• 제목/요약/키워드: Postpartum day

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Effects of a breastfeeding coaching program on growth and neonatal jaundice in late preterm infants in South Korea

  • Jang, Gun Ja;Ko, Sangjin
    • Child Health Nursing Research
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    • 제27권4호
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    • pp.377-384
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    • 2021
  • Purpose: This study examined the effects of a breastfeeding coaching program for mothers on growth and neonatal jaundice in late preterm infants (LPIs). Methods: This was a quasi-experimental study (non-randomized intervention) with a time-series design. The study was conducted among 40 LPIs who were admitted to the neonatal intensive care unit of a university hospital in Daegu, South Korea. In the order of admission, the first 21 infants were assigned to the experimental group, and 19 were assigned to the control group. The intervention program consisted of home- based and web-based practical breastfeeding support education for mothers across a total of 5 sessions. Infant growth was measured using body weight, length, and head circumference, and neonatal jaundice was assessed using transcutaneous bilirubin levels. Results: The likelihood of breastfeeding for infants in the experimental group at 4 weeks after discharge was the same as on the day of discharge, whereas it steadily decreased in the control group. There were significant differences in head circumference between the groups. However, weight, length, and transcutaneous bilirubin levels did not show a significant group-time interaction. Conclusion: A formal breastfeeding coaching program should be considered in clinical settings and at home within the first few weeks postpartum.

산후조리원 화재안전매뉴얼구축을 위한 안전의식 조사 및 개선방안에 관한 연구 (A Study on the Investigation of Safety Consciousness and Improvement Plan for Fire Safety Manual in Postpartum Care Center)

  • 진승현;김혜원;한지우;박성하;이병흔;권영진
    • 한국건축시공학회:학술대회논문집
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    • 한국건축시공학회 2018년도 추계 학술논문 발표대회
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    • pp.96-97
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    • 2018
  • Facilities used by senior citizens, infants, and disabled people have characteristics that make it difficult to escape on their own or require a lot of evacuation time. Therefore, to ensure safety in case of fire, clear measures for securing safety of facilities, fire response methods, and training are required in accordance with the regulations. In case of postnatal care center facilities, newborn babies and mothers reside 24 hours a day, and as they are located in high-rise and multi-use facilities, measures for fire safety are necessary, but the domestic manual lacks. Accordingly, a field survey for security of the manual revealed that the establishment of awareness and facilities on temporary waiting areas and smoke control, which are easy for evacuation and fire safety, was a problem.

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젖소에서 분만 후 첫 수정 간격 및 임신 간격이 이후의 번식능력에 미치는 영향 (Effect of the Interval from Calving to First Insemination and Days Open on the Subsequent Reproductive Performance in Dairy Cows)

  • 이수찬;이태호;정재관;강현구;김일화
    • 한국임상수의학회지
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    • 제30권6호
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    • pp.435-441
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    • 2013
  • 본 연구는 젖소에서 분만 후 첫 수정 간격 및 임신 간격이 이후의 번식능력에 미치는 영향에 대하여 조사하였다. 첫 번째 분석에서는, 705두의 젖소 자료를 첫 수정 간격에 따라 짧은 간격(30-60일, n=217), 중간 간격(61-90일, n=309) 및 긴 간격(91-150일, n=179) 군으로 구분하였다. 자궁내막염의 발생은 짧은 간격 및 중간 간격 군에 비해 긴 간격 군에서 증가되었다(p<0.05). 첫 수정 간격이 증가함에 난소낭종의 발생은 증가한(p<0.05) 반면, 분만 후 5 개월 간의 BCS는 반대로 낮았다(p<0.01). 분만 후 365일까지의 임신율은 중간 간격 군에 비하여 긴 간격 군에서는 낮았으나(hazard ratio[HR]=0.70, p<0.0001), 짧은 간격 군에서는 높았다(HR=1.41, p<0.0001). 두 번째 분석에서는, 436두의 젖소 자료를 임신 간격(공태 기간)에 따라 짧은 간격(30-90일, n=154), 중간 간격(91-180일, n=183) 및 긴 간격(181-360일, n=99) 군으로 구분하였다. 후산정체 발생율은 중간 간격 군에 비해 긴 간격 군에서 높았으나 (p<0.05), 난소낭종의 발생은 짧은 간격 군에 비해 중간 간격 및 긴 간격 군에서 증가하는 경향이 있었다(p=0.08). BCS는 분만 후 1개월에 중간 간격 및 긴 간격 군에 비해 짧은 간격 군에서 낮았다(p<0.05). 산유량은 분만 후 2개월에서 5개월까지 짧은 간격 군에 비해 중간 간격 군에서 증가하였다(p<0.05). 분만 후 150일까지 첫 수정율은 짧은 간격 군에 비해 긴 간격 군이 낮았다(HR=0.73, p<0.02). 분만 후 365일까지의 임신율은 중간 간격 군에 비하여 긴 간격 군에서는 낮았으나(HR=0.64, p<0.0001), 짧은 간격 군과 중간 간격 군에서는 차이가 없었다(p > 0.05). 더욱이, 도태율은 짧은 간격 군에 비해 긴 간격 군에서 증가하였다(p<0.05). 결론적으로, 젖소에서 첫 수정 간격 및 임신 간격의 연장은 이후 번식능력의 감소를 초래하였으며, 이것은 산후 질병의 증가, BCS 감소 및 많은 산유량에 기인하였다.

