모수미
    • Journal of Nutrition and Health
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    • 제14권4호
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    • pp.200-208
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    • 1981
  • A survey was conducted from January 23 to 31 and February 14 to 18, 1981, in Whaseounggun, Kyunggj-do, to investigate the dietary and nutritionary status, and prevalence of parasitic infection of the fertile women, in an attempt to provide an integrative perspective on the rural family health programmes. The results are summarised as follows; The total number of fertile women, randomly selected, was 197 ; 21 women were in the latter half of pregnancy; 38 women, lactating, the remaning, non-pregnant. Average age of the subjects was 31.4 years; average number of children, 2.7; average number of abortion, 0.9; average family number in home, 5.5. The families had a mean income of \ 2,470,000 per fear. The majority, 83.8% of the families, were engaged in farming. 61.4% of the subjects had completed schooling 6 years or less. The mean energy intake of the lactating women was 73.4% of the recommended allowance, while that of non-pregnant and pregnant women reached 86.9 to 88.6% of the recommendation. In the average diet of the subjects, carbohydrates contribute 74.6 to 81.7% of the total energy intake; protein 11.3 to 11.9%; fat 7.0 to 13.9%. Protein intake of non-pregnant, pregnant, and lactating women met 72.6%, 60.8%, and 65.2% of allowance, respectively; and those proteins were mainly derived from vegetable sources. The subjects ingested less than one-half of the allowances for iron, calcium, vitamin A, and riboflabin ; in contrast, thiamin and ascorbic acid levels were adequate or fairly acceptable. There were significant correlations of meal balance and food diversity scores to the mean intake levels of protein, calcium, iron, vitamin A, thiamin, and riboflavin. Only 10% of the pregnant women and 11.4% of non-pregnant and lactating women reached the acceptable level of hemoglobin. Positive prevalence of parasitic infection was found among about one-third of the subjects, 30.3% of women. Hematologic findings had no significant correlation to parasitic infection.

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임부의 가족지지와 임신의도 및 산전자가간호 (Family Support, Intention of Pregnancy and Antenatal Self-Care of Pregnant Women)

  • 정혜경;김경희;염순교;송미승;안옥희;이종화
    • 여성건강간호학회지
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    • 제9권3호
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    • pp.319-326
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    • 2003
  • Objectives : A Pregnancy becomes a developmental challenge and a life-turning point for both the woman herself and her family. The purpose of this study was to identify the correlation amomg the family support, intention of pregnancy and the antenatal self-care of pregnant women. Method : The data were collected from 129 pregnant women by a questionnaire. The collected data were analyzed by descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, using the SPSS program. Result : The findings of the study are as fellows : Statistically significant variables related to family support were age, religion, educational level, occupation, relationship with husband, relationship with mother. Statistically significant variables related to intention of pregnancy were religion, abortion history. Statistically significant variables related to antenatal self-care were age, religion, occupation, abortion history, relationship with mother, the term of marriage. There was a significant correlation between family support and intention of pregnancy, family support and antenatal self-care, intention of pregnancy and antenatal self-care. Conclusion : Therefore, it is proposed that family support is an appropriate nursing intervention to improve the antenatal self-care and intention of pregnancy in pregnant women.

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기태교(氣胎敎) 프로그램이 임신부의 불안, 우울 및 신체 증상에 미치는 효과 (Effects of a Qigong Prenatal Education Program on Anxiety, Depression and Physical Symptoms in Pregnant Women)

  • 이경옥;김기련;안숙희
    • 여성건강간호학회지
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    • 제12권3호
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    • pp.240-248
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    • 2006
  • Purpose: The purpose of this study was to verify the effects of a Qigong prenatal education program on anxiety, depression and physical symptoms in pregnant women. Method: The subjects were a total of 40 pregnant women who received regular prenatal care at S hospital. Twenty people were enrolled in the Qigong prenatal education program and were assigned to the experimental group. The other 20 people who received regular prenatal care only were the control group. The Qigong prenatal education program was given to the experimental group once a week and 2 hours per session for 4 weeks. Anxiety, depression and physical symptoms were collected by a self-administered study questionnaire at the pre- and post-test. Result: There were no significant differences in subjects' general characteristics or pretest scores of study variables at the pretest indicating both groups were homogeneous. Differential t-tests were used to test the effects of the Qigong prenatal education program on study variables. Pregnant women who received the Qigong prenatal education program had a lower level of depression than those who did not attend(t=2.23, p=.03). There were no significant differences on anxiety and physical symptoms. Conclusion: The Qigong prenatal education program was effective in alleviating depression during pregnancy. However, further study is needed to replicate the results with a greater sample size and to investigate the long term effects of the program on the labor and delivery process.

