• Child Health Nursing Research
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• v.8 no.1
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• pp.110-120
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• 2002

A phenomenological study is conducted to investigate the experience of mothers with very low birth weight. Sample of 8 mothers participate. Seven theme clusters emerge when the formulated meanings were organized into categories. The participants are 8 mothers who gave birth in the general hospital located in Kyunggi-Province and still live there. The data are collected from the intensive interviews on the experience of mothers whose baby is very low birth weight infant. Data collection is through in depth personal interviews two or three times with each mother. On the basis of the meanings of the experience of mothers with very low birth weight infant, the seven essential themes have been obtained Theme 1:Being surprised and perplexed due to the unexpected sudden delivery Theme 2:Experiencing emotional pain such as anxiety, sorrow, fear, confusion and self-blaming caused by a small and feeble baby. Theme 3: Pouring all their time and efforts into the baby under the acute tension Theme 4:Undergoing intolerable difficulties in confronting reality `Theme 5:Raising the special infant into an normal one by themselves Theme 6: Being on the vigilance for their baby even though they can be relieved Theme 7:Finding out a reward for the difficulties they have experienced The results obtained in this study will enable us to comprehensively understand the experience by mothers whose baby is very low birth weight infant and furthermore to provide a new insight which helps baby.

• Korean Parent-Child Health Journal
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• v.5 no.1
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• pp.50-61
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• 2002

The purpose of this study was to compare the temperamental differences between the normal infants and low-birth-weight infants. The subjects of this study were 70 mothers with normal infants and 62 mothers with the low-birth-weight. Convenient sampling was done at three regions. The infant temperament scale developed by Pridham & others (1994) was used. Data were analyzed by SPSS WIN program. The results were as follows; 1) There was a significant difference in total temperament score between the low-birth-weight infants and normal infants. The scores of the low-birth-weight infants were significantly lower than those of normal infants in the subscales of amenability and persistence, activity, and reactivity. In adaptability, there was no significant difference between two groups. 2) In both groups, there were no significant difference by socio-economic status of parents, delivery type, and birth order. But, in the case of low-birth-weight infants, the temperament score of infants over 6 months was significantly higher than that of infants under 6 months. 3) In the correlation analysis among subscales of the temperament, amenability and persistence, activity, and reactivity showed the significant relationship. But adaptability showed significant correlation only with the amenability and persistence. In conclusion, temperament score of low-birth-weight infants were significantly lower than that of normal infants. It was suggested that parenting education for low-birth-weight infants would be needed to understand and impact the positive infant temperament.

• Clinical and Experimental Pediatrics
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• v.64 no.4
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• pp.172-179
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• 2021

Background: Evidence shows that fluconazole prophylaxis is an effective treatment against invasive fungal infections in preterm neonates, however, the most efficient schedule of fluconazole prophylaxis for the colonization and mortality of invasive candidiasis (IC) is unknown. Purpose: This systematic review and meta-analysis aimed to assess the efficiency of different prophylactic fluconazole schedules in controlling IC colonization, infection, and mortality in very low birth weight (VLBW) and extremely low birth weight (ELBW) infants in neonatal intensive care units. Methods: We searched the PubMed, Scopus, Embase, and Cochrane databases using the keywords "candida," "invasive candidiasis," "IC," "fluconazole prophylaxis," "preterm infants," "very low birth weight infants," "VLBW," "extremely low birth weight," and "ELBW." Results: Mortality was significantly decreased in a meta-analysis of studies using different fluconazole prophylaxis regimens. The meta-analysis also indicated a significant decrease in the incidence of IC-associated mortality in ELBW infants using the same fluconazole prophylaxis schedules. Conclusion: Future studies should explore the effectiveness of other different fluconazole prophylaxis schedules on IC colonization, infection, and mortality.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.28 no.2
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• pp.141-148
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• 2017

