• 제목/요약/키워드: Pregnancy and Childbirth

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일 대학병원에 의뢰된 결혼이주 임산부의 10년간 산전, 분만 특성 변화 연구 (Study on the Changes of Prenatal and Labor Characteristics of Married Immigrant Women Referred to a University Hospital for 10 years)

  • 박경미;문희;이은숙
    • 한국산학기술학회논문지
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    • 제19권3호
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    • pp.317-324
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    • 2018
  • 이 연구의 목적은 지난 10년간 C 대학병원에서 분만하였거나 지역병원에서 산전관리를 받다가 의뢰된 결혼이주임산부의 산전 및 분만 특성을 전반기 5년과 후반기 5년 동안의 변화를 파악하여 결혼이주여성의 산후 모자건강관리 프로그램 개발의 기초자료를 제공하고자 시도되었다. 자료 수집은 C 대학병원에서 분만한 결혼이주여성의 의무기록지를 통해 2016년 9월 7일부터 6주 동안 진행하였으며, 특성 변화를 파악하기 위하여 2011년을 기준으로 전 후반기 5년으로 구분하였다. 조사기록지는 인구학적 특성, 산전, 분만 관련 특성으로 구성되었으며 수집된 자료는 SPSS 23.0 Program을 이용하여 빈도와 백분율, Independent Sample T-test, Chi-square test를 분석하였다. 연구결과는 다음과 같다. 결혼이주여성의 산전, 분만 특성 중 전반기에 비해 후반기에 임신시 부적절한 체중 증가, 임신합병증, 조산, 저체중 신생아, 낮은 아프가 점수 등이 유의하게 증가하였다. 따라서 결혼이주여성의 이러한 변화를 토대로 이들의 산전, 분만 합병증 예방과 효율적인 관리를 위한 산전 후 건강 관리 프로그램 활성화 방안이 필요하다.

한국 산모의 산후 우울과 산후 외상 후 스트레스장애 관련성: 종단적 연구 (Association of postpartum depression with postpartum posttraumatic stress disorder in Korean mothers: a longitudinal survey)

  • 조현진;고민선;유혜지;안숙희
    • 여성건강간호학회지
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    • 제28권1호
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    • pp.46-55
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    • 2022
  • Purpose: This study aimed to determine the level of postpartum posttraumatic stress disorder (PTSD) and postpartum depression (PPD) in Korean mothers with healthy babies and to explore the factors related to postpartum PTSD. Methods: This study used a longitudinal survey design to explore the levels and association of PPD and PTSD. Two hundred women were recruited during pregnancy and the data were collected via online survey from 166 mothers (84% retained) who gave birth to healthy babies, at two postpartum periods: Fear of childbirth was assessed at the 1st week; and spousal support, PPD, and postpartum PTSD were surveyed at the 4th week postpartum. Descriptive statistics, t-test, one-way analysis of variance, Chi square test, and multiple regression were done. Results: The mean age of mothers was 33.12 (±3.97) years old. Postpartum PTSD was low (8.95±6.49) with 1.8% (n=3) at risk (≥19). PPD was also low (6.68±5.28) and 30.1% (n=50) were identified at risk (≥10). The comorbid rate of PPD with PTSD was 6%. Mothers who did not have a planned pregnancy had higher scores of PPD (t=-2.78, p=.008), whereas spousal support and PPD had negative relationship (r=-.21, p=.006). The overall explanatory power for postpartum PTSD was 55.2%, of which PPD was the only significant variable (β=. 76, t=13.76, p<.001). Conclusion: While only 1.8% was at risk of postpartum PTSD at 4 weeks postpartum, PPD prevalence was 30.1% and PPD was the only influential factor of postpartum PTSD. Assessment and counseling of PPD are required as well as screening for postpartum PTSD. More research is also needed on postpartum PTSD in Korean women.

고위험 임부의 태교실천, 자존감 및 사회적 지지가 모아애착에 영향을 미치는가?: 횡단적 조사 연구 (Do taegyo practices, self-esteem, and social support affect maternal-fetal attachment in high-risk pregnant women? A cross-sectional survey)

