• Title/Summary/Keyword: Pregnancy and Childbirth

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Health-care Needs of High-risk Pregnant Women Hospitalized in Maternal-Fetal Intensive Care Units: A Mixed-methods Design (산모 집중치료실에 입원한 고위험 임부의 건강관리 요구: 혼합적 연구방법 적용)

  • Kim, Hyunjin;Park, Horan
    • Women's Health Nursing
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    • v.24 no.2
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    • pp.196-208
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    • 2018
  • Purpose: To identify the characteristics and health-care needs of high-risk pregnant women in maternal-fetal intensive care units (MFICU). Methods: A mixed-methods design was adopted. Data were collected from 78 high-risk pregnant women admitted to the MFICU. Qualitative data included ten participants' experiences with hospitalization and childbirth, which were analyzed using mixed content analysis. Quantitative data were analyzed using at-test and one-way ANOVA testing. Results: The average score for pregnancy and childbirth health-care needs was 3.54 points. Average score by area was before-admission health care (3.70), health care of baby (3.67), health of childbirth (3.61), postpartum health (3.51), and pregnancy health care during hospitalization (3.48). Qualitative results showed diverse feelings and experiences of high-risk pregnant women and their need for health care, which was expressed in three themes and 11 sub-themes. Conclusion: Nurses should recognize high-risk mothers' feelings and needs for pregnancy and childbirth-focused health care to help patients accept their vulnerability and cope positively.

Foreign Immigrant Mothers' Experiences of Pregnancy, Childbirth, and Child Rearing (결혼이민자 어머니의 임신, 출산 및 영유아 양육 경험)

  • Bang, Kyung-Sook;Huh, Bo-Yun
    • Korean Parent-Child Health Journal
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    • v.14 no.1
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    • pp.36-44
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    • 2011
  • Purpose: This study was conducted to explore foreign immigrant mothers' experiences of pregnancy, childbirth, and child rearing. Methods: Ten married female migrants were selected by a purposive and snowball sampling method. Data were collected during the period from September to November, 2009 by individual in-depth interviews and all interviews were audio-taped and transcribed verbatim. Results: Ten categories were induced: In pregnancy and childbirth domain, social support-request help to their own parents, social support-depending on husband and mother's in law, Enduring emesis-gravidarum in strange environment were extracted. In Chid-rearing domain, child-rearing overburden, lack of self-confidence on maternal role, child-rearing difficulties due to language barrier, lack of information and education on child-rearing, lack of accessibility to public health care services, expectation of child's assimilation in Korea, financial strain in child-rearing. Conclusion: This study provides basic knowledge regarding married female migrants' experiences related to pregnancy, childbirth, and child rearing. The findings of the study will help health professionals designing effective interventions for married female migrants with difficulties related to child care, parenting, rearing.

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The Experience of Transition in Pregnancy and Childbirth among the Married Immigrant Women in Korea (결혼이주 여성의 임신.출산을 통한 삶의 전환 체험)

  • Lim, Hyun-Suk
    • Women's Health Nursing
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    • v.17 no.3
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    • pp.243-255
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    • 2011
  • Purpose: This study was to provide understanding of the meaning of the transition experiences in pregnancy and childbirth among the married immigrant women. Methods: Data was collected through a face-to-face interview from 11 married immigrant women. Their conjugal lives were followed using the hermeneutics phenomenological method developed by van Manen: focusing on the meaning of lived experience. Results: The essential themes that were associated with the transition experiences of the participants' lives during pregnancy and childbirth were as follows: "entering a strange world filled with chaos and tension where they feel like outsiders", "being pregnant and giving birth in increasingly difficult times", "giving birth to a child, which strengthens them to persevere through painful life experiences", "receiving greater support from their families". Conclusion: It contributes a deeper understanding of the essence of the transition experiences of married immigrant women who undergo pregnancy and childbirth after immigration. On the basis of this understanding, this study would be likely to highlight the importance of establishing an appropriate health and medicare systems and the expert network of nursing care for immigrant wom.

A Survey on Child Rearing Conditions and Parent Education for Parents before and after Childbirth (자녀출산 전후의 부모들을 위한 양육여건 및 부모교육 실태 조사 - 대전광역시를 중심으로-)