Objectives: The current study examined the effect of birth weight on the relationship between age and IQ of children, who were born preterm with very low birth weight (VLBW) or extremely low birth weight (ELBW). Methods: The study subjects were 82 children, aged between 3-5 years, who visited the neonatal intensive care unit of a university hospital located in Seoul. The children had been born prematurely with VLBW or ELBW. Their IQ was tested using the performed Korean-Wechsler Preschool and Primary Scale of Intelligence fourth edition. Results: A hierarchical regression analysis showed a significant interaction effect of birth weight and age on Full Scale IQ (FSIQ); the effect of age on FSIQ differed according to birth weight. For the group with VLBW, FSIQ was more likely to be higher with increasing age. Conversely, for the group with ELBW, FSIQ remained low regardless of the age level. In addition, birth weight and age had a significant interaction effect on the Visual Spatial Index. Birth weight had a significant main effect on Verbal Comprehension Index. Conclusion: This research suggested the possibility of predicting the cognitive developmental of premature children, by highlighting the fact that prematurely born children, with VLBW/ELBW, have different cognitive developmental trajectories.

• Asian-Australasian Journal of Animal Sciences
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• v.12 no.1
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• pp.5-8
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• 1999

Weight records from birth to calving and calving scores of 407 two-year old heifers and weights of their offspring from birth to one year of age were used to study the effects of sire birth weight on maternal traits of their female progeny. The heifers ($G_1$) were Ihe progeny of 81 sires ($G_0$) and were classified into three classes based on their sires' birth weights (High, Medium and Low). The heifers were from three distinct breed-groups and were mated to bulls with medium birth weights within each breed-group to produce the second generation ($G_2$). The data were analyzed using a covariance model. The female progeny of high birth-weight sires were heavier from birth to calving than those sired by medium and low birth-weight bulls. The effect of sire birth weight on calving difficulty scores of their female progeny was not significant. Grand progeny (G2) of low birth-weight sires were lighter at birth than those from high birth-weight sires (p < 0.05) but they did not differ significantly in weaning and yearling weights from the other two Grand progeny groups. The results indicated that using low birth weight sires would not result in an increase in the incidence of dystocia among their female progeny calving at two-year of age and would not have an adverse effect On weaning and yearling weights of their grand progeny.

• Journal of the Korean Society of Physical Medicine
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• v.5 no.3
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• pp.499-508
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• 2010

Purpose : The purpose of this study was to investigate the effect of sensorimotor stimulation on the development of infant with low birth weight premature. Methods : Ten infants with low birth weight premature and ten normal infants participated in this study. We carried out test TIMP(Test of Infants Motor Performance) according pre intervention, post 3 weeks, PCA 40 week and normal infants. The intervention of sensorimotor stimulation applied to infants with low birth weight premature four times a week and fifteen minutes a once time. There was no intervention for normal infants. The collected dada were analyzed by ANOVA using by SPSS/PC 17.0 ver. program. Results : There was significant difference among three differential test period to improved developmental value in infants with low birth weight premature. According over time, numbers of observed items presented significant difference among test period, and elicited total score and total raw score was significant value(p=.00). There was no significant value that means sensorimotor stimulation affected on development of infants with low birth weight premature. Conclusions : In conclusion, sensorimotor stimulation had affects on the development of infants with low birth weight premature.

• Journal of Korean Public Health Nursing
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• v.16 no.2
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• pp.315-324
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• 2002

Objectives : This study was conducted to explore the relating factors with the delivery of low-birth-weight infants in Pyungtaek city. Methods : A questionnaire survey was obtained from 51 mothers with low-birth-weight babies and 90 mothers with full-term normal babies from April to October in 2001. Questionnaire consisted of demographic characteristics, dietary habits including alcohol. drugging, and smoking, past and present disease, prenatal risk factors and prenatal check-up, and complications related to labor and delivery. Results : 1. In the low-birth-weight infants group, father's education level and mother's height were significantly lower, and proportion of old age mothers was significantly higher than those of the normal infant group. 2. Mothers with low-birth-weight infants experienced more premature rupture of membrane, placenta previa, ecclampsia, and twin pregnancy than mothers with normal infants. Gestational period of mothers with low-birth-weight infants was significantly shorter than that of mothers with normal infants. 3. No differences were found in eating habit, alcohol and drug ingestion, smoking, exposing to dangerous materials in two groups, but both groups were highly exposed to indirect smoking, although mothers rarely smoke. Conclusion : The findings of this study indicate that high risk group such as less educated, or older mothers need more prenatal health assessment and support from public health services. Addition to determine the risk factors related to the delivery of low-birth-weight infants, public health nurses pay more attention and develop efficient management system for vulnerable women and infants.