젖소의 분만 후 비정상적 난소 주기가 번식 성적에 미치는 영향 (Effect of Abnormal Ovarian Cycle Postpartum on Subsequent Reproductive Performance in Holstein Cows)

  • 박수봉;손준규;박성재;백광수;전병순;안병석;김현섭;박춘근
    • Reproductive and Developmental Biology
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    • 제30권3호
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    • pp.213-218
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    • 2006
  • 본 연구는 젖소의 분만 후 난소 주기 재개의 이상이 번식 성적에 미치는 영향을 구명하기 위해 수행하였다. 정상적인 난소 주기가 진행이 되면 배란된 날에 난소 주기가 재개된 것으로 간주하였다. 공시우의 58.8%(l14/194)가 정상적인 난소 주기의 재개를 하였고 41.2%의 소에서 난소 주기의 재개가 지연되었다. 배란 후 황체기가 20일 이상 유지되는 난소 주기의 재개지연 I형(17.5%)과 분만 후 40일 이전에 첫 배란이 나타나지 않는 난소 주기의 재개지연 II형(22.7%)이 난소 주기 재개 지연의 일반적인 형태였다. 정상적인 난소 주기를 가진 개체와 비교해 보면, 황체기가 연장된 소들의 분만 후 100일 이내의 인공수정 공시율, 수태율과 임신율은 더 낮고(각각 84.2 대 40.0%; p<0.01, 24.0 대 21.4%, 20.2 대 11.1%) 분만 후 첫 수정 일수와 공태 일수가 더 길다(각각 $64.7{\pm}2.79$$105.7{\pm}7.48$일; p<0.01, $105.1{\pm}7.16$$133.7{\pm}11.17$일). 정상우와 무배란우를 비교해 보면, 100일 이내의 수태율과 임신율이 낮고(각각 24.0대 20.0%, 20.2 대 16.3%) 분만 후 첫 수정 일수과 공태 일수가 더 길다(각각 $64.6{\pm}2.79$$72.6{\pm}4.45$일, $105.1{\pm}7.16$$120.8{\pm}12.33$일). 결론적으로 젖소의 분만 후 비정상적인 난소 주기는 인공수정 공시율, 임신율, 첫 수정 일수와 공태 기간을 포함하는 번식 성적의 저하를 유발시킨다.

