• Korean Parent-Child Health Journal
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• v.4 no.1
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• pp.56-67
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• 2001

The purpose of this study was to recognize and compare the concrete factors(perception of painless delivery, Strength of labor pain, the time of labor, APGAR score, satisfaction of painless delivery) on primiparae with and without painless delivery. The subjects were 100 primipara with painless delivery and 100 without painless delivery who had delivered at K university's general hospital in Daegu city. The data that were collected from May. 20, 1998 to July. 30 analysed by the SPSS program. The results of the study were summarized as follow; 1) As a result of the perspective of the painless labor, the mean of primiparae with painless labor was higher than primiparae without painless labor. It was statistically significant(t=-2.63, p=0.0093). 2) As a result of the strength of labor pain, the mean of primiparae without painless labor was higher than primiparae with painless labor. And it was statistically significant(t=17.074, p=0.000). 3) As a result of comparison to the time of labor, In the 1st stage, Without painless labor group was higher than the other (t=256, p=0.0114). In the 2nd stage, with painless labor group was higher than the other(t=-2.13, p=0.0346). But in the 3rd stage, there was no significant differences between two groups. 4) As a result of measuring APGAR score, there was no significant differences. 5) As a result of measuring the satisfaction of painless labor in painless labor group, 'satisfied with painless labor' is 77%, but 'unsatisfied with explanation from health care giver' was 33%. On the basis of above findings, the following is suggested ; It is needed a extended study which are designed for multiparae. And also we suggested that independent nursing-intervention program has to be developed for controlling the labor pain that must lead to positive labor experiences.

• Korean Parent-Child Health Journal
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• v.4 no.2
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• pp.1-15
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• 2002

The purpose of this study is to identify the characteristics and influencing factors of the attachment-oriented caretaking behaviors among the mothers with infants. The total number of 204 mothers participated in this survey as subjects. They all were breast-feeding mothers who had their infants joining in the semi-final round of a healthy breast-feeding infant contest. The data were collected from July 14, 1999 to May 19, 2000. And the data were analyzed by SPSSWIN 10.0 version. The result of this study was as follows ; 1. The mean ages of the subjects were 29.5 and 95.6 percents of them were no-job housewives. 57.8% of them were normal delivery. And the mean months of the infants were 6.2 and the male infants were 57.4%. The first born babies were 62.3%. 2. The mothers are affirmative enough with their attachment-oriented caretaking behaviors (the total mean was $3.58{\pm}.631$). In general, the mothers showed very attachment-oriented caretaking behaviors, but the points that indicated "recording the development characteristics of the infant and discussing them with husband" were very low(score $2.79{\pm}.982$). 3. There are Significant differences in caretaking behaviors of the mothers according to their ages(F=3.497, p=.017), the degree of morning sickness(F=2.633, p=.050) and the birth order of their infants(F=4.854, p=.003). The older mothers and mothers who experienced the less morning sickness showed the higher scores of the attachment-oriented behaviors. The mothers who experienced the more deliveries showed the higher scores of the attachment-oriented behaviors. Accordingly, the above result suggests that the systematic and practical nursing intervention to encourage the attachment-oriented behaviors is essential to the younger, primipara mother.

• Analytical Science and Technology
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• v.13 no.4
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• pp.520-533
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• 2000

We analyzed the PCDD/Fs and PCBs in human milk samples from a city and an industrial region by HRGC/HRMS. The average concentrations of PCDD/Fs and PCBs in human milk were 15.13 TEQ pg/g fat and 5.64 TEQ pg/g fat respectively. We discovered two kinds of homologue distributions. We compared congeners of each distributions with those of the commercial PCBs products. The daily intake of infant was predicted to be 60 TEQpg/kg/day according to the mean concentration of PCDD/Fs based on primipara. This value is much higher than the estimated range for background exposure to adult in the USA (1-3 TEQ pg/g fat).

