• 제목/요약/키워드: maternal factors

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산후 초기여성의 모성기능에 미치는 영향요인 (Factors affecting maternal functioning among early postpartum women)

  • 반민경;여정희
    • 한국융합학회논문지
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    • 제12권9호
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    • pp.323-330
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    • 2021
  • 본 연구는 출산여성의 모성기능의 정도와 이에 영향을 미치는 요인을 규명하기 위해 시도되었다. 자료수집은 2021년 2-3월에 걸쳐 여성병원 3곳에서 출산 후 6주에서 12주에 해당되는 여성 243명을 대상으로 실시하였고, 이 자료는 SPSS 25.0 프로그램을 이용하여 분석되었다. 그 결과 출산여성의 모성기능 영향요인은 산후우울, 배우자 및 가족지지, 직업유무, 출산 방법으로 나타났으며, 그 중 산후우울(β=-0.43, p<.001)과 배우자 및 가족 지지(β=0.39, p<.001)가 중요한 예측인자였다. 따라서 모성기능 향상을 위한 중재 개발 및 적용 시 산후우울을 완화하고 배우자 및 가족지지를 증진하는데 중점을 둘 필요가 있다. 본 연구는 국내에서 처음으로 출산여성의 모성기능을 파악하여 다양한 연구의 시발점이 될 것이다.

Predictors of Maternal Identity of Korean Primiparas

  • Chae, Hyun-Ju;Song, Ju-Eun;Kim, Sue
    • 대한간호학회지
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    • 제41권6호
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    • pp.733-741
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    • 2011
  • Purpose: The purpose of this study was to identify factors influencing maternal identity of Korean primiparas. Methods: The data were collected by a self-report questionnaire in 2006. The participants were 210 healthy primiparous women who delivered at one of three medical centers and revisited the outpatient department for follow up between 4 to 6 weeks after childbirth. Data were analyzed using the SPSS WIN 17.0 program with descriptive statistics, t-test, one way ANOVA, Pearson correlation coefficient, and stepwise multiple regression. Results: Maternal identity was significantly correlated with Taekyo accomplishment, the culturally based prenatal preparation (p<.001). Transitional gratification to motherhood (p<.001), postpartum depression (p<.001), childcare stress (p<.001), infant temperament (p<.001), and social support (p<.001) were also significantly correlated with maternal identity. The stepwise multiple regression analysis showed that maternal identity was significantly predicted by transitional gratification to motherhood, infant temperament, childcare stress, and Taekyo accomplishment. These variables explained 31.0% of the variance of maternal identity. Conclusion: The results of this study suggest that postpartum nursing interventions to promote maternal identity should focus on reinforcing education and support for reducing childcare stress and infant difficulty, and increasing transitional gratification to motherhood. Also, prenatal encouragement and education for improving Taekyo accomplishment may be helpful to promote maternal identity after birth.

Maternal and grandmaternal obesity and environmental factors as determinants of daughter's obesity

  • Shin, Mi Na;Lee, Kyung Hea;Lee, Hye Sang;Sasaki, Satoshi;Oh, Hea Young;Lyu, Eun Soon;Kim, Mi Kyung
    • Nutrition Research and Practice
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    • 제7권5호
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    • pp.400-408
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    • 2013
  • Obesity may be the consequence of various environmental or genetic factors, which may be highly correlated with each other. We aimed to examine whether grandmaternal and maternal obesity and environmental risk factors are related to obesity in daughters. Daughters (n = 182) recruited from female students, their mothers (n = 147) and their grandmothers (n = 67) were included in this study. Multivariable logistic regression was used to analyze the association between the daughter's obesity and maternal, grandmaternal, and environmental factors. Maternal heights of 161-175cm (OD: 8.48, 95% CI: 3.61-19.93) and 156-160 cm (2.37, 1.14-4.91) showed positive associations with a higher height of daughter, compared to those of 149-155 cm. Mothers receiving a university or a higher education had a significant OR (3.82, 1.27-11.50) for a higher height of daughter compared to those having a low education (elementary school). Mother having the heaviest weight at current time (59-80 kg, 3.78, 1.73-8.28) and the heaviest weight at 20 years of age (51-65 kg, 3.17, 1.53-6.55) had significant associations with a higher height of daughters, compared to those having the lightest weight at the same times. There was no association between the height, weight, and BMI of daughters and the characteristics and education of her grandmothers. In conclusion, although genetic factors appear to influence the daughter's height more than environmental factors, the daughter's weight appears to be more strongly associated with individual factors than the genetic factors.

