• Journal of Korean Academy of Nursing
• /
• v.33 no.5
• /
• pp.580-590
• /
• 2003

Purpose: The study investigates the degree of maternal self-esteem, postpartal depression, and family function in mothers of normal and of low birth-weight infants. Method: A retrospective cohort design was applied to compare the variables of interest between a group of 73 mothers with normal birth weight infants and a group of 45 mothers with low birth-weight infants, using the maternal self-report inventory(MSRV), Edinburgh Postnatal Depression Scale(EPDS) and Family APGAR(FAPGAR). Result: The total mean score was 82.57 for MSRV, 8.45 for EPDS, and 6.83 for FAPGAR with no differences between two groups. A positive correlation was found between MSRV and FAPGAR, while a negative correlations between MSRV and EPDS, and FAPGAR and EPDS. Regardless of the direction of the relationship, the degrees of the correlations were stronger in low birth-weight mothers group than in normal group. Conclusion: No differences in MSRV, EPDS and FAPGAR between the normal and the low birth-weight group considered as beneficial effects of the follow-up management which low birth-weight group was engaged in. This suggested the early intervention(follow-up) for the family with risk factor(low birth-weight) could reduce negative outcomes such as the impaired maternal self-esteem and family function, and the occurrence of postpartal depression, retrospectively.

• Korean Parent-Child Health Journal
• /
• v.5 no.1
• /
• pp.75-89
• /
• 2002

This study was conducted to compare the emotional state between the mothers with low-birth-weights and mothers with normal infants, and to analyze the effects of home visiting for the low-birth-weights in one city. Data were collected from 51 mothers with low-birth-weights and 90 mothers with normal infants to compare emotional state, and from 26 mothers with low-birth weights to evaluate the effect of home visiting care. Summaries of results were as follows; 1. In mothers with low-birth-weights, social support form others was significantly lower than those of mothers with normal infants. Although the differences were not significant, mothers with low-birth-weights have more stress and child rearing burden, and less maternal self-esteem than those of mothers with normal infants. 2. Mothers with low-birth-weights, the more burden, postpartum depression, and the less husbands' support they felt. When they had lower maternal self-esteem and lower husbands' support, child rearing burden was higher. Also there was significant negative correlation between maternal self-esteem and postpartum depression. 3. In mothers with low-birth-weights, the score of post-intervention stress, care-giving burden, and postpartum depression were somewhat decreased, and maternal self-esteem was increased than pre-intervention data, although they were not statistically significant. 4. Mothers' satisfaction on the home-visiting care was considered to be high. In summary, mothers with low-birth-weights had lower social support even though they experienced more stress than mothers with normal infants. Therefore, public health nurse in community should pay more attention to them.

• The Journal of the Korea Contents Association
• /
• v.17 no.8
• /
• pp.366-381
• /
• 2017

This study was conducted in order to evaluate validity and reliability of the Korean version scale to measure maternal satisfaction in normal birth(KSMMS-normal birth). The SMMS-normal birth was administered to 205 postnatal women, together with the perception of birth experience scale. An exploratory factor analysis revealed six factors solution for the twenty three-item scale. Confirmatory factor analysis supported good convergent and discriminant validities, and factor correlations ranged from 0.11 to 0.57. The KSMMS-normal birth showed good concurrent validity with the perception of birth experience scale. The Cronbach alpha for the total scale was .91. It ranged between .80 to .90 for six subscales. The KSMMS-normal birth is reliable and valid instrument to measure maternal satisfaction. Therefore this scale can be used to assess maternal satisfaction in normal birth at hospital during the postpartum 2nd and 3rd day.

