• 제목/요약/키워드: Pregnancy and Childbirth

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산후관리서비스가 산모의 건강관련 삶의 질에 미치는 영향 (Effects of using Postpartum Care Services on the Health-Related Quality of Life in Women after birth)

  • 정재연;차선정;구여정;유기봉
    • 한국병원경영학회지
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    • 제25권4호
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    • pp.29-37
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    • 2020
  • Purposes: This study purposed to identify influence of postpartum care services on health-related quality of life in women after birth. Methodology: Korea Health Panel Survey 2009-2015 provided by the Korea Institute for Health and Social Affairs and National Health Insurance Service was used for the analysis. The health-related quality of life evaluate as a EuroQoL-5D(EQ-5D-3L, used the weight of the CDC) was used as dependent variables. Postpartum care services was used as independent variable. Demographic factors(education, economic activity, region, house income), health related variable(presence of chronic disease, self-rated health), birth related variable(birth-related problem, childbirth, pregnancy of advanced maternal age) used as covariates. Regression analysis was used. Findings: The rate of use of postpartum care services is increasing year by year. Postpartum care services and self-rated health positively influence on the health-related quality of life in women after birth and chronic disease and birth-related problem negatively influence on. Practical Implications: Therefore, it is necessary that the government's policy of the postpartum care service be expanded and systematized to increase accessibility on. There are rare studies on the health-related quality of life of women after childbirth, adjusted for birth-related variables. So this study has significance.

자녀를 둔 어머니의 출산과정 경험 (An Ethnographic Research Study on Childbearing Process of Mother with Children in Korea)

  • 김영희
    • 여성건강간호학회지
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    • 제7권3호
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    • pp.271-283
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    • 2001
  • The childbearing process is a sociocultural phenomenon of a woman who gives birth to a child as well as a biological phenomenon. The purpose of this ethnographic research study was to explore the experience of childbearing process of mothers with children from pregnancy to the 3 months postpartum in Korea and to understand deeply the perspectives of childbearing women reflected on Korean sociocultural values. A convenient sample of 10 childbearing women were observed from January to October 2000 through field work in Seoul, Korea. Data analysis was accomplished under ongoing process. The results of this study were as follows : The mothers with children experienced self-reflection, family relation, and physical adaptation during pregnancy. In self-reflection, all mothers experienced universality and diversity in their self-discovering process. The universal experiences were maturation, life with family and priority on maternal value between being a mother and a woman. The diverse experiences were taking a dual role of working mother, emotional drift of a resigned mother, and disheartened life of a mother who has two daughters. In family relation, the foundation of the new marital relationship were attained during childbearing process and sexual life were changed for the benefit of a healthy mother and a healthy baby. All mothers established friendly relations with their mothers, but established friendly or conflicting or constraining relations with their mother-in-laws due to husband based family culture. In physical adaptation, the informants endured well the physical discomfort and recognized general appearance change. Also maternal-fetal interaction occurred and mothers realistically felt motherhood and accepted themselves as mother-to-be. The mothers prepared for the best delivery, look for a safe childbirth center, newborn goods, endorsed family coping during hospitalization and responded labor pain to make it more endurable, less painful, fast passed owing to labor recognition of the natural process to be a mother. After childbirth, they felt emancipation, satisfaction, accomplishment, more easiness, actually feeling as mother-to-be, emptiness, and showed response to the sex of newborn. Their Sanhujori practice was different according to the Sanhujori environment including provider, place, time in postpartum and reflected on Sanhubyung. The mothers felt actually mother-to-be and happiness during lactation regardless of feeding pattern. These mothers had a different maternal image about rearing subjecthood through their child-rearing experience. But all mothers felt need for family support and social support. The universal rearing response were actual feeling of mother-to-be, a strenuous experience, a pride on child-rearing, confusion, reflecting marital relationship, and wondering rivalry among children. In conclusion, mother of all with children went through self-discovery, self-reflection and made connections with the family as a mother and as a woman simultaneously during the childbearing process. Therefore it is suggested when harmony and balance between a mother and a woman is accomplished, the woman will lead a healthy and high quality of life. Also, this study sought to confirm the sociocultural factors affecting the childbearing process from the perspectives of the women with children. Therefore health care providers must understand deeply the childbearing women with children based on this finding of and try a integrative approach with new ideology of maternity with biocultural perspectives in a clinical setting.