  • Park, Young-Yae;Lee, Gab-Sook;Rha, Jong-Hye
    • Korean Journal of Human Ecology
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    • v.12 no.4
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    • pp.463-495
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    • 2003
  • The purpose of this study was to obtain a fundamental data for developing a policy concerning women and child rearing and a parent education program for young parents who are around their childbirth, a period crucially important both for the parents in terms of the role adjustment, career management, and family finance, and for the infants in terms of its physical and psychological well-being. The subjects were 509 mothers before and after childbirth currently living in the Metropolitan City of Daejeon. Data were obtained through questionnaires and interviews in two major areas of pregnancy-delivery-childcare and parent education. Data were analyzed using SAS, mostly through frequency analysis, percentiles, t-tests, and F-tests. Results of descriptive analyses were organized along the following areas and issues: Pregnancy(family planning, regular check-ups, difficulties, prenatal education, costs, etc.); delivery(type of delivery, delivery related experience, costs, clinic/medical institute of choice, worries/problems, help/supports, etc.); postpartum care(place, kinds of help and helper, costs, postpartum care facilities, etc.); childcare circumstances(place, carer, time schedules, childcare centers or facilities feeding and weaning, etc.); husband's attitudes and involvement in the overall process; working mothers(maternity leave, temporary retirement for child rearing, etc.); and, parent education(family planning, pregnancy, delivery, postpartum care, child rearing, areas or issues needing parent education, facilitative and hindering factors to ideal parenting, etc.). Differences between groups of pregnant mothers and postpartum mothers, working- and non-working mothers, groups of different income levels, mothers and fathers of different educational levels, mothers of first pregnancy(or childbirth) and experienced mothers were also analyzed. Several conclusions with suggestions were drawn in relation to the need for strong implementation as well as developing of policies on women and childcare and for developing a new parent education program for parents before and after childbirth.

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Experience of Obstetrics and Neonatal Nurses Who Provided Nursing Care during Pregnancy and Childbirth of Unmarried Mothers (미혼모의 임신과 출산 과정에서 간호를 제공한 산과와 신생아 파트 간호사의 경험)

  • Jo, Myoung-Ju;Do, Ji-Young
    • Journal of muscle and joint health
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    • v.30 no.3
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    • pp.168-178
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    • 2023
  • Purpose: This study explored obstetric and neonatal nurses' nursing experience of pregnancy and childbirth in unmarried mothers. Methods: In-depth interviews were conducted with 12 nurses working in obstetrics, gynecology, and neonatal departments in Seoul and Busan. The collected data were examined using qualitative content analysis. Results: A total of four categories and ten themes were derived. The four categories were "Feelings toward unmarried mothers," "Difficulties faced when caring for unmarried mothers", "Nursing moving forward together", and "Strategies to improve care for unmarried mothers". Conclusion: To ensure that nurses can provide sufficient positive support and care when caring for unmarried mothers, healthcare workers must be provided with adequate education to improve their awareness and the services for unmarried mothers; in addition, interventions are needed to alleviate negative experiences and emotions when dealing with unmarried mothers.

A Review of Pregnancy Related Low Back Pain (임신 중 요통에 관한 고찰)

  • Cho Mi-sook;Park Rae-joon
    • The Journal of Korean Physical Therapy
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    • v.15 no.4
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    • pp.431-441
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    • 2003
  • Pregnancy and puerperium are associated with significant changes in pschological and physiologic health status. Back and pelvic pain is common in pregnancy with prevalence figures in the range of $48\%-90\%$. The pain starts during pregnancy and often disappears soon after childbirth. But the prevalence of such pain four to six months post postpartum is report to be $25-40\%$. In $10-15\%$ of the case the pain become chronics, that is persisting for more than three months after childbirth. Low back pain and pelvic pain maybe caused by several factors related to changes that occur naturally during pregnancy. Changes in the center of gravity can create a strain on weight-bearing structures in bone. Pregnancy related hormones, relaxin, create general laxity of collagenous tissue. Another factor found to be a possible primary or contributing cause for law back and hip symptoms are leg length inequality, weight gain and changes in foot function. This article outlines the physiological and biomechanical changes that occur during pregnancy which have been reported to be possible causes of low back and pelvic pain And then, examination, diagnosis, evaluation and treatment of the woman during pregnancy are described. Standard treatment for low back pain and pelvic pain in pregnancy includes education in anatomy and kinesiology, back-strengthening exercise, training of the abdominal muscles and body posture correction. So, most woman during pregnancy require individual consultation and physiotherapist.

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Cross-Cultural Study on the Pregnant and Childbirth Practices in Mother-Grandmother Generations of Korea, Hong-Kong, and the United States (임신 및 출산 풍습에 관한 비교문화연구: 한국, 홍콩 및 미국의 어머니-할머니 세대를 중심으로)

  • 민하영;유안진
    • Journal of the Korean Home Economics Association
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    • v.41 no.4
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    • pp.157-168
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    • 2003
  • This study was to investigate differences or similarities in pregnant and childbirth practices of Korea, Hong Kong and the United States and of mother-grandmother generations in each culture. The subjects were young mothers(YM) have baby from 2 to 2.5 years and their mothers or mothers-in-law(GM) in Korea(YM=118, GM=118), Hong Kong(YM=126, GM=78) and the United States(YM=105, GM=105). The subjects answered the questionnaires on pregnant and childbirth practices were constructed by specialists of child study in Korea, Hong Kong and the United States. Statistical analyses were by Frequencies, Percentages, Crosstabs, One-wav ANOVA, Scheffe' test, t-test. The results of this study were as follows. 1. Mother and grandmothers of Korea more tended to believe in supernatal being of pregnancy, to expect son, to eat a resortive and a food to help conceive, to inhibit attending a funeral at the time of childbearing, to practice fetal education than of Hong Kong and the United States did. 2. Relating sexual intercourse at the time of ovulation, maternal health care during the pregnancy, childbirth in hospital, husband's being in the hospital waiting room when their wife gave birth were much more prevailant in mothers than grandmothers did in Korea and Hong Kong.

