• Title/Summary/Keyword: Puerperal period

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A Study on Realities of Puerperal Period of Korean Women (한국부인의 산욕기 실태에 관한 연구 (I))

  • 이정덕
    • Journal of the Korean Home Economics Association
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    • v.12 no.34
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    • pp.711-735
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    • 1974
  • This paper aims at investigating the realities of puerperal period of Korean women, chiefly in the city of Seoul, on the basis of their living standard, schooling caree by age groups, to contribute to the improvement in health of mother and child. In this paper in which the writer, aming 492 women in Seoul a subject of this investigation and giving them 34 items of questionnaires, has studied their concern and practices to recover their health during a lying-in period, and drawn a conclusion as follows : Though their place of childbirth and food they take during the period are varied according to their standard of living, their practices and managements after parturition are true to the conventional usage which is far from modern scientific methods. Problems for the better management during puerperal period are : 1. to have expactent and nursing mothers better educated in their antenatal care ; 2. to let the family planners have more understanding about the problems of puerperal period ; 3. to make those who are concerned study on the problems interdependent between puerperal period and pregnancy and child birth.

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A Case Report of Parkinsonism after Puerperal Period (파킨슨증후군으로 내원한 산후풍치 환자 1례(例) 임상보고)

  • Yoon, Young-Jin;Lee, Jin-Moo;Lee, Chang-Hoon;Cho, Jung-Hoon;Jang, Jun-Bock;Lee, Kyung-Sub
    • The Journal of Korean Obstetrics and Gynecology
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    • v.21 no.1
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    • pp.267-275
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    • 2008
  • Purpose: The purpose of this study is to report the effect of oriental treatments for parkinsonism after puerperal period. Methods: We treated one 29-years-old female who had parkinsonism (dysarthria, gait disturbance, dizziness, tremor, rigidity, blurring of vision) after puerperal period with herb medication ( Chengsimondamtang -淸心溫膽湯, etc). Results: After oriental medical treatment, the clinical symptom of parkinsonism after puerperal period was improved. Conclusion: This case study shows that the oriental medical therapy is effective in treating parkinsonism after puerperal period. So that, it is helpful in decreasing the symptoms of patients and in improving quality of life.

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An Exploratory Study about the Importance of Selected Nursing Activities during the Puerperal Period, as Viewed by Women in the Puerperal Period and by Nurses Caring for Them (산모와 간호원이 본 선택된 산욕기 간호활동의 중요도에 관한 탐색적 연구)