• Journal of Veterinary Clinics
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• v.24 no.2
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• pp.119-124
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• 2007

Milk components analysis was carried out milk yield(MY), milk fat(MF), milk protein(MP), milk urea nitrogen(MUN), milk solid(MS), day of non-pregnant condition(DNPC), and days of primipara(DPRI) involved. Dairy farms were divided high, middle and low groups according to the standard records for milk components. Examination records were divided by farm, parity, year, season and month, the number of samples were 28,957. MUN concentration was below 12 mg and when the MPP was below 3.0%, the days of non-pregnant condition were $94{\pm}10.77$ days but concentration of MUN was under 12 mg and when MPP was above 3.2%, longer period of non-pregnant condtion of $181.3{\pm}9.25$ was noted. The days of gestation of the first calving cow was $495.9{\pm}9.04$ days when the concentration of MUN was below 12mg/dl and MPP was under 3.0%. If the concentration of MUN was 12 mg/dl and when the MPP was over 3.2%, the days of gestation were $511.0{\pm}8.36$ days. It was believed that the concentrations of MPP and MUN have significant effects on the days of non-pregnant condition and the days of gestation. Determination of MY, MF, MS, and MUN was Milkoscan $4,000{\sim}5,000$ Serier(FOSS Electric Co., Copenhagen, Denmark). MUN standard concentration was 12-18(mg/dl) similar to blood urea nitrogen(BUN). Mutual relationship of milk components(MF, SCC, MY, DNPC, MS) and MUN concentration was low in regression analysis.

• 모자간호학회지
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• v.1
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• pp.23-33
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• 1991

Recently, Cesarean Section has been revealed as major events in maternity nursing, because it has influence on tile formatter of the self concept of cesarean section mothers as well as later coping mechanism and mother-child relationship including the mothering role. The study is conducted to clarify the relationships between the perceired family support and the self concept of cesarean section mothers, and to find out other Influencing factors on the formation of the self concept. Measuring instrument used in this study was Lee's scale to measure the self concept and the degree of perceived family support of the cesarean section mothers, The subject were 155 cesarean section mothers who were selected conveniently. Volunteers answered self reporting questionnaires which asked about their self concept. Data was analyzed as follows using SAS. The relationship between scores of the self concept and degree of the perceived family support was analyzed by Pearson's product moment correlation. In order to identify the influencing effects of demographic variables on the formation of self concept & F test were used. Result were summarized as follows : 1. Scores of self concept of cesarean section mothers were significantly correlated with scores of the perceived family support (r=0.3438, p<0.01) These results show that the family support is closely related to the self concept of cesarean mothers and has positive effects on their coping capacity. 2. Scores of self-concept of those who have lower ducation background and are multipara were significantly higher than those who have higher education background and are primipara(M=29.90$\pm$9.37, 27.69$\pm$3.89, t=2.006, df=105.8, p=0.0480: M=27.75$\pm$3.49. 29.46$\pm$8.68, t=-1.7183, 2. p=0.08).

• Journal of Digital Convergence
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• v.19 no.9
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• pp.393-400
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• 2021

Purpose: The purpose of this study was to provide basic data for intervention development programs that could improve the attachment of first-time mothers. Methods: Data were collected from 148 Primipara Women in S city from April 1 to May 31, 2021. Data were processed using descriptive statistics, t-test, ANOVA, correlation analysis, and stepwise regression analysis. Results: As a result of the study, mother-to-infant attachment was negatively correlated with maternal fatigue(r=-.65, p<.001) and anxiety level(r=-.62, p<.001). Maternal fatigue(β=-.52), anxiety level(β=-.48), Child care assistant(β=.10) affect the attachment of first-time mothers. Mother-to-infant attachment the total explanation power was 64.3%(F=89.19, p<.001). It is necessary to develop programs that reduce maternal fatigue and anxiety level based on factors affecting the mother-to-infant attachment of first-time mothers and improve the ability of the mother-to-infant attachment.

