• Title/Summary/Keyword: early postpartum

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Family Factors Influencing Korean Mothers' Postpartum Depression

  • Kim, Sang Lim;Yang, Sungeun
    • International Journal of Advanced Culture Technology
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    • v.6 no.4
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    • pp.45-51
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    • 2018
  • The purpose of the study was to examine the effects of family related factors (mothers' self-esteem, mothers' parenting stress, mothers' marital satisfaction, fathers' parenting involvement, and social support) on mothers' postpartum depression. The subjects were 797 households that were extracted from the $1^{st}$ wave of the Panel Study of Korean Children (PSKC). The study variables were measured using the survey questionnaires, and analyses of Pearson's correlation and multiple regression were conducted. Results showed that family related factors significantly predicted mothers' postpartum depression. Moreover, the most significant predictor was mothers' parenting stress, followed by marital satisfaction, self-esteem, fathers' parenting involvement, and social support. Study findings indicate that mothers' postpartum depression is attributed to not only personal but also family related factors. Our results suggest importance of parent education and family support along with social support.

Effects of Breast Massage on Breast Pain, Breast-milk Sodium, and Newborn Suckling in Early Postpartum Mothers (유방마사지가 산욕초기 어머니의 유방 통증, 유즙 소디움, 신생아 흡유 횟수에 미치는 효과)

  • Ahn, Suk-Hee;Kim, Jin-Hee;Cho, Jung-Suk
    • Journal of Korean Academy of Nursing
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    • v.41 no.4
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    • pp.451-459
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    • 2011
  • Purpose: In this study the effects of breast massage on breast pain, breast-milk sodium, and newborn suckling in early postpartum mothers were investigated. Methods: The design was a non-synchronized nonequivalent control group pretest-post-test design. Sixty postpartum mothers who were admitted to a postpartum care center and had problems with breastfeeding were recruited. Of these mothers, 44 were assigned to the intervention group and received two 30-minute breast massages within 10 days of postpartum period. The others were assigned control group and received only routine care. Breast pain was measured using a numeric pain scale and number of times newborns suckled was observed throughout breastfeeding. Breast milk was self-collected to evaluate breast-milk sodium. Results: Mean age of postpartum mothers was 30 years old. Compared to the control group, women in the intervention group reported significant decreases in breast pain (p<.001), increases in number of times newborns suckled after the first and second massage (p<.001), and a decrease in breast-milk sodium after the first massage (p=.034). Conclusion: Breast massage may have effects on relieving breast pain, decreasing breast-milk sodium, and improving newborn suckling. Breast massage can be used to solve breast problems. Further research is needed to validate our findings.

The Characteristics of 7-zone-diagnosis on Postpartum Depression (산후우울군과 비우울군의 7구역 진단기 특성연구)

  • Bak, Ji-Young;Lee, Eun-Hee;Ban, Ji-Hye;Kim, Tae-Hee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.24 no.3
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    • pp.146-155
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    • 2011
  • Objectives: Since early developed measurement of Postpartum depression(PPD) doesn't reflect physical symptoms, we need to find out how PPD and related physical disorders are expressed in functional medical methods. The study was conducted to find out characteristics of 7 Zone diagnosis and postpartum physical symptoms on PPD. Methods: To 216 postpartum women who did normal delivery, we measured 7-zone-diagnosis Factor AA's height on 5th day and 15th day postpartum. And we surveyed EPDS and postpartum physical symptoms question on 15th day postpartum. Subjects were divided into normal and depression group by EPDS score. And we compared Factor AA's height between two groups and Factor AA's height change in each group. Results: In depression group, Factor AA's height was higher than normal group on 5th day and 15th day postpartum. In both groups Factor AA's height was decreased on 15th day compared to 5th day postpartum. In normal group 2, 6, 7 zone were significantly decreased and in depression group only 6 zone was significantly decreased. Conclusions: These results demonstrate that postpartum depression group has low recuperative power. And these can be judged by Factor AA's height change.