Plasma Hormones, Blood Metabolites, Milk Yield and Composition in Early Lactation of Buffaloes Treated with Bromocryptine

  • Saha, A.;Singh, M.
    • Asian-Australasian Journal of Animal Sciences
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    • 제11권4호
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    • pp.368-374
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    • 1998
  • The study was conducted on six multiparous Murrah buffaloes which were earlier artificially induced into lactation. During the experimental period of 15 days, buffaloes were managed in a loose housing system. All the buffaloes were administered a single injection of bromocryptine (@ $100{\mu}g/kg$ body weight) subcutaneously in the neck region at 08:30 A.M., 50 days postpartum (early lactation). Blood samples were collected from four buffaloes for a period of 5 days before the administration of bromocryptine i.e. on days -5, -4, -3, -2, -1, on day of treatment (day 0) and thereafter daily for a period of 9 days i.e 1, 2, 3, 4, 5, 6, 7, 8 and 9 to determine the hormones and blood metabolites. Homogeneous milk samples from all the buffaloes were collected at morning and evening milkings on days coinciding with the days of blood sampling for analysis of milk constituents. Administration of bromocryptine resulted in a significant inhibition of plasma prolactin within 24 hrs of treatment, but the response in all the buffaloes was not uniform. The effect of bromocryptine on plasma prolactin hormone lasted for 1-4 days but Cortisol concentration were not altered. Administration of bromocryptine neither affected blood glucose nor plasma non-esterified fatty acids concentration. Irrespective of level of milk production from different buffaloes, there was no effect of bromocryptine on milk yield which indicated that prolactin is not required for milk secretion during early lactation in buffaloes. Milk constituents like fat, protein and lactose were not affected by bromocryptine may be due to no effect of bromocryptine of milk yield.

Innate immunity and carbohydrate metabolism alterations precede occurrence of subclinical mastitis in transition dairy cows

  • Dervishi, Elda;Zhang, Guanshi;Hailemariam, Dagnachew;Dunn, Suzana M.;Ametaj, Burim N.
    • Journal of Animal Science and Technology
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    • 제57권12호
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    • pp.46.1-46.19
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    • 2015
  • Background: This study examined whether activation of innate immunity and alterations of carbohydrate and lipid metabolism precede development of subclinical mastitis (SCM). Methods: Blood samples were collected from the coccygeal vein from 100 Holstein dairy cows at -8, -4, disease diagnosis week, and +4 weeks postpartum. Six healthy cows (controls - CON) and six cows that showed clinical signs of SCM were selected for serum analyses. All serum samples were analyzed for acute phase proteins (APP) haptoglobin (Hp) and serum amyloid A (SAA); proinflammatory cytokines including interleukin 1 (IL-1), IL-6, and tumor necrosis factor (TNF) and serum lactate, BHBA, and NEFA concentration. Data of DMI, milk production, and milk composition were recorded and analyzed. Results: The results showed that cows with SCM had greater concentrations of SAA, TNF (P < 0.01), and lactate before expected day of parturition (P < 0.05) compared to CON cows. Cows with SCM showed greater concentrations of lactate starting at -8 weeks (P < 0.05) and TNF starting at -4 weeks prior to the expected day of parturition (P < 0.01). Interestingly, at -4 weeks, concentrations of IL-1 and Hp were lower in cows with SCM compared to healthy cows (P < 0.01) followed by an increase during the week of disease diagnosis (P < 0.05). Subclinical mastitis was associated with lower DMI, at -4 weeks before calving, milk production (P < 0.05) and increased somatic cell counts (SCC) (P < 0.01). Conclusions: Results of this study suggest that SCM is preceded by activated innate immunity and altered carbohydrate metabolism in transition dairy cows. Moreover the results support the idea that Hp, lactate, and SAA, at -8 weeks, and TNF and IL-1 at -4 weeks can be used as early indicators to screen cows during dry off for disease state.

조기 이유한 흰쥐에서 유단백질의 섭취수준과 조성비가 기관성장과 단백질대사에 미치는 영향 (Effects of Milk Protein levels and Casein/Whey Ratios on Organ Growth and Protein Metabolism in Early Weaned Rats)

