• Title/Summary/Keyword: postpartum care

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Effects of a Newborn Care Education Program on Newborn Care Confidence and Behavioral Accuracy of Primiparas in a Postpartum Care Center (신생아 돌보기 교육프로그램이 산후조리원 이용 초산모의 양육자신감과 양육행위 정확도에 미치는 효과)

  • Kim, Hyun-Kyung;Jeong, Ihn-Sook
    • Journal of Korean Academy of Nursing
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    • v.37 no.1
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    • pp.125-134
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    • 2007
  • Purpose: The study aimed to identify the effects of a newborn care education program on newborn care confidence and behavioral accuracy of primiparas in a postpartum care center. Method: This was a quasi-experimental study with a non-equivalent control group non-synchronized design. Subjects were 29 primiparas selected from a postpartum care center in D and P hospitals in Ulsan. The intervention was a newborn care education program which was composed of education with a booklet, demonstration, watching a video, and verbal encouragement. The outcome variables were newborn care confidence and behavioral accuracy. Data was collected from Feb. 1 to Mar 22 in 2005 with self-administered questionnaires and observation by researchers. Data was analyzed using the $X^2-test$, Fisher's exact test, t-test and ANCOVA. Result: The experimental group showed significantly higher score changes between the pre-test and post-test in confidence and behavioral accuracy than the control group. Conclusion: The newborn care education program showed positive effects on newborn care confidence and behavioral accuracy of primiparas in a postpartum care center. Therefore, we recommend that this program should be applied in postpartum care centers.

A Study on the Maternal Characteristics and Clinical Changes After Korean Medicine Postpartum Care - A Comparative Study with Pre-Study in 2010 - (한방 산후조리 이용 산모의 특성과 치료결과 보고 - 2010년 선행 연구와의 비교 고찰 -)

  • Noh, Eun-Ji;Choi, Su-Ji;Lee, Dong-Nyung;Kim, Dong-Il
    • The Journal of Korean Obstetrics and Gynecology
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    • v.32 no.3
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    • pp.57-72
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    • 2019
  • Objectives: This study aims to assess the maternal characteristics and changes of body among patients who received Korean medicine postpartum care compared to pre-study. Methods: From January 1, 2018 to February 28, 2019, we included 31 postpartum patients who had body composition analysis at admission and discharge among 34 patients who received postpartum care in ${\square}{\square}$ University Hospital. We used SPSS 21.0 for window to test for statistical significance. Results: The average age, weight, and caesarean section rate increased compared to previous study. The average period of postpartum care has decreased. After postpartum care, abdominal circumference, body weight and Body Mass Index (BMI) was significantly decreased, but not as much as pre-study. The coefficient of determination was derived to predict the effects of postpartum care and calculated as "$Abdominal\;circumference\;change=2.745+0.593{\times}admission\;period$", "$weight\;change=0.214+0.345{\times}admission\;period$" and "$BMI\;change=0.198+0.120{\times}admission\;period$". Conclusions: Compared to previous study, as the maternal age increased and admission period decreased, the weight loss after childbirth decreased. It is necessary to provide individual treatment through coefficient of determination.

Research on the Interior Environment Planning of a Postpartum Care Center. (산후 조리원 실내 환경 계획에 관한 연구)

  • Lee, Jong-Hee
    • Archives of design research
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    • v.20 no.1 s.69
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    • pp.253-262
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    • 2007
  • The postpartum care center is a facility which made its debut only about 10 years ago but has now changed the nation's postpartum care culture. Women delivered of a child use the postpartum care center at this time since the low rate of childbirth has become a social phenomenon. However, while the postpartum care center is not supported legally and systematically, anybody can run it after they only file a report on businessman status with the tax office. So there are disordered wave of postpartum care startups which do not have basic facilities. Thus, this study is intended to suggest an interior environment plan considering an efficient space and users' benefits of a postpartum care center which has a characteristic difference from that of ordinary facilities in terms of targeted persons or operations but for which standards are not clear in terms of the Health and Welfare Law and the Medical Service Law. This study was conducted by investigating the actual condition of the entrance space, living space, common-use space, nursing space, administration and attached space in the six postpartum care centers selected from Seoul and Kyeonggi-do region and suggesting the direction of improvements, thus establishing the direction of interior designs and an interior environment plan. Hopefully, this study would be used as basic data on interior building plans, thus being helpful in enhancing the satisfaction of the postpartum care center user and operating the facility.