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임신중 피로에 관한 조사연구 (A Study on Pregnant Women's Fatigue)

  • 박영숙;이혜경;이은희;엄영란;강남미;이숙희;허명행;김혜원
    • 여성건강간호학회지
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    • 제4권3호
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    • pp.429-440
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    • 1998
  • A survey was conducted to examine the fatigue and the related factors in pregnancy. 426 pregnant women were recruited from antenatal clinic at 8 hospital from November 1, 1997 to January 1, 1998. Fatigue was measured by the Modification of the Fatigue Symptoms Checklist(MFSC) developed by the Industrial Fatigue Research Committee of the Japanese Association of Industrial health(Yoshitake, 1978). The MFSC consisted of 34 items with 4-point Likert scale. Minor discomfort during pregnancy was measured using a 14-item checklist with 4-point Likert scale. The data were analyzed by percentage, t-test, ANOVA and Pearson correlation. The major findings of study were as follows : 1. The average fatigue score during pregnacy was 63.02 and the average minor discomfort score was 26.92. 2. The fatigue score of nullipara was significantly lower than that of mutipara. There was a significant difference of fatigue score between pregnant women with conjugal family and those with extended family. The fatigue score during 1st trimester was the highest in comparison with that of 2nd and 3rd trimester of pregnancy. 3. The fatigue score of pregnant women who worked for house-keeping only was significantly lower than that of pregnant women who worked partially or did not work for house-keeping. 4. There were significant correlations among each type of measure of fatigue and discomfort. Fatigue was the most common symptom during pregnancy and related to type of family, house-keeping work, and parity. Nursing intervention such as self-car, relaxation, and nutrition would be developed to manage fatigue problem in pregnancy.

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임신·수유부의 안전한 약물 사용에 대한 지식, 태도, 행동 및 교육 요구 분석: 설문지 기반 연구 (Analysis of Knowledge, Attitudes, Practices, and Educational Needs for Safe Medication Use in Pregnant or Breastfeeding Women: A Questionnaire-Based Study)

  • 박지원;최경희;유기연;김하연;김경임
    • 한국임상약학회지
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    • 제33권1호
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    • pp.35-42
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    • 2023
  • Objective: There is a growing interest in the safe use of medications in pregnant and breastfeeding women. Therefore, the purpose of this study is to find ways to improve education about safe medication use by investigating the status of medication use of pregnant and breastfeeding women, and by evaluating their knowledge, attitudes, and practices toward safe medication use. Methods: In this study, a self-report questionnaire was conducted on pregnant or breastfeeding women in Seoul and Gyeonggi Province. The questionnaire consisted of the following four sections; 1) sociodemographic characteristics of participants, 2) experience of medication use, 3) experience of being educated on safe medication use, and 4) knowledge, attitudes, and practices about medication use during pregnancy/breastfeeding. Results: A total of 203 participants were included in the analysis. Of these, 38.4% reported to take prescription medications during pregnancy and breastfeeding. Regarding education on safe medication use, nearly 90% of the participants answered that they were not educated or were unsure whether they had it. In the knowledge-attitude-practice evaluation on safe medication use, the knowledge level was the highest (mean, 4.45), followed by the attitude level (mean, 3.58) and the practice level (mean, 3.33). The preferred education method of the participants was online education using a computer or mobile phone application, etc. Conclusions: This study suggests that there is a need for systematic and effective education that can link knowledge of safe medication use with attitudes and practices in pregnant and breastfeeding women.