Studies on the improvement of reproductive efficiency in Korean native cows -Plasma progesterone concentrations for monitoring ovarian activity in the postpartum period- (한우(韓牛)의 번식효율(繁殖效率) 증진(增進)에 관한 연구(硏究) -혈중(血中) progesterone농도(濃度) 측정(測定)에 의한 분만(分娩)후 난소기능(卵巢機能) 회복상태(回復狀態)의 검토(檢討)-)

  • Choi, Han-sun;Kang, Byong-kyu;Son, Chang-ho;Suh, Guk-hyun
    • Korean Journal of Veterinary Research
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    • v.30 no.4
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    • pp.515-523
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    • 1990
  • Plasma progesterone concentrations in 44 suckling Korean native cows were determined to monitor ovarian activity postpartum by radioimmunoassay. Blood samples were collected in 3 day intervals from 15 to 80 days postpartum. The ovaries and uterus were examined in 6 day intervals by rectal palpation. Results are summaried as follows: 1. The cows were qualified into four categories; Type I(normal): cyclic changes in plasma progesterone concentrations appear within 45 days postpartum(35 cows, 79.5%), Type II(cycle delayed): delayed resumption of ovarian activity by 55 days postpartum(5 cows, 11. 4%), Type III(cycle ceased with low progesterone): plasma progesterone concentrations remained low(${\leq}1ng/ml$) until 80 days postpartum(3 cows, 6.8%), Type IV(cycle ceased with high progesterone): plasma progesterone concentrations after 30 days remained high(${\geq}4.0ng/ml$) until 80 days postpartum(1 cow, 2.3%). 2. Out of the cows classified Type II and III, 7 cows had inactive ovaries and a cow had follicular cyst by rectal palpation. The cow of Type IV was diagnosed as bearing persistent corpus luteum by rectal palpation. 3. About 82% of the cows showed significant rises in plasma progesterone concentrations prior to 50 days postpartum and the cows of Type II and III resumed cycles in 31. 6(range 17~55) days after calving. However, 43.2% resumed cycles in 50 days postpartum by estrus signs. These results indicated that plasma progesterone concentrations assessed by radioimmunoassay can be utilized for monitoring postpartum ovarian activity and would be helpful for the early detection of ovarian dysfunction in the Korean native cow.

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Taurine Level in Human Milk and Estimated Intake of Taurine by Breast -Fed Infants during the Early Period of Lactation (수유 초기 모유 중 타우린 함량과 영아의 섭취량 추정)

  • 김을상
    • Journal of Nutrition and Health
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    • v.31 no.3
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    • pp.363-368
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    • 1998
  • Taurine is only supplied to the infants from the breast-fed or formula milks because the enzyme activities of taurine biosynthesis are limited in early stages of infants . The objectives of present study were to quantitate the contents of tarurine in human milk and to estimate the intake of taurine by breast-fed infants during early period of lactation. Thirty -three lactating women, volunteered and delivered in R hospital in Serou. were recruited. Milk samples were collected every day at B1-B5 day(from 1 to 5 day dafter start of milk secretion), 15th and 30th day postpartum. Taurine contents were determined by HPLC equipped with RF-detector. The intake of taurine by infants was estimated by multiplization with the infant milk intake reported in our laboratory. The content of taurine was 406$\pm$174nmol/ml at B1-B5 day, and then gradually decreased to 359$\pm$125nmol/ml at 15th day and to 304$\pm$94nmol/ml at 30th day postpartum. The estimated intake of taurine was almost same as 24-25mg/day at B1-B5 day, and 15th , 30th days postpartum . This results was due to the increase of the intake of milk by infants.