• Korean Parent-Child Health Journal
• /
• v.5 no.1
• /
• pp.50-61
• /
• 2002

The purpose of this study was to compare the temperamental differences between the normal infants and low-birth-weight infants. The subjects of this study were 70 mothers with normal infants and 62 mothers with the low-birth-weight. Convenient sampling was done at three regions. The infant temperament scale developed by Pridham & others (1994) was used. Data were analyzed by SPSS WIN program. The results were as follows; 1) There was a significant difference in total temperament score between the low-birth-weight infants and normal infants. The scores of the low-birth-weight infants were significantly lower than those of normal infants in the subscales of amenability and persistence, activity, and reactivity. In adaptability, there was no significant difference between two groups. 2) In both groups, there were no significant difference by socio-economic status of parents, delivery type, and birth order. But, in the case of low-birth-weight infants, the temperament score of infants over 6 months was significantly higher than that of infants under 6 months. 3) In the correlation analysis among subscales of the temperament, amenability and persistence, activity, and reactivity showed the significant relationship. But adaptability showed significant correlation only with the amenability and persistence. In conclusion, temperament score of low-birth-weight infants were significantly lower than that of normal infants. It was suggested that parenting education for low-birth-weight infants would be needed to understand and impact the positive infant temperament.

• Women's Health Nursing
• /
• v.23 no.4
• /
• pp.221-232
• /
• 2017

Purpose: This study aimed to conduct a systematic review and to describe characteristics of the birth experience assessment instrument. Methods: Literature related to the development of the birth experience assessment instrument was examined using a systematic review method. A literature search was conducted using the keywords as '[normal birth]; [$satisfac^*$ OR care quality]; [instrument OR scale] AND (development)' through PubMed, CINAHL, SCOPUS, PsycINFO, and RISS. The search used quality appraisal through QUADAS (Quality Assessment of studies of Diagnostic Accuracy included Systemic reviews) yielding 17 records. Results: The birth experience assessment instrument was categorized for instrumental characteristics: birth satisfaction (n=8), perception of labor experience (n=5), and birth care quality assessment in normal and operative birth experiences (n=4). Important key elements for content characteristics were as follows: nursing practice (n=10), pain control (n=5), environment (n=5), participation (n=4), and support (n=4). Conclusion: This study demonstrated that the birth experience instrument is appropriate for measuring quality of birth care in various clinical conditions. This review of the birth experience instrument reports that an appropriate psychometric tool for enhancing quality of birth care is important.

• Journal of Korean Medical classics
• /
• v.33 no.4
• /
• pp.131-145
• /
• 2020

Objectives : This paper discusses Normal Birth in the Korean Medical context with a focus on bodily phenomena, with an aim to shed new light on what happens to mothers and the fetuses at the time of birth. Methods : Based on contents in the medical classics, changes that happen to the mother's body and their mechanisms were examined, followed by changes that happen in the fetus. The developments that happen to the fetus in the final month of pregnancy were studied in relation to aforementioned findings on the mother. Results : Signs of birth presented in the mother's body are manifestations of bodily changes that happen in a network with certain channels/meridians and viscera/bowels surrounding the uterus. The fetus prepares for birth as well, moving downwards into the mother's pelvis and his/her shen(神) getting prepared for separation from the mother's body. Conclusions : The birth process is not a race towards a finish line that ends with the birth of the fetus. It is rather a time wherein necessary changes in both the mother and the fetus takes place for a smooth and healthy birth.

• Journal of Korean Public Health Nursing
• /
• v.16 no.2
• /
• pp.315-324
• /
• 2002

Objectives : This study was conducted to explore the relating factors with the delivery of low-birth-weight infants in Pyungtaek city. Methods : A questionnaire survey was obtained from 51 mothers with low-birth-weight babies and 90 mothers with full-term normal babies from April to October in 2001. Questionnaire consisted of demographic characteristics, dietary habits including alcohol. drugging, and smoking, past and present disease, prenatal risk factors and prenatal check-up, and complications related to labor and delivery. Results : 1. In the low-birth-weight infants group, father's education level and mother's height were significantly lower, and proportion of old age mothers was significantly higher than those of the normal infant group. 2. Mothers with low-birth-weight infants experienced more premature rupture of membrane, placenta previa, ecclampsia, and twin pregnancy than mothers with normal infants. Gestational period of mothers with low-birth-weight infants was significantly shorter than that of mothers with normal infants. 3. No differences were found in eating habit, alcohol and drug ingestion, smoking, exposing to dangerous materials in two groups, but both groups were highly exposed to indirect smoking, although mothers rarely smoke. Conclusion : The findings of this study indicate that high risk group such as less educated, or older mothers need more prenatal health assessment and support from public health services. Addition to determine the risk factors related to the delivery of low-birth-weight infants, public health nurses pay more attention and develop efficient management system for vulnerable women and infants.