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Case Report of Postpartum Disease with Postpartum Sweating (산후(産後) 한출과다(汗出過多)를 동반한 산후풍에 대한 증례 보고)

  • Cho, Hye-Sook;Lee, In-Sun;Lee, Seung-Hwan
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.3
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    • pp.558-562
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    • 2011
  • Women are very weak and liable to various disease in postpartum. So postpartum care is very important. The two patient who was diagnosed with postpartum disease was traeated and improve. We thought that their symptoms was deficiency of Qi. The two patient was treated by herb medicine, acupuncture and moxibustion. Their symptoms was disappeared. After the oriental medical treament, the postpartum disease differentiated deficiency of Qi was improved. The oriental medical treament(herb medicine, acupuncture and moxibustion) relieves postpartum disease with Postpartum Sweating.

Simulation-based education program on postpartum hemorrhage for nursing students (산후출혈 산모 간호 시뮬레이션 교육 프로그램의 효과)

  • Kim, Miok;Ha, Juyoung
    • Women's Health Nursing
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    • v.26 no.1
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    • pp.19-27
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    • 2020
  • Purpose: This study was conducted to develop a simulation-based postpartum care education program for women with postpartum hemorrhage and to verify the effects of the program on postpartum care. Methods: This program was developed according to the ADDIE model of instructional system design, which consists of analysis, design, development, implementation, and evaluation phases. This quasi-experimental study used a non-equivalent control group pre- and post-test design, and data were collected from April 23 to May 4, 2015. To verify the effects of the program, 33 nursing students in the experimental group participated in a simulation program, whereas 31 students in the control group were given a case study. Results: The experimental group had statistically significantly higher scores for clinical performance (t=-4.80, p<.001), clinical judgment (t=-4.14, p<.001), and learning satisfaction (t=-10.45, p<.001) than the control group. Conclusion: The results of this study indicate that the simulation-based postpartum care education program for women with postpartum hemorrhage was effective for developing students' competency, implying that a similar program should be integrated into the clinical training component of the maternal nursing curriculum.

A Study on the Level of Recognition & Performance of Traditional Postpartal Care for postpartal Women in Postpartum Care Center (산후조리원 이용 산모의 산후조리 인지도와 수행도)

  • Park, Shim-Hoon;Kim, Hyun-Ok
    • Women's Health Nursing
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    • v.8 no.4
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    • pp.506-520
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    • 2002
  • The purpose of this study is to research the degree of recognition & performance of traditional postpartal care for postpartal women and to provide the basic data for improvement of service in a postpartum care center. The respondents of this study were 100 women of 6 postpartum care centers within a C province from Oct. 20 to Dec. 10, 2000. The instruments of measure were used for collecting data on the degree of recognition & performance of traditional postpartal care developed by the researcher. Data analysis consisted of frequency, percentage, mean, standard deviation, paired t-test, t-test, ANOVA which are calculated by Scheffe test and Cronbach's alpha which is used as a reliance level by using a SPSS-PC+. The results of the study were as follows:1. The average score for the degree of recognition of traditional postpartal care(Sanhujori) for postpartal women was $3.09{\pm}.31$, and they recognized that it was important. The methods which were ranked were as follows; Protecting the body from a harmful state, invigorating the body by the argumentation of heat and avoidance of cold, handling with whole heart, and keeping clean, resting without working, eating well. 2. The average score for the degree of performance of traditional postpartal care (Sanhujori) for postpartal women was $2.81{\pm}.31$, and they performed that it was important, too. The methods which were ranked were as follows; Protecting the body from a harmful state, invigorating the body by the augumentation of heat and avoidance of cold, eating well, handling with whole heart, and keeping clean, resting without working. 3. There were significant differences statistically (paired-t=-8.39, p=.000) of the degree of recognition & performance of traditional postpartal care(Sanhujori) for the postpartal women. The degree of recognition was higher than the degree of performance. So, the recognition of traditional postpartal care (Sanhujori) was higher than the performance of it. 4. There were no statistical differences of the degree of recognition & performance of traditional postpartal care(Sanhujori) among the postpartal women's age, religion, job, educational background, delivery frequency, delivery method or the sex of baby. So, the Characteristics of the respondents were not influenced as far as the degree of recognition & performance of traditional postpartal care(Sanhujori). 5. There were significant differences statistically of the degree of performance of traditional postpartal care(Sanhujori) among the 5 postpartum care centers except 1 postpartum care center(p<.01). So, the recognition of traditional postpartal care(Sanhujori) was higher than the performance of traditional postpartal care(Sanhujori) in the 5 postpartum care centers. But there was performed as good as recognition in only 1 postpartum care center.