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무자녀 기혼 취업여성의 가족가치관과 일·생활 균형 인식이 첫 자녀 출산의향에 미치는 영향 (Working Married Women's Perceptions of Family Values and Work-Life Balance and their Effect on their Intention to Give Birth to their First Child)

  • 심혜영;박정윤
    • 가족자원경영과 정책
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    • 제28권2호
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    • pp.51-63
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    • 2024
  • 본 연구의 목적은 무자녀 기혼 취업여성의 첫 자녀 출산의향에 영향을 미치는 변인을 밝히고, 저출산 정책대안에 대한 기초자료를 제공하는 것이다. 연구대상은 출산 경험이 없는 만 19세 이상의 기혼 취업여성을 대상으로 선정하였고, 수집된 375명의 자료는 SPSS 26.0을 사용하여 분석하였다. 첫째, 조사대상자의 첫 자녀 출산의향의 확실성 정도가 중간이었으며, 가족가치관 중 결혼가치관과 자녀가치관은 결혼 및 자녀의 필요성 가치를 중간 정도로 인식하였고 성역할가치관은 양성평등적 가치관을 가지고 있었다. 조사대상자들의 일·생활 균형 인식은 보통 수준이었고 하위영역 중 일과 가정, 일과 성장의 균형 인식이 일과 여가의 균형 인식보다 높았다. 둘째, 첫 자녀 출산의향에 영향을 미치는 변인은 학력, 연령, 주거형태, 가족가치관, 일·생활 균형 인식으로 나타났다. 즉, 학력이 높을수록, 연령이 낮을수록, 결혼과 자녀에 대한 중요성을 높게 인식할수록, 일과 가정 영역을 조화롭게 인식할수록 첫 자녀 출산의향이 높은 것으로 나타났다. 본 연구는 무자녀 기혼 취업여성의 첫 자녀 출산의향에 영향을 미치는 변인들을 살펴봄으로써 저출산 해결에 대한 새로운 방안을 모색하는 데 기초자료로 활용할 수 있다는 점에서 의의가 있다.

경북 성인 여성장애인 생활실태와 서비스 욕구 분석 (Analysis on Life Condition and Needs for Welfare Service of Women with Disabilities in Adult in Gyeongbuk)

  • 박주영;김동화
    • 한국콘텐츠학회논문지
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    • 제18권7호
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    • pp.229-244
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    • 2018
  • 본 연구는 경북 성인 여성장애인의 생활실태와 복지서비스 욕구를 분석하여 효과적인 지원방안을 제시하는데 목적이 있다. 연구방법은 문헌연구와 성인 여성장애인 465명을 대상으로 설문조사를 실시하였다. 연구결과를 살펴보면 첫째, 청년기 여성장애인은 2대 가족, 자녀수 1명, 고졸이하, 무배우, 정신적 장애로 경제활동 고용에 대한 욕구가 높은 것으로 나타났다. 둘째, 장년기 여성장애인은 2대 가족, 자녀수 2명, 고졸이하, 유배우, 지체/뇌병변장애로 일상생활지원, 경제활동 고용, 임신 출산 양육에 대한 욕구가 높은 것으로 나타났다. 셋째, 노년기 여성장애인은 1인 가구, 자녀수 3명, 초졸이하, 무배우, 지체/뇌병변장애로 건강 의료에 대한 욕구가 높은 것으로 나타났다. 결론적으로, 청년기 여성장애인은 경제활동 고용 지원으로 직업훈련, 취업지원, 경력개발 지원으로 최근 경북 핵심사업인 신소재 산업, 스마트 프로젝트, 농산업, 관광산업 중심의 일자리 창출이 필요하다. 또한, 직업재활시설의 확대도 요구된다. 장년기 여성장애인은 일상생활 지원, 임신 출산 양육 지원이 요구되므로 산간지역으로 대중교통 접근이 어려운 곳은 교통인프라 마련과 여성장애인 전용 산부인과 지정제 도입이 요구된다. 마지막으로 노년기 여성장애인은 건강 의료 서비스 지원으로 지역 정신건강복지센터, 보건소 등과 연계하여 정기 방문, 신체 및 심리 지원, 가정활동 지원이 필요하다.