  • 박주봉
    • Journal of Korean Academy of Nursing
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    • v.8 no.1
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    • pp.152-162
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    • 1978
  • The desire to maintain health is increasing, consequently the role of nursing which has as one chief aim the solving of man′s basic problems is more and more important. Today, in spite of a growing concern about the nursing activities which nurses provide for individual human having specific needs, clinically in fact, it is questionable that individual′s expectation of nursing activities agrees with nurse′s performance of nursing activities. In this study the importance and agreement of the importance of the nursing activities during the hospitalized puerperal period as viewed by women in the puerperal period and by nurses caring for them, were assessed. The present study was undertaken in an attempt to furnish the basic data for expediting the progress of research activities in this area and further to be helpful in planning maternity nursing practice. The study population defined and selected was nurses (13) caring for women in the puerperal period and doing duty on obstetric & gynecologic ward at Y. hospital, and the women in puerperal period (39) as sum of 3 women selected by each nurse during the period of May 13th-June 4th 1976. The study data was collected by the direct interview method based on the questionnaire which the investigator made out. The study result was analyzed by percentage, t - test. The findings can be summarized as follows: 1. General characteristics of nurses doing duty on puerperal ward: a. Nurses′average age was 24.8 years old. b. 84.6% had educational background of 4 years of college. c. 69.2% had a religion. d. 53.8% were married. e. 53.8% had clinical experience of 1 year -3 years. f, 61.5% did duty on puerperal ward during 1 year -3 years. g. 46.2% desired to do duty on obstetric ? gynecologic ward. 2. General characteristics of the women who were studied during their puerperal period: a. Women′s average age was 26.4 years old. b. 79.5% had educational background above high school. c. 56.4% had a religion. d. 84.6% had living standard above medium. e. 89.7% had no occupation. f, 53,8% had previous hospitalization experience. g. 56.4% had previous delivery experience. 3. Examining the importance of 39 nursing activities during puerperal period selected by investigator, studied group of women considered that the most important nursing activity was "Record precisely about condition, medical treatment and nursing activity results etc". Nurses considered that the most important nursing activity was "Notice whether having pain and care for that". Both groups considered that the least important nursing activity was "Talk with her about topics such as news, hobbies, other interests". 4. Examining the importance of nursing activities in 4 specific categories, studied group of women considered that the most important nursing activity in physical nursing category was "Be sure of safety measure to prevent accidents, injuries", and nurses considered that the most important nursing activity was "Make her sleep and rest sufficiently". Studied group of women considered that the most important nursing activity in psychological category was "Explain about medical treatment and nursing activity ahead of time so she knows what to expect" , and nurses considered that the most important nursing activity was "Explain about puerperal period so she understands". Studied group of women considered that the most important nursing activity in relation to medical care was "Record precisely about condition, medical treatment and nursing activity results etc.", and nurses considered that the most important nursing activity was "Observing, cleaning and protecting the perineum" Studied group of women considered that the most important nursing activity in nursing category in preparation for discharge was "Instruct about personnel hygiene during puerperal period", and nurses considered that the most important nursing activity was "Instruct self-care to protect the perineum". 5. The analysis of this study showed a significant amount of disagreement computed by subtracting the nurse′s score from the patient′s score. Studied group of women put greater importance on physical nursing category, psychological nursing category, nursing in relation to medical care, than the nurses. These results were statistically significant at 0.01 level.

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Puerperal septic shock and necrotizing fasciitis caused by Staphylococcus caprae and Escherichia coli

  • Koo, Yu-Jin
    • Journal of Yeungnam Medical Science
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    • v.35 no.2
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    • pp.248-252
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    • 2018
  • Puerperal sepsis is one of the leading causes of maternal morbidity and mortality worldwide. Postpartum pelvic infections can cause various complications, including wound infections and necrotizing fasciitis. Several microorganisms are known to cause such infections; however, no study has reported on Staphylococcus caprae, a coagulase-negative staphylococcus that is isolated frequently from animals and infrequently from human specimens, as a causative agent. Here, we report a rare case of septic shock complicated by necrotizing fasciitis after a cesarean section. This is the first report of a human isolate of S. caprae in association with puerperal sepsis and necrotizing fasciitis.

A Narrative Study on Becoming a Mother through Experiences in the Puerperal Period (산욕기 경험을 통한 "엄마 되어감"에 관한 내러티브 연구)

  • Kim, Eun-Ju;Seo, Young-Hee
    • Korean Journal of Child Studies
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    • v.29 no.1
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    • pp.115-131
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    • 2008
  • Using the narrative method of qualitative research, this study of the puerperal period (6 weeks just after delivery) analyzed how mothers, after birthing their first child, changed from women to mothers. The survey of 8 mothers was implemented by personal interviews, talking on the phone, or chatting on the internet 5 to 7 times each over one year. Results showed that mothers first realized that they were changing from women to mothers by experiencing sudden physical changes through delivery and lactation and by such childrearing behaviors as feeding, bathing, and putting their child to bed. Mothers recognized this process was facilitated by relationships with others owing to their shared interest in the child.