• Journal of dental hygiene science
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• v.2 no.1
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• pp.21-24
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• 2002

It is important to practice preventive method to control oral disease. Dental caries tendency has been decreased in developed countries, but early childhood caries(ECC, BBTD) became serious dental problems in many countries. To slove these problems, more positive and definite prenatal programs on infants and child are needed. Mostly the control of oral health was affected by a mother's knowledge and behavior in this stage. According to many studies, prenatal education is the most effective method to promote oral health in children. But in Korea, there is little oral health education programs for pregnant women, nursing mothers, infants and children. The purpose of this study was to access the knowledge and opinions of caries prevention among gravid women. 330 pregnant women(primiparae=181, multiparae=149), aged 23 to 39 years were randomly selected at prenatal health education courses in Seoul, Korea, 2000. Face-to-Face interviews were conducted by a trained interviewer using questionnaires included demographics, attitude toward children's dental cares, knowledge of early childhood caries, knowledge concerning pregnancy and oral health. The obtained results were as follows; (1) Most respondents were very concerned about their children's oral health. (2) 58% of the respondents were unaware of early childhood caries and the proportion was significantly higher among primipara (p<0.05). (3) Only 43% of the respondents believed that improper breast feeding could develop ECC, the proportion was significantly higher among primipara(p<0.05). (4) 82% of the respondents reportedly believed that the fetus takes away calcium from the mother's teeth during pregnancy. (5) 71% of the respondents believed that dental treatment during pregnancy was unsafe. There is a relatively low level of accurate knowledge regarding infant nutritions, maternal need for oral health and dental caries prevention among pregnant women. Oral health education and promotion programs that are science-based are needed for gravid women.

• Journal of Life Science
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• v.20 no.7
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• pp.1078-1085
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• 2010

Polychlorinated dibenzo-p-dioxins (PCDDs), polychlorinated dibenzofurans (PCDFs) and dioxin-like polychlorinated biphenyls (dl-PCBs) are bioaccumulative chemicals that are considered to be toxic contaminants based on several epidemiological studies. These chemicals in colostrum were investigated and estimated for their residual consistencies by maternal characteristics like parity and maternal ages. Test subjects were healthy primipara and multipara mothers with a mean age of 31.5 (S.D=3.6) in 2007. Seven isomers of PCDDs, 10 of PCDFs, 4 of non-orthopolychlorinated biphenyls(non-ortho PCBs) and 8 of mono-orthochlorinated polychlorinated biphenyls (mono-ortho PCBs) were analyzed by HRGC/HRMS. From the analyzed data, the mean level of total WHO-TEQs was 9.41 pg TEQ/g lipid, which is significantly lower than the level found in individuals from other countries. The main contributors to the total WHO-TEQs with increasing percentages were 2,3,4,7,8-PeCDF, 1,2,3,7,8-PeCDD and 3,3',4,4',5-PCB (#126), and they accounted for more than 60% of the total WHO-TEQs. PCDFs concentrations and total WHO-TEQs were negatively associated with parity (p<0.05), and maternal age was positively associated with total WHO-TEQs (p<0.01). However, the associations with body mass index (BMI) and fish intake during pregnancy were not significant. These results were suggested that parity and maternal age are an important factor affecting the concentrations of PCDD/DFs and dl-PCBs in these specimens.