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Effect of Supplemental Fish Meal on Milk Yield and Milk Composition of Holstein Cows during Early Lactation

  • Adachi, N.;Suzuki, K.;Kasai, K.;Hiroki, M.;Kume, S.;Nonaka, I.;Abe, A.
    • Asian-Australasian Journal of Animal Sciences
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    • v.13 no.3
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    • pp.329-333
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    • 2000
  • Data of 15 multiparous Holstein cows kept at Ibaraki Prefectural Animal Experiment Station were collected from 10 weeks prepartum to 20 weeks postpartum. Cows were assigned randomly to a soybean meal (S8M) diet or a fish meal (FM) diet from 4 weeks before expected calving date to 20 weeks postpartum. Each diet was formulated to contain similar amounts of CP, ADF, and NDF. In the FM diet, 2.5 and 5% of fish meal were supplemented as total mixed rations in prepartum and postpartum periods, respectively. Compared to the SBM diet, undegraded intake protein (UIP) and Met were higher in the FM diet, but Lys was low. Body weight and dry matter intake were not affected by supplemental FM, and dry matter intake increased by 6 weeks postpartum and maintained constant after 7 weeks postpartum. Cows in the FM diet remained high milk production during the experimental period, but milk yield in the SBM diet decreased gradually after 6 weeks postpartum. Supplemental FM increased milk yield and protein yield from 10 to 20 weeks postpartum when FM intake was 1.19 kg/d, although milk protein was not improved. There were no significance differences in fat content and fat yield between FM and SBM diets. Supplemental FM had no effect on plasma glucose and urea-N at parturition and 7 weeks postpartum. Thus, the increased milk and protein yield may be due to the combination of carryover effect of supplemental UIP or Met in FM from 4 weeks prepartum to 10 weeks postpartum and direct effect of supplemental FM.

A Prospective Observational Study on Symptoms of the Postpartum Women with Korean Medicine Treatment during Six Weeks after Childbirth (한의치료를 받은 산모의 산후 6주간 증상에 대한 전향적 관찰 연구)

  • Kim, Pyung-Wha;Kim, An-Na;Jang, Hyun-Chul;Lee, Eun-Hee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.30 no.4
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    • pp.114-134
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    • 2017
  • Objectives: This study aims to investigate the changes of women's postpartum symptoms, including their weights, edema index and quality of life (QOL) over the first six weeks after childbirth. Methods: The study participants were 31 postpartum women treated in the Dept. of Obstetrics & Gynecology, at Woo-Suk University Korean Medicine Hospital, from May 20th to August 5th, 2016. In the first 2 weeks of the postpartum period, the main data collection method was to interview each patient and write down all of their complaints, and additionally referring to each participant's PHR (Personal Health Records). At the 3rd, 4th, 5th and 6th week, the researcher interviewed participants by phone once a week. The participants' weight, edema index (ECW/TBW) and the quality of life (by EQ-VAS) were measured at 1st and 2nd week after childbirth. And, EQ-VAS was assessed once more at the 6th week after childbirth. As a last step, the participants responded to a survey on satisfaction regarding their postpartum care with Korean Medicine. Results: 1. In the 1st one week after childbirth, edema was the most frequent complaint. It was about joint pain of the upper limbs in the 2nd and 3rd weeks, sweating in the 4th week, and joint pain of the upper limbs in the 5th and the 6th weeks. 2. In the 1st two weeks of the postpartum period, the weight of the participants decreased from $66.33{\pm}9.30kg$ to $62.60{\pm}8.92kg$ (p<0.001) and the edema index ECW/TBW decreased from $0.399{\pm}0.010$ to $0.385{\pm}0.0 4$ (p<0.001). The EQ-VAS significantly improved from $61.77{\pm}17.72$ to $73.51{\pm}14.67$ (p<0.001). In the last 4-weeks of the postpartum period, the EQ-VAS decreased from $74.30{\pm}14.25$ to $73.63{\pm}13.35$, but this difference was not statistically significant (p=0.749). 3. Regarding the satisfaction with postpartum care with Korean Medicine, 60% of the participants responded that it was 'Excellent' and 40% said it was 'Good'. Conclusion: Over the entire postpartum period, the most frequent complaints were about musculoskeletal symptoms. Postpartum care with Korean Medicine treatments in the early postpartum period improves various postpartum symptoms and the quality of life for postpartum women.