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A Delphi Survey for the Revision of the Diagnostic Criteria for Sanhupung (Puerperal Wind Disorder, U32.7) (산후풍 진단 기준 개정 위한 델파이조사 결과)

  • Choi, Su-Ji;Kim, Dong-Il
    • The Journal of Korean Obstetrics and Gynecology
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    • v.35 no.2
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    • pp.42-53
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    • 2022
  • Objectives: The definition of Sanhupung (Puerperal wind disorder) has been varied and there has been a prior study to establish the definition, but no clear conclusion has been reached on diagnostic criteria. Therefore, the aim of this study was to clearly redefine the definition of Sanhupung using the Delphi method. Methods: This study used the Delphi technique. A panel consisting of 13 experts of Korean medicine, particularly in Obstetrics & Gynecology, participated in the Delphi survey that included answering the 3rd round survey. The Delphi survey was conducted by evaluating and correcting the questionnaire using e-mail. Results: Through the Delphi survey, we have reached an agreement regarding the diagnostic criteria of Sanhupung. They are as follows: 1) Sanhupung can be diagnosed based on basic symptoms. If one or more symptoms are expressed in the basic symptom group, it can be diagnosed as Sanhupung. It is diagnosed in detail as a pain type or a sensory impairment type according to the category of basic symptoms. 2) Incidental symptoms are not essential for diagnosis, and are referred to for checking general weakness and autonomic nervous system conditions. 3) In order to meet the diagnostic criteria, the symptoms should occur within 6 months after childbirth or miscarriage, and the cause of the symptoms should not be classified as other diseases. Conclusions: The diagnostic criteria of Sanhupung were suggested based on the Delphi survey among experts in the field. Further research is necessary to improve the reliability and validity of the criteria.

Production and Action of Microbial Piscicidal Substance (미생물에 의한 살어성물질의 생성 및 그 작용)

  • 도재호;서정훈
    • Microbiology and Biotechnology Letters
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    • v.6 no.1
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    • pp.41-46
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    • 1978
  • Piscicidal substance produced by Streptomyces sp. isolated from soil was toxic against various kinds of fish. After extraction with CH$Cl_3$ from the culture medium, the substance was purified by avicel column chromatography. In order to test toxicity, various kinds of fish were subjected to the acqueous solution of 100 us of the substance per liter of water. Generally, the substance was toxic to most fish, but Macropodus chinenes and Misgurnus mizolepis are resistant to the substance than Gobius similis and Pseudorasbora parva. The substance was stable at pH range, 3.0 to 7.0, but labile at alkaline pH, and to heat as well. Succinic dehydrogenase on most of tissue cell of Cyprinus carpio was inhibited by this substance strongly, but spinal cord was not inhibited. By addition of Cu and Pb salts to the culture medium, piscicidal substance producibility was activated.

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Effects of Postpartum Exercise on Mental Health (산후운동이 산욕부의 정신건강에 미치는 영향)

  • Lee, Sun-Ok;Kim, Mi-Ok;Ahn, Suk-Hee;Cho, Young-Ran
    • Women's Health Nursing
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    • v.10 no.1
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    • pp.15-22
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    • 2004
  • Purpose: This study was to examine the effect of postpartum exercise on mental health. Mental health comprises a 9 symptom dimension of Somatization, Obsessive-Compulsive, Interpersonal Sensitivity, Depression, Anxiety, Hostility, Phobic anxiety, Paranoid Ideation, and Psychoticism. Method: A non-equivalent pre-test, post-test control group study was conducted. Fifty-two puerperal women who were admitted to a postpartum ward of a mother-baby clinic in Pusan were recruited; 26 women were assigned to the experimental group and 26 women to the control group. Postpartum exercise was applied to the experimental group from postpartum day 3 for a period of 8 weeks while no exercise program was applied to the control group. Mental health with SCL-90-R was measured before and after exercise. Data was analyzed using mean, $x^2$-test, t-test, and ANOVA by SPSS 10.0. Result: The mental health status in the exercise group did not show a statistically significant decrease when compared to that of the control group. Conclusion: There is no effect of postpartum exercise on women's mental health during the first 8 weeks of the postpartum period. Further studies are needed for randomized clinical trials with a larger sample size.