  • 강다인;박은아
    • 여성건강간호학회지
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    • 제28권4호
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    • pp.338-347
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    • 2022
  • Purpose: The incidence of high-risk pregnancies is increasing in Korea as the birth age increases due to late marriage. Maternal-fetal attachment is an important factor that affects children even after childbirth, but it is difficult for high-risk pregnant women to form maternal-fetal attachment. The current study aimed to explore whether taegyo practice (i.e., pregnant women's efforts for fetal good growth and development), self-esteem, and social support influenced the degree of maternal-fetal attachment in women with high-risk pregnancies. Methods: The participants included 226 pregnant Korean women at ≥20 gestational weeks, hospitalized with 15 high-risk pregnancy conditions as defined by the Ministry of Health and Welfare. Recruitment via convenience sampling was done at four sites in Busan, Korea. Surveys were distributed and collected from February 1 to 28, 2022. Data analysis was conducted using descriptive statistics, the t-test, one-factor analysis of variance, Pearson correlation coefficients, and hierarchical multiple regression. Results: On average, participants were 33.97±4.23 years of age and at 31.65±6.23 gestational weeks. Preterm labor (35.4%) and gestational diabetes (21.0%) were the most common high-risk conditions. Maternal-fetal attachment was positively correlated with taegyo practice (r=.70, p<.001), self-esteem (r=.53, p<.001), and social support (r=.53, p<.001), all with statistical significance. Taegyo practice (β=.50, p<.001) and social support (β=.17, p=.030) explained 53% of variance in maternal-fetal attachment in women with high-risk pregnancies. Conclusion: Nurses caring for women with high-risk pregnancies during hospitalization can use these findings by promoting taegyo practice and enhancing social support to increase maternal-fetal attachment.

For the Protection of Infant Life Development and Support of Social-Linked App

  • Yoon Soo Lee
    • International Journal of Internet, Broadcasting and Communication
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    • 제16권1호
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    • pp.261-268
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    • 2024
  • This study focused on social connection apps and support among various measures to prevent 'killing and abandonment of infants', which has recently become a social issue. The research method attempted to show the necessity of a social-linked app by analyzing the contents of 12 cases with peculiarities in the infant murder process in the judgment after 2021. Infanticide mothers were found to be economically and socially vulnerable, and they killed infants to continue their lives. Focusing on the mind of human respect rather than the judicial meaning of punishing crime, the development of social connection apps and support services that allow both mothers and infants to be healthy and socially protected were proposed. The first is a great transformation of economic support and awareness for pregnancy, childbirth, and parenting. Second, it is necessary to develop a confidentiality counseling and information app that can comprehensively support medical directions and social welfare in consideration of the health status of the fetus and women and the socio-economic situation. Third, it is proposed to promote the use of the Internet such as joint childcare facilities of social communities, child protection institutions, and adoption systems. The government should investigate the reasons for not being able to register birth, the root causes of killing and abandonment of infants, and come up with practical plans and policies for them.

여성근로자의 작업장 건강안전위험요인 및 관리방안 (Workplace Health and Safety Risk Factors and Management Plan for Female Workers)

  • 김숙영;김영택
    • 한국직업건강간호학회지
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    • 제29권4호
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    • pp.235-246
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    • 2020
  • Purpose: In Korea, the proportion of female workers among occupational injury is steadily increasing. The purpose of this study was to identify the workplace risk factors that threaten the safety and health of the female workers. Methods: Qualitative study was conducted, using focus group interview. Data were collected from five focus groups of eighteen female workers who were working in the manufacturing, health service, and educational service industries. Results: The seven themes of occupational safety and health risks of women workers are as follows: 1) Workplace with various risks; 2) Sliding, falling, burning, and cutting accidents; 3) Chronically lasting musculoskeletal symptoms; 4) Chemicals that may be harmful to workers; 5) Unprotected infectious disease; 6) Psychological safety accidents(Relationship conflict and emotional labor); 7) Loud, hot, stuffy, scary, and tired. Conclusion: The Occupational Safety & Health (OSH) Act should be rearranged gender sensitively and women's participation in the OSH decision-making process should be guaranteed. OSH education should be properly implemented in the field, and support should be provided for women workers in small businesses. A supportive organizational culture for marriage, pregnancy and childbirth should be established, and the working environment should be provided safely, taking into account gender differences.

Q방법론을 적용한 임부복 디자인 선호도에 대한 연구 (A Study on Maternity Design Preference Using Q Methodology)

  • 차수정
    • 한국의류학회지
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    • 제43권5호
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    • pp.742-752
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    • 2019
  • This study analyzes the type of subjectivity of married women who have experienced pregnancy and childbirth. It also provides basic data on clothing development that can provide satisfaction to the physical comfort and appearance of pregnant women by understanding the conditions necessary for maternity wear design. This study used Q methodology. The type of recognition for maternity wear was classified into three types and explained 90.88% of total variance. Type 1 was comfort and activities style-oriented. They preferred the A-line shape with a size adjustable style and elastic material. In addition, they preferred designs using details such as wrinkles. Type 2 was a fitted body and modern style-oriented. It was analyzed that they prefer a pants style that is close to the body in a simple and modern style of monotone. Type 3 held a lot of space and was cute style-oriented. They preferred cute dress style along with a maternity suit that could cover the hip and abdomen. Maternity wear design is necessary to develop various designs considering preferences because it is classified into types that emphasize comfort, types that emphasize modernity that is close to the body, and styles that emhasize cute styles.