  • 박미나
    • Journal of Nutrition and Health
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    • 제30권1호
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    • pp.3-11
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    • 1997
  • This study was conducted to investigate the effects of protein levels and casein/whey ratios on organ growth and protein metabolism in early weaned rats. Premature rats weaned by the 17th day were fed six semipurified synthetic, isocaloric and gel diets that contained three levels (low, medium and high) and two different combinations(casein/whey ; 80 : 20 or 20 : 80) of milk protein for 8 days. On the 25th day postpartum, frest weigth and DNA, RNA and milk protein contents in brain, liver, kidney and muscle were determined to ascertain organ and cellular growth. Futher, with a view to ascertain protein metabolism and renal functions, serum total protein, $\alpha$-amino N, urea N, and creatinine and creatinine and urinary urea N, creatinine and hydroxproline were determined. Total DNA contents of brain, liver and kidney, which may represent as an index of cell numbers in those organs were significantly decreased in the rats fed diets containing low level protein regardless of casein/whey ratio. However, as fat as the rats fed high protein diets were concerned, their fresh weight, protein contents and GFR of kidney were significantly increased. Furthermore, nitrogen components, $\alpha$-amino N, urea N and creatinie in serum and urine were also increassed. Another observation was that high casein/whey ratio significantly facilitated accumulation of porteins in muscle and kidney and urinary hydorxyproline excretion, not affecting the DNA content of those organs. This study showed that low(8%) or high(32%) contents of protein had less desirable effects either on protein metabolism or on organ cellular growth in prematurely weaned rats, whereas there were no effects on general growth and bone strength.

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한국 재래산양 분만의 인위적 조절에 관한 연구 II. Prostaglandin $F_2\alpha$ 투여에 의한 분만전후의 혈중 Progesterone 수준변화 (Studies on Artificial Control of Parturition in Korean Native Goats II. Serum Level of Progesterone Before and After Parturition by the Prostaglandin $F_2\alpha$ Injection)

  • 윤창현;민관식;장규태;오석두
    • 한국가축번식학회지
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    • 제16권2호
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    • pp.103-107
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    • 1992
  • The present study was conducted to find out the changes of progesterone levels in pre and post partum by the PGF2$\alpha$ administration to control artificial parturition in Korean native goats. A total of 24 goats were offered for this experiment. The animals were divided into 4 goats per treatment by the administration time(142, 145 or 148 day of pregnancy). Blood samples were taken from jagular vein pre-post partum by the PGF2$\alpha$ intramuscular administration. The progesterone in serum was assayed by radioimmunoassay. The serum progesterone level in late-pregnant goats averaged 4.85$\pm$0.55ng/ml, 4.05$\pm$0.47ng/ml or 2.76$\pm$0.25ng/ml on 142, 145 or 148 days of gestation. After the intramuscular injection with PGF2$\alpha$ for inducing parturition, it decreased remarkably to below 1.0ng/ml and to the base level(0.4~0.6ng/ml) at day 1 after parturition. And then this base level of progesterone was maintained until the final examination at 9 days of postpartum. No significant difference was found in the serum levels of progesterone between the doses treated for parturition induction. It was concluded that exogenous PGF2$\alpha$, administrated intramuscularly, induced premature parturition with causing withdrawal of progesterone levels for triggering luteolysis.

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Milk production and composition of conventional and organic-fed Holstein dairy cows as affected by temperature and relative humidity

  • Joo, Jong Gwan;Nogoy, Kim Margarette C.;Park, Jihwan;Chon, Sunil;Lee, Dong Hoon;Choi, Seong Ho
    • 농업과학연구
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    • 제48권1호
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    • pp.45-57
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    • 2021
  • This study aimed to determine the effects if ambient temperature (Ta), relative humidity (RH), and temperature-humidity index (THI) on milk production parameters such as milk yield, fat, protein, milk urea nitrogen (MUN), and lactose. A total of fifty (50) mid-lactating Korean Holstein cows (144 - 150 days postpartum) were randomly assigned to two groups in equal numbers (n = 25) according to the type of diet received: conventional feed, a mixture of 56: 44 ratio of roughage and concentrate mix, and organic feed containing 100% organic roughage. Temperature, RH, and THI were recorded daily and averaged monthly. Conventional group showed higher dry matter intake throughout the experiment and thus, showed higher total milk yield and milk composition such as milk fat, protein, and lactose content than organic milk. Milk of the conventional group showed higher polyunsaturated fatty acid concentration. Highest milk yield was observed in September (21.7℃, 82.4%RH) in conventional group (27.69 kg·day-1) and in June (21.4℃, 72.9%RH) in organic group (14.31 kg·day-1). In conventional group, milk yield was positively correlated with Ta and THI, and milk protein was negatively correlated with Ta, RH, and THI. In organic feeding, only the MUN among milk composition parameters showed a significant correlation where it showed a negative correlation with Ta, RH, and THI. Conventional feeding showed significantly higher milk yield, fat, protein, and lactose than organic feeding throughout the experiment, although, organic feeding showed to be less likely affected by Ta, RH, and THI than the conventional feeding.