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Effects of Doula-type-delivery Nursing Care on Plasma $\beta$-Endorphin, Serum Cortisol related to Delivery Stress during Labor, and Postpartum Status Anxiety of Primipara - Clinical trial - (Doula식 분만간호가 초산부의 분만중 분만스트레스로 인한 혈장 베타엔돌핀, 혈청 코티졸 및 분만후 상태불안에 미치는 효과 - 임상 실험연구 -)

  • Hur, Myung-Haeng
    • Women's Health Nursing
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    • v.7 no.1
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    • pp.67-79
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    • 2001
  • This study was designed to verify the effect of Doula-type-delivery nursing care on plasma $\beta$-endorphin, serum cortisol, related to delivery stress during labor, and postpartum anxiety of primipara by a quasi experiment(nonequivalent control group pretest-posttest design), from December, 1999 to August, 2000. The subjects of this experiment consisted of sixty eight primipara, with single gestation, full term, uncomplicated pregnancies, thirty three for the experimental group and thirty five for the control group. Their mean age was 26.1 years for the experimental group and 25.5 years for the control group. Their mean gestation period was 39.7 weeks for the experimental group and 40.1 weeks for the control group. As treatment, Doula-type-delivery nursing care was given for the experimental group. Data assessed plasma $\beta$-endorphin, serum cortisol during labor, and anxiety during postpartum. Plasma $\beta$-endorphin, serum cortisol were measured in the latent phase before treatment(pre-test) and the transition phase after treatment(posttest). Also, anxiety was measured in the latent phase before treatment(pre-test) and 24 hours postpartum after treatment(posttest). Data was analyzed by t-test, $x^2$-test, Repeated measures ANOVA with SAS Program. The results of this study were as follows; 1. Plasma $\beta$-endorphin was significantly elevated in the experimental group who were cared for with Doula-type-delivery nursing care during labor(P=.0463). 2. No significant group effects were found, but significant time effects were found for serum cortisol. 3. The postpartum anxiety of the experimental group was significantly lower than the control group(P=.0110). In conclusion, these findings indicate that Doula-type-delivery nursing care during labor could be effective in increasing maternal plasma $\beta$-endorphin and decreasing postpartum anxiety. Doula-type-delivery nursing care during labor could be applied as an effective nursing treatment for primipara.

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Effects of using Postpartum Care Services on the Health-Related Quality of Life in Women after birth (산후관리서비스가 산모의 건강관련 삶의 질에 미치는 영향)

  • Jeong, Jae Yeon;Cha, Sun Jung;Gu, Yeo Jeong;Yoo, Ki Bong
    • Korea Journal of Hospital Management
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    • v.25 no.4
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    • pp.29-37
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    • 2020
  • Purposes: This study purposed to identify influence of postpartum care services on health-related quality of life in women after birth. Methodology: Korea Health Panel Survey 2009-2015 provided by the Korea Institute for Health and Social Affairs and National Health Insurance Service was used for the analysis. The health-related quality of life evaluate as a EuroQoL-5D(EQ-5D-3L, used the weight of the CDC) was used as dependent variables. Postpartum care services was used as independent variable. Demographic factors(education, economic activity, region, house income), health related variable(presence of chronic disease, self-rated health), birth related variable(birth-related problem, childbirth, pregnancy of advanced maternal age) used as covariates. Regression analysis was used. Findings: The rate of use of postpartum care services is increasing year by year. Postpartum care services and self-rated health positively influence on the health-related quality of life in women after birth and chronic disease and birth-related problem negatively influence on. Practical Implications: Therefore, it is necessary that the government's policy of the postpartum care service be expanded and systematized to increase accessibility on. There are rare studies on the health-related quality of life of women after childbirth, adjusted for birth-related variables. So this study has significance.

A Clinical Study of Postpartum Care in Oriental-Western Cooperative Medicine and Survey of Patients' Satisfaction (협진 의뢰 산모의 한방산후조리 현황 분석 및 만족도 조사)

  • Park, Jang-Kyung;Maeng, Yu-Sook;Lee, Seung-Bok;Kim, Dong-Il
    • The Journal of Korean Obstetrics and Gynecology
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    • v.23 no.1
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    • pp.108-123
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    • 2010
  • Purpose: We analyzed the characteristics of women who gave birth at an obstetrician and those who received oriental medicine postpartum care, and investigated the level of their satisfaction to obtain fundamental data for Oriental-Western cooperative medicine treatment for postpartum care. Methods: The review was based on a 5-months' data, from August 1 through December 31, 2009. Information on age, labor record, level of education, and occupation of the patients who had received postpartum oriental-western cooperative medicine treatment was based on Electric Medical Record(EMR) of O O Oriental Medicine Hospital. The questionnaires were completed by the patients at the time of their discharge from the hospital. Results: The patients who were admitted to oriental medicine hospitals tended to be primiparae, and they were more likely to be younger women with higher education levels. The level of satisfaction on postpartum care program of oriental medicine hospitals was high. Conclusion: It is necessary to specialize the facilities, dietary formula, and staff training of oriental medicine hospitals through a survey of postpartum patients' demand and satisfaction level. In oriental-western cooperative medicine hospitals, it is needed to specialize the postpartum program for creating demand of premature delivery mothers.