이침과 한약치료를 병행한 임신오조(姙娠惡阻) 환자 4례의 증상호전 및 안전성 보고 (4 Cases of Hyperemesis Gravidarum Patients Treated by Herbal Medicine and Auricular Acupuncture, and Safety of These Medical Interventions)

  • 박승혁;채민수;김남훈;황덕상;이진무;이창훈;이경섭;장준복
    • 대한한방부인과학회지
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    • 제26권3호
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    • pp.133-142
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    • 2013
  • Objectives: To identify effects and safety of Korean traditional herbal medicine and auricular acupuncture for hyperemesis gravidarum patients. Methods: Korean traditional herbal medicine and auricular acupuncture were applied to 4 hyperemesis gravidarum patients, and we investigated changes of symptoms, continuance of pregnancy, and whether they delivered or not. Results: Hyperemesis gravidarum symptom was improved in 3 patients, and 1 patient showed complete recovery. Among them, 2 patients had children by natural childbirth, 1 patient had a repeat cesarean due to previous cesarean section, and 1 patient has been maintaining pregnancy well for 25weeks. Conclusions: It is confirmed that symptoms of hyperemesis gravidarum patients were improved by Korean traditional herbal medicine and auricular acupuncture, and these medical interventions are safe.

A Study on the Awareness of Dental Hygienists on Maternity Protection and Work-Family Balance Assistance Policy

  • Seon-Hui Kwak;Bo-Mi Shin;Soo-Myoung Bae
    • 치위생과학회지
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    • 제23권4호
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    • pp.396-407
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    • 2023
  • Background: This study investigated the awareness and utilization of maternity protection and work-family balance support policies among dental hygienists in dental hospitals and clinics. Methods: We surveyed 200 dental hygienists. Twenty-two who did not meet the inclusion criteria were excluded, leaving 178 participants for analysis. The self-administered 48-item questionnaire gathered information on demographics, workplace details, policy awareness, government knowledge, and suggestions for improvement. Results: Awareness of maternity and family support programs significantly differed with age, marital status, number of children, and clinical experience. Dental hygienists in general hospitals and university hospitals reported greater ease of utilizing these policies compared to those in dental clinics. Among the participants, 27.7% took pre- and post-maternity leave, 26.6% took parental leave, 16.9% had reduced working hours during pregnancy, 15.8% had reduced working hours during childhood,and 8.5% during family leave. To promote program uptake, participants suggested mandatory implementation across workplaces (68.4%), expanded support for substitute workers (48.6%), and increased education and promotion of government support (42.4%). Conclusion: While most dental hygienists were aware of the Maternity Protection and Work-Family Balance Assistance Policy, utilizing it proved challenging due to several factors. Organizational policies or practices may not fully implement this policy, while workplace culture could discourage its use. Unfair treatment and the lack of available substitutes further hindered access. To prevent career interruptions for dental hygienists due to pregnancy, childbirth, childcare, and family care, and to maintain career continuity, the dental community and government should establish a multifaceted social support system. This system should prioritize several key areas: strengthening policy promotion, fostering a family-friendly atmosphere, improving management and supervision of policy implementation and developing a robust support system for substitute personnel.

출산에 따른 30대 여성의 하반신 형태 연구 (Lower Body Type of Women in their Thirties after Childbirth)

  • 이정란;홍은숙;백경자
    • 한국의류산업학회지
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    • 제10권6호
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    • pp.979-988
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    • 2008
  • The purpose of this study is to analyze the lower body size and forms of married women in their thirties who have experienced pregnancy and parturition. Their measurements derived from the direct anthropometry and indirect photographic measures were compared to those of 20's. Improving consumer satisfaction for missy brand, especially in fitness of skirt and pants, some lower body classification were presented. The results were as follows : 1. The characteristics of lower body showed many differences by individuals especially in depth, girth, length and angle measures rather than height and breadth measures. Many items including index, calculations and angles revealed significant differences compared to those of 20's. Several breadth items, crotch length had distinct increase than those of women in twenties. Flattened buttocks side silhouette from waist to hip, buttocks drooping and decrease of inclination implied the influence of pregnancy, parturition and aging. 2. We hardly find out sizing system differences between missy brand and miss brand. Based on waist and hip girth measurements of subjects, sizing system of missy apparel wasn't suitable for their body size. Excessive drop(hip girth-waist girth) of missy brands, 25~30 cm, was almost the same to the drop of miss brands. 3. To improve the size satisfaction of missy women, we classified the lower body into 5 types according to drop, buttocks angle and hip length. Type 1 was small waist with large buttocks projection, and hip length was close to an average. Type 2 was small waist with medium buttocks projection, and the hip length was close to an average. Type 3 was medium waist, with average projection of the buttocks and hip length. Type 4 was large waist, projection of the buttocks and the hip length were close to an average. Type 5 was large waist, projection of the buttocks was small and the hip length was close to an average.