Oestrus Induction, Plasma Steroid Hormone Profiles and Fertility Response after CIDR and eCG Treatment in Acyclic Sahiwal Cows

  • Singh, Harpreet;Luthra, R.A.;Khar, S.K.;Nanda, Trilok
    • Asian-Australasian Journal of Animal Sciences
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    • 제19권11호
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    • pp.1566-1573
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    • 2006
  • The study was conducted on 30 true acyclic Sahiwal cows (15 cows, ${\geq}90$ days postpartum; 15 postpubertal heifers, ${\geq}30$ months of age) and a similar 20 untreated controls (10 cows, 10 heifers). An 'Eazi' breed Controlled Internal Drug Release (CIDR) device (containing 1.38 g progesterone) was inserted intravaginally for 7 days (days 0 to 7) followed by 500 IU eCG i.m. at CIDR removal in all the treated animals. Heifers also received 5 mg oestradiol valerate i.m at CIDR insertion. The reproductive performance of these animals was recorded in terms of oestrus induction response, conception and pregnancy rates. Plasma progesterone ($P_4$) and oestradiol-$17{\beta}$ ($E_2$) profiles of 4 representative animals from each treatment group before, during and after CIDR treatment were also monitored. An oestrus induction response of 100% was observed in treated cows and heifers. The majority of cows (53.3%) and heifers (60%) were induced to oestrus within 24-36 and 36-48 h, respectively after CIDR withdrawal; with mean intervals of $44{\pm}3.18$ and $48{\pm}2.35h$, respectively. The conception rate at induced oestrus was higher in cows (40%) than heifers (20%). The final pregnancy rates after 2 subsequent oestruses were 80 and 60% in cows and heifers, respectively (overall 70% for all treated animals). In comparison, only 10% of control animals (2 cows only, 2/20) showed oestrus and become pregnant (10%) during theentire study period. The pretreatment (day 0) mean plasma P4 levels were statistically (p>0.05) similar in cows and heifers ($0.40{\pm}0.04$ and $0.49{\pm}0.11ng/ml$, respectively). The peak $P_4$ levels were observed on day 1 in cows ($13.94{\pm}1.41ng/ml$) and day 2 in heifers ($19.15{\pm}3.30ng/ml$) with a progressive decline up to the day of CIDR withdrawal ($3.35{\pm}0.92$ and $8.79{\pm}1.71ng/ml$, respectively). Mean $P_4$ levels on day 9 and 10 in cows and heifers did not differ significantly from their respective day 0 values and the lowest values were recorded on day 10 both in cows and heifers ($0.13{\pm}0.03$ and $0.14{\pm}0.02ng/ml$, respectively). Wide variations in individual pretreatment $E_2$ levels were observed both in the cows (range = 4-26, mean = $13.00{\pm}4.65pg/ml$) and heifers (range = 10-14, mean = $11.50{\pm}0.96pg/ml$). Thereafter also, $E_2$ levels in cows showed variation and reached a peak level ($53.50{\pm}2.99pg/ml$) on day 8. In heifers, peak mean $E_2$ level ($111.25{\pm}39.81pg/ml$) was recorded on day 1, followed by a non-significant decline on day 2, a significant fall on day 6 and a non-significant increase on day 9 and 10. However, mean $E_2$ levels on days 7 (p<0.05), 8 and 9 (p<0.01) were significantly higher in cows compared to heifers. The post-CIDR withdrawal mean highest $P_4$ and lowest $E_2$ levels coincided with the period when the majority of animals were induced to oestrus. CIDR and eCG treatment resulted in effective induction of oestrus with satisfactory pregnancy rates in true acyclic Sahiwal cows and heifers.