임부의 스트레스, 우울 및 배우자와 가족의 지지가 모성 정체성에 미치는 영향 (Effects of stress, depression, and spousal and familial support on maternal identity in pregnant women)

  • 서혜정;송주은;이영진;안정아
    • 여성건강간호학회지
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    • 제26권1호
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    • pp.84-92
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    • 2020
  • Purpose: The objective of this study was to identify the factors influencing maternal identity in pregnant women. Methods: Using a descriptive research design, a cross-sectional survey was conducted. In total, 127 pregnant women were recruited from a tertiary hospital in Korea from January to April 2019. Measurements included maternal identity, stress, depression, spousal and familial support, and demographic and obstetric characteristics. Data were analyzed by descriptive statistics, the independent t-test, one-way ANOVA, Pearson correlation coefficients, and stepwise multiple regression using SPSS version 25.0. Results: The mean score for maternal identity was 131.15 out of 160, and the mean scores for stress, depression, and spousal and familial support were 14.59 (out of 40), 6.82 (out of 30), and 109.04 (out of 132), respectively. Stress (r=-.38, p<.001), depression (r=-.37, p<.001), and spousal and familial support (r=.37, p<.001) were significantly correlated with maternal identity. In multiple regression analysis, stress (β=-0.27, p=.005) and spousal and familial support (β=0.23, p=.014) were found to be significant factors influencing maternal identity in pregnant women (F=14.19, p<.001). Conclusion: It is necessary to develop effective strategies to mitigate stress and to encourage spousal and familial support in pregnant women. Such strategies could further enable pregnant women to enhance their maternal identity.

Maternal-Conceptus Interactions: Mediators Regulating the Implantation Process in Pigs

  • Choi, Yohan;Seo, Heewon;Yoo, Inkyu;Han, Jisoo;Jang, Hwanhee;Kim, Minjeong;Ka, Hakhyun
    • Reproductive and Developmental Biology
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    • 제38권1호
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    • pp.9-19
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    • 2014
  • For successful embryo implantation, the communication of the maternal endometrium with the conceptus trophectoderm is required essentially. In pigs, conceptuses undergo morphological change in length to enlarge the physical contact area with the maternal endometrium and secrete estrogen to induce the maternal recognition of pregnancy during the peri-implantation period. Conceptus-derived estrogen prevents luteolysis by conversion in direction of $PGF_{2{\alpha}}$ secretion from the uterine vasculature to the uterine lumen as well as it affects on expression of the uterine endometrial genes. In addition to estrogen, conceptuses release various signaling molecules, including cytokines, growth factors, and proteases, and, in response to these signaling molecules, the maternal uterine endometrium also synthesizes many signaling molecules, including hormones, cytokines, growth factors, lipid molecules, and utilizes ions such as calcium ion by calcium regulatory molecules. These reciprocal interactions of the conceptus trophectoderm with the maternal uterine endometrium make development and successful implantation of embryos possible. Thus, signaling molecules at the maternal-conceptus interface may play an important role in the implantation process. This review summarized syntheses and functions of signaling molecules at the maternal-conceptus interface to further understand mechanisms of the embryo implantation process in pigs.

영아-어머니간 상호작용 측면에서 애착에 영향을 미치는 요인 연구 (Factors Affecting Infant-Mother Attachment)

  • 김승경;강문희
    • 아동학회지
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    • 제20권2호
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    • pp.139-150
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    • 1999
  • This study focused on the temperament of infants and on maternal sensitivity in the investigation of the factors which affect infant-mother attachment. The 67 infant-mother pairs were divided into two groups on the basis of attachment security scores. Results showed a relationship between infant-mother attachment and temperament. There was also a relationship between maternal sensitivity and infant temperament. Factors most strongly affecting infant-mother attachment were infant's sociability, mother's emotion, and mother's satisfaction with the degree of infant's sociability.

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NICU에 입원한 미숙아 어머니의 모성정체성 (Maternal Identity in Mothers of Premature Infants admitted in NICU)

  • 신희선
    • Child Health Nursing Research
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    • 제10권1호
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    • pp.117-125
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    • 2004
  • Purpose: The research was conducted to investigate the experience of maternal role attainment of mothers of premature infants admitted in NICU and to conceptualize the phenomena. Method: The grounded theory method was utilized for data collection and analysis. 8 mothers of premature infants were selected and in-depth interview was performed. Paradigm model was utilized for data analysis and presentation. Result: The central category was 'unstable maternal identity'. The properties of the core phenomena was 'ambivalent feeling to baby' 'negative emotion' 'commitment to baby'. The loss of control due to premature delivery was the causal condition. contextual condition was the 'perceived threats' due to severity of the premature infant and uncerainty of the baby's life. The mother's health status, economic status, and familial and social support was recognized as intervening conditions during the process of maternal role attainment. The strategic action/interactions were emotion-focused coping, reappraisal of the situation, problem-focused coping, and information seeking. The consequence was the maternal role attainment with competence and expectation. Conclusion: The process of maternal role attainment was affected by threats due to severity of the baby and intervening factors and interaction strategy. Further research is recommended to develop adequate intervention method during the process of maternal role attainment.