• Journal of Preventive Medicine and Public Health
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• v.31 no.4 s.63
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• pp.751-769
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• 1998

This study was conducted to assess the attitude of pregnant women toward delivery method, understanding of the reason for determining her own delivery method, participation in decision-making process and satisfaction with delivery method after labor. Study subjects were 693 pregnant women who had visited obstetric clinic for prenatal care in the last month of pregnancy in one general hospital and one obstetrics-gynecology specialty hospital in Taegu city from February 1 to March 31 in 1998. A questionnaire was administered before and after labor and a telephone interview was done one month after labor. Proportion of women who had health education and/or counselling about delivery method during prenatal care was 24.0% and this proportion was higher for women who had previous c-section(35.5%) than others. Women thought vaginal delivery is better than c-section for both maternal and baby's health regardless of previous delivery method. About 90% of primipara and multiparous women who had previous vaginal delivery wanted vaginal delivery for the index birth, while 85.6% of multiparous women who had previous c-section wanted repeat c-section. Reasons for choosing c-section in pregnant women who preferred vaginal delivery before labor were recommendation of doctors(81.9%), recommendation of husband (0.8%), agreement between doctor and pregnant woman(4.7%), and mother's demand (12.6%). Reasons for choosing vaginal delivery were mother's demand(30.6%) and no indication for c-section(67.2%). Reasons for choosing c-section in pregnant women who preferred c-section before labor were recommendation of doctors(76.2%), mother's demand(20.0%), recommendation of husband(1.3%), and agreement between doctor and pregnant woman(2.5%). Of the pregnant women who had c-section, by doctor's recommendation, the proportion of women who had heard detailed explanation about reason for c-section by doctor was 55.1%. Mother's statement about the reason for c-section was consistent with the medical record in 75.9% . However, over 5% points disparities were shown between mother's statement and medical record in cases of the repeat c-section and mother's demand. In primipara and multiparous women who had previous vaginal delivery, the delivery method for index birth had statistically significant association with the preference of delivery method before labor(p<0.05). All of the women who had previous c-section had delivered the index baby by c-section. Among mothers who had delivered the index baby vaginally, 84.9% of them were satisfied with their delivery method immediately after labor and 85.1% at 1 month after labor. However, mothers who had c-section stated that they are satisfied with c-section in 44.6% immediately after labor and 42.0% at 1 month after labor. Preferred delivery method for the next birth had statistically significant association with delivery method for the index birth both immediately after labor and in 1 month after labor. The proportion of mothers who prefer vaginal delivery for the next birth increased with the degree of satisfaction with the vaginal delivery for the index birth but the proportion of mothers who prefer c-section for the next birth was high and they did not change significantly with the degree of satisfaction with the c-section for the index birth. These results suggest that the current high technology-based, physician-centered prenatal and partritional cares need to be reoriented to the basic preventive and promotive technology-based, and mother-fetus-centered care. It is also suggested that active involvement of pregnant woman in decision-making process for the delivery method will increase the rate of vaginal birth after c-section and decrease c-section rate and improve the degree of maternal satisfaction after delivery.

• Women's Health Nursing
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• v.3 no.1
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• pp.5-27
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• 1997