The Effect of Feeding Ruminally Undegradable Protein on Postpartum Reproduction of Awassi Ewes

  • Kridli, R.T.;Haddad, S.G.;Muwalla, M.M.
    • Asian-Australasian Journal of Animal Sciences
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    • v.14 no.8
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    • pp.1125-1128
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    • 2001
  • The objectives of this study were to evaluate the effects of feeding undegradable intake protein (VIP) on body weight changes and the return to estrus of Awassi ewes during the early postpartum period. Twenty multiparous Awassi ewes $(BW=57.4{\pm}3.0kg)$ were randomly assigned to two dietary treatment (10 ewes per treatment) for 4 weeks in a completely randomized design. Experimental diets were isonitrogenous, isocaloric, and were formulated to contain either 20% (CON) or 35% (SBM) of the dietary CP as UIP. On day $9{\pm}3$ postpartum (day 0=parturition) ewes were housed in individual pens. Feed intake was recorded daily. Dry matter intake (DMI), organic matter intake (OMI), crude protein intake (CPI), undegradable protein intake (UPI) and metabolizable energy intake (MEI) were higher (p<0.05) for ewes on SBM diets compared with ewes on CON diet. Ewes receiving SBM diet gained more (p<0.05) weight than the controls (5.3 vs 0.5 kg). There was a tendency (p>0.10) for SBM ewes to have more luteal activity than the controls. Ewes in the SBM group came into estrus 4 days earlier than CON ewes (p<0.10). These results indicate that Awassi ewes receiving adequate nutrition are capable of returning to estrus one month postpartum thus posing the possibility of being able to lamb every 6 months.

Correlations between Postpartum Edema and Pulse Energy Measured by 3D Blood Pressure Pulse Analyzer (3D Blood Pressure Pulse Analyzer로 측정한 맥파 에너지와 산후 부종과의 상관성 연구)

  • Lee, Ji-Yeon;Yun, Young-Jin
    • The Journal of Korean Obstetrics and Gynecology
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    • v.27 no.1
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    • pp.167-175
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    • 2014
  • Purpose: This study was performed to find correlations between Edema Index and Pulse Energy in early postpartum period. Methods: Fiftynine postpartum women were participated in this study which was conducted with Inbody 720 (Biospace Co. Ltd) and 3D Blood Pressure Pulse Analyzer (3D-MAC). Edema Index (Extra Cellular Water/Total Body Water) calculated after body composition analysis and 3D-MAC result (Pulse Energy) were analysed within a week after delivery. Results: The results were as follows 1. Edema Indexes of the upper, lower limbs, trunk and whole body were associated with each other respectively. 2. Edema Indexes and Right Kwan pulse energy had significant positive correlation. 3. Right Kwan pulse energy showed positive correlations with Left Kwan, Right Chon, Right Cheok. Conclusions: Viscera associated with Postpartum Edema are Spleen, Lung, Liver and Vital Gate. The most important thing is thought to be Spleen.

Phenomenological Study on Mothering Experiences of the Married Immigrant Women in Urban Areas (결혼이주여성의 모성경험에 관한 현상학적 연구 -도시거주 이주여성을 중심으로-)

  • Kim, Tae-Im;Kwon, Yun-Jung;Kim, Mi-Jong
    • Women's Health Nursing
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    • v.18 no.2
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    • pp.85-97
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    • 2012
  • Purpose: This study was done to explore the lived experience of pregnancy, childbirth, postpartum and early child rearing in married immigrant women in urban areas. Methods: Data were collected from February to April, 2011 through in-depth interviews. Nine immigrant women were selected in a metropolitan area through the purposive and snowball sampling method. After obtaining IRB permission and informed consent from the participants, all interviews were recorded with MP3 recorder and transcribed for analysis. Using the phenomenological approach, data collected through in-depth interviewing were analyzed following Colaizzi style. Results: Data analysis revealed 4 categories and 10 themes related to pregnancy, childbirth, postpartum and early child rearing of married immigrant women in urban areas. These four categories were 'A clumsy foreigner's life with nostalgia', 'Crisis in the crisis', 'Unprepared for motherhood', and 'Living together with new family without regrets'. It was a common finding that they were not ready to be mothers because of the very short time for adjustment in Korea. Compared to rural, immigrant women urban women had various in social support systems. Conclusion: The results indicate that adequate education is needed for immigrant women regarding motherhood, and that this education should be culturally appropriate for these women.