• Child Health Nursing Research
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• v.6 no.3
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• pp.281-290
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• 2000

This study was performed to investigate the effect of kangaroo care on anxiety and confidence and gratification of mothering role in mothers of low birth weight infants. The subjects were 30 mothers of low birth weight infants, sixteen for the kangaroo care group and fourteen for the control group, whose infants hospitalized in two neonatal intensive care unit at two university-affiliated hospital. The kangaroo care was applied 9 times during the twenty six days with 40 minutes for each session. The kangaroo care provides the skin-to-skin contact during which a low birth weight infant wearing a diaper and a hat is placed on its mother's chest. The questionnaire, state anxiety was completed before beginning the first intervention. The questionnaire, state anxiety and confidence and gratification of mothering role were completed at 2 weeks after discharge. The data were analyzed by a SPSS program. The results were as follows : 1. There were no significant differences in the state anxiety between the kangaroo care and the control group before beginning the first intervention. The state anxiety was significantly lower in kangaroo care group than in control group. 2. The confidence of mothering role was significantly higher in kangaroo care group than in control group at 2 weeks after discharge. 3. The gratification of mothering role was significantly higher in kangaroo care group than in control group at 2 weeks after discharge. 4. In mothers of low birth weight infants, the state anxiety was negatively correlated to the confidence of mothering role and the gratification of mothering role at 2 weeks after discharge. And the confidence of mothering role in mothers of low birth weight infants was positively correlated to the gratification of mothering role at 2 weeks after discharge. These results suggest that kangaroo care is an effective nursing intervention for mothers of low birth weight infants in reducing the state anxiety, improving the confidence and gratification of mothering role.

• Child Health Nursing Research
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• v.10 no.1
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• pp.5-13
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• 2004

Purpose: The aim of this study was to analyze the correlation of gestational age and birth weight with weight gain of very low birth weight infants(VLBWI) during their hospital stay. Method: This is a 5 year retrospective study of which data were collected through review of medical records. Subjects were 124 VLBW infants with a birth weight more than 1000g and less than 1500g who received neonatal intensive care at the university hospital between January 1, 1997 to December 31, 2001. Result: After calculating the z scores of birth weights and discharge weights, z scores of discharge weight and birth weight were compared with the median weight of a fetus of comparable gestational age based on an intrauterine growth reference. There was a significant difference between z scores of birth weight and discharge weight(t=11.60, df=122, p=0.000). Regardless of intensive care during the prolonged hospital stay, VLBW infants showed slow growth rate compared with the median weight of a fetus of comparable gestational age. Conclusion: VLBW infants developed a poor velocity of weight gain during the prolonged hospital stay after birth. The development worsened during the period of physiological weight loss and regain, and they did not reach to comparable growth rate of normal fetus even at the time of discharge. This poor growth velocity of VLBW infants influence negatively for their future growth. Therefore nureses who work at the neonatal intensive care unit must develop an effective nursing intervention protocol to promote the velocity of weight gain and to conduct the parental educational sessions to emphasize the importance of weight gain for VLBW infants at home.

• Clinical and Experimental Pediatrics
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• v.49 no.1
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• pp.14-17
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• 2006

Infants who are born prematurely or with low birth weight should be immunized at the same postnatal chronologic age. They should receive BCG, DTaP, IPV vaccines according to the same recommended schedule as full term infants. Hepatitis B vaccine schedule is modified when hepatitis B vaccine is administered a infant with birth weight less than 2,000 g. The recommended standard dose of each vaccine should be administered. Proportion of children experiencing vaccine-related adverse events dose not differ between full-term and preterm infants. Immunization with routinely recommended childhood vaccines is safe for preterm and low birth weight infants.