한방부인과 영역에 활용되는 수기요법의 국내외 연구 동향 (Research Trends Using Manual Therapy in Obstetrics and Gynecological Diseases)

  • 김순아;김민경;김수진;경다현;백지원;권미리
    • 대한한방부인과학회지
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    • 제33권4호
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    • pp.127-142
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    • 2020
  • Objectives: The purpose of this study is to analyze the research trends using manual therapy in obstetrics and gynecological diseases. Methods: We searched for studies that performed manual therapy on diseases related to obstetrics and gynecology. All relevant papers were selected and extracted to be analyzed. Results: 12 Randomized controlled trials, 8 cases, 3 pilot studies, 3 non-comparative studies, and 1 before-after comparative study were collected. The study subjects, results, techniques of manual therapy used were analyzed. There were studies related to pregnancy-related symptoms, postpartum pain, dysmenorrhea, chronic pelvic pain, abnormal uterine bleeding, sexual dysfunction, and childbirth. Conclusions: It has been found that various manual therapies can be used for obstetrics and gynecological diseases.

시험관 아기 시술 체험 (Lived Experience of IVF-ET Program)

  • 이윤정;김귀분
    • 여성건강간호학회지
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    • 제15권1호
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    • pp.43-53
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    • 2009
  • Purpose: This study was to identify what experience meant for the wives that attempted IVF-ET(In Vitro Fertilization-Embryo Transfer) program due to the spouse's infertility and provide fundamental materials to improve nursing interventions. Method: Giorgi's phenomenological method was employed, the subjects were five wives who had ever attempted IVF-ET program due to the infertility of their spouses. In-depth interview and observation method were utilized to gather information from April to December 2003. Result: The significant results from analyzing the interviews can be grouped into 34 themes, 8 categories. The essential themes for the experiences of the wives were 'shocked by the unbelievable reality', 'can't give up the connection to the blood', 'Lack of social education on pregnancy, and childbirth', 'self-pity', 'feelings of both families', 'Being afraid of the unexpected result', 'physical and mental agony', 'Positively coping with the reality. Conclusion: The results show that infertility is not a mere personal matter, and infertile people, their families and society should team up with in tackling it. The physical, psychological and social problems triggered by infertility could be ironed out by making both personal and collaborative approaches to that.

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월경 증상 영향요인 탐색: 일 대학 대학생을 중심으로 (Exploring Factors Influencing Menstrual Symptom: Focus on University Students)

  • 김남희
    • 한국보건간호학회지
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    • 제35권1호
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    • pp.120-134
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    • 2021
  • Purpose: The reproductive health of women in early adulthood can affect pregnancy, childbirth, and menopause in later life. Menstrual symptoms not only affect daily life, but are also a reflection of a woman's reproductive health. This study was conducted to explore the factors affecting menstrual symptoms among university students. Methods: The general characteristics, life style, menstrual characteristics, stress, and menstrual symptom of 177 female students were assessed through an online survey at one university. An independent sample t-test, one-way variance analysis, correlation analysis, and multiple regression analysis were performed using the SPSS 22.0 program. Results: The menstrual symptom score was 91.68±32.11 points, and the score of 'mood change' was the highest. Stress (��=.38, p<.001), amount of menstruation (��=.20, p=.001), menarche age (��=-.18, p=.003), health problems (��=.16, p=.010), and age (��=.15, p=.016) were found to have a significant effect on menstrual symptom, and the explanatory power of the regression model was 40%. Conclusion: This study investigated the degree and influencing factors of menstrual symptom using the Korean Menstrual Symptom Scale (KMSS) developed for Korean university students. Among the factors influencing menstrual symptom, stress appeared to play a significant role. Stress management, observation of menstrual characteristics, and general health care are necessary to maintain a woman's reproductive health.

여성 정신분열병 환자의 항정신성 약물 복용 체험 (The Lived Experience of the Women with Schizophrenia Taking Antipsychotic Medication)

  • 송은주
    • 대한간호학회지
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    • 제41권3호
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    • pp.382-392
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    • 2011
  • Purpose: This study was done to identify some natural meaning through the dosage experience of psychoactive drugs in women patients with schizophrenia. Methods: The Hermeneutic phenomenology written by van Manen was used. The period for data collection was from November 2009 to January 2010. This study took place in mental health hospitals and mental health centers in two cities in North Jeolla Province. Nine patients with schizophrenia participated. Data collection was done through individual in-depth interview. Results: The seven natural subjects demonstrated by participants from this study were 'Pills forcibly taken like veiled threats', 'A terrible side effect, a side effect rooted slowly', 'Shame which cannot be hidden as a woman', 'A bad medicine took away from motherhood', 'The fate of a wife who can't be equal', 'A struggle for the complete recovery without promise', and 'Participants want the future without medicine'. Conclusion: The results of this study indicate that the urgent need to develop a safe and believable psychoactive drug for woman patients considering the time of menstruation, pregnancy, childbirth, and child raising.