Influences of Husband's Childbirth Experiences related to Supports for their Wives during Childbirth and Attitudes toward Childbirth Presence (남편의 분만 지지와 분만참여 태도가 분만경험에 미치는 영향)

  • Lee, Yu-Jin;Kim, Sun-Hee
    • Korean Parent-Child Health Journal
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    • v.18 no.2
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    • pp.68-77
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    • 2015
  • Purpose: The purpose of this study was to identify the relations among supports during childbirth, attitudes toward childbirth presence, and the childbirth experiences in husbands. Methods: The participants in this study were 178 husbands whose wives were within 2 days after normal spontaneous vaginal delivery. Data were collected from September 1st to September 30th, 2013. Results: The significant factors affected on the childbirth experiences in husbands were attitudes toward childbirth presence (${\beta}=.61$), satisfaction for the nurse's cares during childbirth (${\beta}=.19$), psychological preparation for childbirth (${\beta}=.16$), baby weight (${\beta}=.09$), and prenatal education related to pregnancy (${\beta}=.09$). These variables explained 66% of the childbirth experiences in husbands. Conclusion: It would be necessary to develop nursing intervention programs that increasing positive attitudes toward childbirth presence, psychological preparation for childbirth, and prenatal education to increase positive childbirth experiences in husbands. Nurses should also provide husbands with satisfactory cares during childbirth.

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Work Reentry After Childbirth: Predictors of Self-Rated Health in Month One Among a Sample of University Faculty and Staff

  • Falletta, Lynn;Abbruzzese, Stephanie;Fischbein, Rebecca;Shura, Robin;Eng, Abbey;Alemagno, Sonia
    • Safety and Health at Work
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    • v.11 no.1
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    • pp.19-25
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    • 2020
  • Background: Childbirth represents a significant transition for women, with physical and psychological sequelae. Reentry to the workplace during the postpartum period is understudied, with implications for maternal well-being and job-related outcomes. This study's aim was to examine selected pregnancy, childbirth, and return-to-work correlates of overall self-rated health within the first month of work reentry after maternity leave. Methods: Between December 2016 and January 2017, we surveyed women employed at a large, public Midwestern university who had given birth in the past five years (N = 249) to examine self-rated overall health in the first month of work reentry. Using ordinal logistic regression, we examined whether physical or psychological health problems during pregnancy, childbirth complications, length of maternity leave, and depression and anxiety at work reentry were related to overall health. Results: Women who experienced depression (odds ratio [OR] = 0.096 [95% confidence interval {CI} = 0.019 to 0.483, p = 0.004]) and anxiety (OR = 0.164, [95% CI = 0.042 to 0.635, p = 0.009]) nearly every day reported worse health at work reentry than those with no symptoms. Controlling for demographics and mental health, women who experienced medical problems during pregnancy (OR = 0.540 [95% CI = 0.311 to .935, p = 0.028]) were more likely to report poor health, while taking a longer maternity leave (OR = 14.552 [95% CI = 4.934 to 42.918, p < 0.001]) was associated with reporting better health at work reentry. Conclusion: Women who experience medical complications during pregnancy, return to the workplace too soon after birth, and experience mental health symptoms are vulnerable physically as they return to work.

A Study on the Evaluation of Lamaze Childbirth Educational Program (라마즈 출산교육 프로그램 운영에 관한 평가)

  • 박영숙
    • Journal of Korean Academy of Nursing
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    • v.17 no.1
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    • pp.52-63
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    • 1987
  • Il-primigravidas who visited antenatal clinic and their husbands were taught lamaze childbirth education by the investigator in the third trimester of pregnancy. Lamaze childbirth educational course consisted of six weekly class totaling twelve hours of instruction. A questionnaire was adminstered to subjects for the evaluation of Lamaze educational Program. 21-questions were rated on a Likert-type scale containing five responses and subjects described the advantages, the disadvantage, and the difficulties of lamaze childbirth education course. The results of the study were as follows; 1. The core contents of lamaze childbirth educational Program were Process of labor, anatomy and physiology of the female body, the care of newborn, maternal-infant attachment, breathing patterns to be used at the appropriate stage of labor, techniques for conscious relaxation of muscles during labor and delivery, and exercise to limber and prepare the body for the work of labor and delivery. All couples understood the above core contents very well and there were not significant differences between the understanding scores of wives and those of husbands (p>0.05). 2. 81.8% of couples Practiced breathing pattern to be used at the appropriate stages of labor one or three times a day and 72.7% of couples practiced conscious relaxation of muscles one or three times a day. 3. The contents of Lamaze childbirth educational program were easy for the couples to understand, and the total length, the amounts and the structures of 6-classes were appropriate. 4. Lamaze childbirth educational program was very useful, necessary, interesting, and successful to achieve the couples' objectives. 5. The couples expressed that they had positive attitude and high self-esteem, and reduced their anxiety on the pregnancy and labor.

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