• Journal of Korean Academy of Nursing
• /
• v.13 no.3
• /
• pp.51-60
• /
• 1983

Currently changing trends of child health care is demand total health assessment of child including growth and development. This study concentrates on the growth & developmental status of low birth weight infant for help their growth & development. Thus it can be provide a direction for scientific health education and counseling materials by investigating factor of growth & development. The subjects for this study were made up of 40 low birth weight infant who attended the well baby clinic of E university Hospital. The study method used was a questionnaire ＆ anthropometric assessment and DDST for normative data of development. The period for data collection was from July 1st to August 31th, 1982. Analysis of the data was done using percentages, $\chi$$^2$-test Stepwise Multiple Regression. The results of study were as follows. 1. The mean weight of birth was 2,068gm and mean of gestational period was 35.65 weeks. 2. The age at which weight ; 32.5%, head circumference : 67,5% chest circumference : 55.0%, height : 50. 0％ was normal range of physical growth. 3. The reverse age at which social development ; 87.5%, fine motor & adaptive development ; 70.0%, gross motor development ; 72.5% of children Passed by DDST to determine of normal range of development. 4. In the among variables, it was found that the infant who were the higher emotional & verbal response of mother and stimulus environment was the more normal range of weight & development than who was not. 5. The stepwise Multiple Regression between developmental status and predictors-birth order, weight at birth, sex, antenatal care, gestational period-are accounts for 34.1%.

• Nutrition Research and Practice
• /
• v.3 no.2
• /
• pp.134-140
• /
• 2009

Adequate nutrient intake during pregnancy is important to fetal and maternal health. The purpose of this study was to investigate the factors affecting birth weight and gestational age and to provide basic data to promote more favorable pregnancy outcomes. Data were collected from 234 pregnant women at two hospitals in Seoul. Demographic characteristics, anthropometric measurements and health related habits were obtained using a questionnaire at the hospital visit during the second trimester. Dietary intakes were estimated by 24 hour recall at the hospital visit during the second trimester. Data on pregnancy outcomes, including birth weights and gestational ages, were obtained from hospital records after delivery. Birth weights were divided into a low birth weight group (birth weight<3.1 kg), a normal birth weight group (3.1-3.6 kg) and a high birth weight group (>3.6 kg). Gestational ages were divided into tertiles according to the gestational age of the subjects: group 1 (<38.53 weeks), group 2 (38.53-40.00 weeks) and group 3 (>40.00 weeks). The number of family members was significantly lower in the low birth weight group than in the normal birth weight group (p<0.05). In the low birth weight group, pregnancy weight was significantly lower than in the high birth weight group (p<0.05) Health related habits were not significantly different among any of the groups. Intakes of fiber, phosphorous, iron, vitamin $B_6$ and folic acid were significantly higher in the high birth weight group than the low birth weight group (p<0.05). Gestational age was not significantly affected by nutrient intakes, but birth weight was affected by nutrient intake in the results of this study. Therefore, the adequacy of nutrient intake is important for the improvement of pregnancy outcomes.

• Journal of the Korean Society of Physical Medicine
• /
• v.5 no.3
• /
• pp.499-508
• /
• 2010

Purpose : The purpose of this study was to investigate the effect of sensorimotor stimulation on the development of infant with low birth weight premature. Methods : Ten infants with low birth weight premature and ten normal infants participated in this study. We carried out test TIMP(Test of Infants Motor Performance) according pre intervention, post 3 weeks, PCA 40 week and normal infants. The intervention of sensorimotor stimulation applied to infants with low birth weight premature four times a week and fifteen minutes a once time. There was no intervention for normal infants. The collected dada were analyzed by ANOVA using by SPSS/PC 17.0 ver. program. Results : There was significant difference among three differential test period to improved developmental value in infants with low birth weight premature. According over time, numbers of observed items presented significant difference among test period, and elicited total score and total raw score was significant value(p=.00). There was no significant value that means sensorimotor stimulation affected on development of infants with low birth weight premature. Conclusions : In conclusion, sensorimotor stimulation had affects on the development of infants with low birth weight premature.