This study was carried out to identify the difference between nursing needs and levels of satisfaction of primiparae during the early postpartum period. The goal of the study was to obtain data needed to develope maternal education programs and to improve the nursing quality for primipara. The subjects were 111 primiparae who had normal delivery at 2 general hospitals in the Seoul area. The data was gathered using an 81 items questionnaire which was developed by the researcher from Nov. 30, 1995 to Feb. 5, 1996. Results found are as follows : 1. The characteristics of subjects : The majority of subjects were aged 26-30yrs(60.4%), high school graduated(49.5%), jobless(52.3%), had no religion(49.5%), no antenatal(74.5%), and postnatal education on self and infant care(55.9%). A large proportion of primiparae intended to feed breast milk(49.5%) but in fact only 7.2% fed breast milk while in the hospital. Many subjects perceived that they had reasonable self confidence about self care(46.8%), and infant care(36%). 2. The level of nursing needs of overall nursing care was relatively high(Mn 3.98) but the level of satisfaction was of average level(Mn 3.09). Therefore, difference between the level of nursing needs and satisfaction was significant(p=0.0001). 3. The nursing needs by category of nursing care the highest need was on the education of infant care(4.29), the lowest was on physical care(3.80). The level of satisfaction was higher on environmental care(3.40) and physical care(3.32). But the category that showed the lowest satisfaction was education of infant care(2.67). Hence, difference of categories between the level of nursing needs and satisfaction was significant(p=0.0001). 4. Among items of physical care, observation of primiparas' conditions(4.21), accurate medication and treatment(4.18), care of breast engorgement(4.07) and control of postpartal hemorrage(4.01) showed high nursing needs. On the other hand, only the level of satisfaction was higher on accurate medication and treatment(3.82). The rest of items revealed only average level of satisfactions. Difference of items between the level of nursing needs and satisfaction was significant(p=0.0001) except items of dietary care. 5. Among items of psychological care, 8 items of nursing needs were high(3.72-4.29), expecially detailed explanation on which mothers want to know(4.29), treatment and nursing care they receive(4.23), kind and faithful care(4.22), early contacts with their baby(4.20), and adequate draping during the care and treatment(4.18). Among items of psychological care higher satisfactions were shown on items of kind and faithful care(3.80), personal treatment(3.70), and detailed explanation to mothers, but the least satisfied items was early contact with baby(2.13). Difference between the level of nursing needs and satisfaction was significant(p=0.0001). 6. Among items of environmental care, the highest level of need and satisfaction was on the items of neat bedding and pajamas(3.54). The difference was significant (p=0.0001). 7. Among the items of educational needs on self care, all of 22 items revealed higher educational needs(3.50-4.33) but the levels of satisfaction varied with a range of 2.63-3.42. Among the items the satisfactions were high on items of breast care including massages(3.42), perineal care(3.36) and expression of breast milk(3.32). Less satisfied items were drugs not be taken by breast milk feeder(2.63), maintenance of breast figure(2.76) and postpartum exercise(2.80) and so on. The difference was significant(p=0.0001). maintain 8. Among the items of educational needs on infant care, 19 items revealed higher educational needs(3.28-4.54). And the highest need were on the 3 items of normal growth and development of infant, safety and emergency care, symptoms of sick(4.45) and the meaning of crying of the baby(4.52). The level of satisfaction among items of education of infant care ranged from 2.47 to 3.16. Most satisfied items were buriping(3.16), bathing(3.11) and diapering(3.09). The items of which the mother's needs were high revealed the lowest satisfaction level. The difference was significant (p=0.0001). 9. Relationship between nursing needs and levels of satisfaction among primiparae of different characteristics were as follows : 1) Nursing needs of physical and psychological areas were significantly different among different age levels but no relationship was found on other categories regardless of the level of satisfaction. 2) With regard to different levels of education, some relationship was found in nursing needs of psychological area(p=0.007), educational needs on infant care(p=0.04) and environmental care(p=0.01). Also, the difference of satisfaction level was significant. 3) Working mothers had higher nursing needs and were more satisfied on items of physical care(p=0.05), education on self care and infant care. Difference were significant between nursing needs and level of satisfaction. 4) With regards to different religion a moderate relation was found between nursing needs of environmental care infant care education but no relationship was found on levels of satisfaction. 5) With regards to antenatal education, the mothers who have had no antenatal education revealed higher nursing needs on physical care but those who had antenatal education were more satisfied with education on self care and infant care. The difference was significant. (p=0.0001). 6) With regards to postpartum education, the mothers who have had some sort of postpartum education revealed higher nursing needs on physical and self care. And they were more satisfied with nursing of every category except infant care than mothers who had not any postpartum education. Differences was significant between the nursing needs and levels of satisfaction.(p=0.0001). 7) With regards to breast feeding experience during the hospitalization, those who had no experience of breast feeding revealed higher nursing needs on physical care in contrast to breast feeders, who had higher educational needs on infant care. And breast feeder were more satisfied with all categories. Differences was significant(p=0.0001). 8) With regards to perception of self confidence on self care and infant care, no relationship was found on nursing needs and level of satisfaction in every category of nursing.