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양육 스트레스, 모성역할 적응, 출산 당시 병원에서의 수유방법과 모유수유 적응과의 관계 (Association of Parenting Stresses, Maternal Role Adjustment, and Types of Feeding during Hospital Stays at Birth to Breastfeeding Adaptation)

  • 안숙희;김윤미
    • 여성건강간호학회지
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    • 제21권4호
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    • pp.262-271
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    • 2015
  • Purpose: This study was to explore association of maternal role adjustments, parenting stresses, and demographic factors to breastfeeding adaptation. Methods: A correlational survey design was used to recruit 183 mothers who breastfeed or breastfed their babies. Participants' visited outpatient departments and were admitted to pediatric ward at 2 hospitals in metropolitan city of Korea. Inclusion criteria for subjects were mothers whose babies were from 1 month to 24 months old. Data were collected using a self-report questionnaire for mothers' and babies' demographic variables, maternal role adjustments, parenting stresses, and maternal breastfeeding adaptations. Results: Higher levels of maternal adaptations and low levels of parenting stresses were associated with greater maternal breastfeeding adaptations. Types of feeding during hospital stays and baby's health status at birth were also associated with maternal breastfeeding adaptation. Conclusion: Results showed that a higher level of mothers' adjustment to breastfeeding; indicated lesser parenting stresses with higher levels of maternal adaptation. Nursing interventions for breastfeeding should be applied for appropriate breastfeeding adaptation during mothers' hospital stay. As baby's poor health status at birth medical team should provide a proper breastfeeding education.

임신부의 식품 및 영양섭취 상태와 임신결과에 영향을 주는 요인 -I. 임신기 스트레스에 의한 식품 및 영양소 섭취 상태- (Factors Affecting Dietary & Nutrients Intake During the First, Second, and Third Trimesters and Pregnancy Outcome -I. Effects of maternal stress on dietary and nutrient intake and on neonatal weight-)

  • 최봉순;신정자;김우경;박명희;이인숙
    • 한국식생활문화학회지
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    • 제16권3호
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    • pp.203-214
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    • 2001
  • Maternal stress was very common symptom that every pregnant women could have experienced during pregnant period. We found that the causative factors of stress for subjects were physical change(50.8%), family relationship(13.6%), change of body image(7.4%), concern baby(6.8%), economic difficulties(6.4%), depress(4.3%), morning sickness(3%), and miscellaneous(3.5%). According to our study, maternal stress during the first trimester negatively correlated with food and nutrients intake of pregnant women and gave low weight gain during pregnancy and low birth weight of infants. It also significantly correlated with monthly income(p<0.001) and monthly food cost(p<0.001) during pregnant period. Mean intake of Calcium and Iron were $47{\sim}60%$ of RDA and $35{\sim}48$ of RDA, respectively. With the Iron supplement the total intake of Iron exceeded 100% of RDA. We also found majority of food items, except seaweeds, fruits and vegetables, were negatively correlated with maternal stress during three trimesters. Additional support system projected by professionals in health-care field could mediate maternal stress and lead to healthy pregnancy outcome.

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유아-청소년 자녀를 둔 어머니의 행복감 척도 개발 연구 (The Development and Validation of a Maternal Happiness Scale for Mothers with Young Children, School-Aged Children, and Adolescents)

  • 정계숙;박재국;박수홍;유미숙;최은실;서보순
    • 대한가정학회지
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    • 제51권1호
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    • pp.27-43
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    • 2013
  • The purpose of this study is to develop and validate a maternal happiness scale which can be used for mothers who take care of young children, school-aged children, and adolescents. First, the maternal happiness scale was developed based on literature review and the consent of experts. Finally it was consisted of 56 items from 18 elements of happiness through checking the contents validity with professionals. Second, final respondents for the survey were 1300 mothers who had children with and without disabilities in Seoul, Busan, Gyeonggi, and Kyungnam. Third, the 8 factors including the 53 items were extracted through the mothers' appraisal of the items and the review of the adequacy for the factor analysis. The 8 factors were consisted with 'Family relations with family', 'Laid-back life and self-esteem', 'Physical and mental health', 'Independency and development', 'Spirituality', 'Interpersonal relations', 'Appearance', 'Sociocultual environment'. Fourth, the maternal happiness scale demonstrated appropriate levels of construct validity, item internal consistency, distribution of item response, and item discrimination. The results of this study enhance our understanding of the core factors of maternal happiness. In addition, the findings have implications for supporting mothers who take care of young children, school-aged children, and adolescents.