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An Analysis of Domestic Researches on the Prescriptions of Korean Herbal Medicine Used during Postpartum Period (산후기에 활용된 한약처방에 대한 국내 연구 분석)

  • Kim, Pyung-Wha;Jung, Seo-Yoon;Lee, Eun-Hee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.31 no.4
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    • pp.128-146
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    • 2018
  • Objectives: This study was performed to analyze the prescriptions of Korean herbal medicine which had been commonly used during postpartum period. Methods: We searched literature on postpartum cares with Korean Herbal medicine in 4 domestic search engines. After that, we conducted eligibility screening based on inclusion and exclusion criteria. Results: 1. We selected total 48 studies. There were 40 clinical studies (25 case reports and 15 case series) and 8 animal experimental studies. 2. Of the 40 clinical studies, other treatments were used together with herbal medicine : acupuncture (28), chuna manipulation (3), and pharmacopuncture (5). 3. Of the 25 case reports, the most common symptoms were musculoskeletal symptoms (8), followed by mental disorders including postpartum depression (5). Various prescriptions of herbal medicine were used depending on the diseases or symptoms. 4. In 15 case series, 665 subjects in 11 case series had taken Saenghwa-tang-gagam within 1~2 weeks after childbirth, and the average duration of Saenghwa-tang-gagam administration were $9{\pm}4.97$ days. 498 subjects in 9 studies were breast-feeding, and there were no side effects reported. 5. All experimental studies were about the recovery, the immunity and the breast-feeding associated puerperal characteristics. Also, 3 studies used Saenghwa-tang as an intervention. Conclusions: Saenghwa-tang can be commonly used for the purpose of prevention and care of the postpartum symptoms within the first 1~2 weeks after childbirth for 10 days. Also, various prescriptions of herbal medicine may be used depending on the diseases or symptoms, and can be conducted with other treatments like acupuncture, cupping, moxibustion, pharmacopuncture and chuna manipulation.

Studies on the Sex Hormone Level is Serum of Puerperal Sow (돼지에 있어서 분만전후(分娩前後)의 혈청(血淸) 성(性) Hormone 수준(水準)에 관(關)한 연구(硏究))

  • Lee, Kyu Seung;Park, Chang Sik
    • Korean Journal of Agricultural Science
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    • v.8 no.1
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    • pp.64-71
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    • 1981
  • The present study was carried out to study the serum concentration of peptide and steroid hormones in puerperal sow. Eight crossbred sows were used for collection of blood samples from day 20 prepartum to day 20 postpartum. FSH, LH, prolactin, estradiol-$17{\beta}$, progesterone and cortisol were assayed by radioimmunoassay methods. The mean serum FSH did not vary during the puerperal period and ranged from $8.1{\pm}1.8mIU/ml$ to $9.0{\pm}2.3mIU/ml$. LH concentrations increased from $2.6{\pm}0.3mIU/ml$ at day 20 prepartum to $3.9{\pm}1.1mIU/ml$ at the time of parturition, reached $3.2{\pm}0.9mIU/ml$ by day+2 and remained quite constant therafter. Prolactin reached a peak mean level of $68.5{\pm}9.5ng/ml$ at day 0. Estradiol-$17{\beta}$ increased from $205.0{\pm}29.5pg/ml$ at day 6 prepartum to $425.0{\pm}35.0pg/ml$ at the time of parturition. Progesterone remained fairly constant ($18.4{\pm}1.6$ to $20.2{\pm}2.1ng/ml$) from 20 to 6 days before parturition, began to decline on day-2, reached $0.9{\pm}0.3ng/ml$ by day+2 and remained quite constant thereafter. Cortisol reached a peak level of $86.5{\pm}10.5ng/ml$ at the day 0.

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