한국의료패널을 이용한 구급 이송 서비스 이용 특성 분석: 임신, 출산, 산후기 여성을 중심으로 (Analysis of the Use of Ambulance Services Among Pregnant, Childbearing, and Postpartum Women Using Data from the Korea Health Panel)

  • 강경희
    • 한국화재소방학회논문지
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    • 제33권6호
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    • pp.152-158
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    • 2019
  • 본 연구에서는 한국보건사회연구원과 국민건강보험공단의 한국의료패널 2008-2016년 연간 데이터(Version 1.5)를 이용해 임신, 출산, 산후기 여성의 구급 이송 서비스 이용 특성을 분석하였다. 분석 결과를 요약하면, 첫째, 임신, 출산 및 산후기 여성의 119 구급차, 민간 구급차 등 구급 이송 서비스 이용률은 12.0%로 전체 구급 이송 서비스 이용률 18.9%보다 상대적으로 낮았다. 둘째, 임신, 출산 및 산후기 여성의 응급에서 분만이 38.7%로 가장 큰 비중을 차지하였으며, 진통 및 분만의 합병증이 20.0%, 유산된 임신이 17.3% 등의 순으로 나타났다. 셋째, 임신, 출산 및 산후기 여성의 구급 이송 서비스 이용 특성 중 연 평균 가구소득, 응급실 도착 소요시간, 응급실 도착 지연 인식 등에서 구급 이송 서비스의 이용자 집단과 비이용자 집단 사이에 통계적으로 유의한 차이가 나타났다. 따라서 저출산과 고령 산모로 인하여 분만 취약지가 늘어날수록 임신, 출산, 산후기 여성을 위한 사회안전망으로서 구급 이송 서비스의 양적 확대와 질적 제고는 더욱 시급한 과제가 될 것이다.

유산 후 산후풍 환자 1례에 대한 임상보고 (A Case Report of Postabortal Syndrome Patient)

  • 김세화;황덕상;이진무;이경섭;이창훈;장준복
    • 대한한방부인과학회지
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    • 제27권4호
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    • pp.97-108
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    • 2014
  • Objectives: This study is to report the clinical effect of oriental medicine on a patient suffering from postabortal syndrome with somatic pain disorder, Qi deficiency and depression. Methods: The patient had a miscarriage by cervical incompetence in 24 weeks' gestation even though she had operated cervical cerclage in 20 weeks' gestation. The patient received herbal medication, acupuncture, moxibustion during 20 days of outpatient treatment. The clinical effects were evaluated through VAS (Visual Analogue Scale) and EPDS (Edinburgh Postnatal Depression Scale Test). Results: The clinical symptoms of somatic pain and Qi deficiency were reduced during the treatment. The EPDS score also decreased from 19 points (high risk level) to 8 points (low risk level). Conclusions: This case study showed that herbal medicine, acupuncture and moxibustion treatment appeared to effectively reduce postabortal syndrome. Since patients previously experienced cervical incompetence tend to have habitual abortion for next pregnancy, further long term observation and preventive treatment are needed in this case for next safe pregnancy and childbirth.

Concept analysis of transition to motherhood: a methodological study

  • Hwang, Woon Young;Choi, Sun Yeob;An, Hae Jeong
    • 여성건강간호학회지
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    • 제28권1호
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    • pp.8-17
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    • 2022
  • Purpose: Although the term "transition to motherhood" is commonly used in research, the concept is not clear. This study, hence, was conducted to clarify the concept of "transition to motherhood." Methods: The concept analysis framework developed by Walker and Avant is used to analyze the concept of transition to motherhood. Results: Transition to motherhood is defined as the physical, psychological, social, and relational (mother-baby relationship/interpersonal relationship) changes that happen to a woman after pregnancy and delivery of a baby. The attributes of the transition to motherhood include: 1) adapting to physical changes after pregnancy and childbirth; 2) experiencing various psychological changes; 3) changing of her social perception from being a woman to someone's mother; and 4) forming and developing a relationship with the newborn, adjusting priorities, and redefining the relationship between family and others. Meeting the newborn is regarded as an antecedent of the transition to motherhood. Redefining identity and physical image, ensuring mother's well-being, maternal attachment, and confidence in the maternal role are regarded as consequences of the transition to motherhood. The concept was clarified by the presentation of model, borderline, and contrary cases. Conclusion: The significance of this study lies in the clarification of the concept of transition to motherhood and defining its attributes. It is recommended that tools be developed to measure transition to motherhood based on the results of this study. Furthermore, nurses and midwives can use study findings to better understand the concept of transition to motherhood in providing care and support to mothers who experience it.