• Title/Summary/Keyword: postpartum depression

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Study on the Comparison of Emotion between the Mothers with Low-birth Weights and Normal Infants and the Effect of Home Visiting for the Low-birth Weights (저체중출생아 어머니와 정상신생아 어머니의 정서와 지지 비교 및 보건소 저체중출생아 가정방문간호의 효과에 대한 연구)

  • Bang, Kyung-Sook;Kim, Yong-Soon;Park, Jee-Won
    • Korean Parent-Child Health Journal
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    • v.5 no.1
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    • pp.75-89
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    • 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.

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The Effect of Parenting Stress and Depression and Fatigue on Quality of life in Early Postpartum Mothers (산욕기 산모의 양육스트레스, 산후우울, 피로가 삶의 질에 미치는 영향)

  • Kim, Jeong-Suk
    • Journal of Convergence for Information Technology
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    • v.8 no.6
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    • pp.1-7
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    • 2018
  • The study was investigate the effect of quality of life of mothers in the postpartum period. This study was a descriptive research study of 113 women who lived in D metropolitan area within 6-8 weeks after birth, Data were analyzed using SPSS 21.0 program ANOVA, t-test, Pearson's correlation analysis and multiple random analysis. Data collection was from August 2018 to September 2018. The results were as follows. The most influential factors on quality of life were parenting stress(${\beta}=-.646$, p =.000), fatigue(${\beta}=-.329$, p =.009). It is necessary to develop a nursing intervention program related to physical and mental health because maternal quality of life leads to lower quality of life when feeling emotional mood change such as emptiness and depression.

Common Mental Disorders and Associated Factors During Pregnancy and the Postpartum Period in Indonesia: An Analysis of Data From the 2018 Basic Health Research

  • Arum Ariasih;Besral;Meiwita Budiharsana;Sudarto Ronoatmodjo
    • Journal of Preventive Medicine and Public Health
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    • v.57 no.4
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    • pp.388-398
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    • 2024
  • Objectives: A substantial proportion of women experience mental health challenges during pregnancy or the postpartum period. Common mental disorders (CMDs), including depression, anxiety, and obsessive-compulsive disorder, are prevalent. Identifying causes and associated risk factors is imperative for early intervention and the prevention of mental health issues. Methods: This study utilized data from the 2018 Basic Health Research, which was conducted nationwide in Indonesia, using a cross-sectional approach. We focused on women aged 13-49 years who were currently or previously married, and had experienced pregnancy, including 8889 pregnant women and 77 012 women who had delivered between January 1, 2013 and August 31, 2018. The Self-Reporting Questionnaire-20 was employed to assess CMDs. Multivariate logistic regression was performed. Results: The prevalence of CMDs in pregnant women was 12.6%, while postpartum mothers exhibited a prevalence of 10.1%. Poor health status displayed the strongest impact on CMDs during both pregnancy (adjusted odds ratio [aOR], 12.23; 95% confidence interval [CI], 9.01 to 16.60) and the postpartum period (aOR, 16.72; 95% CI, 14.85 to 18.82). Additional significant factors for both group include young maternal age, lack of education, unemployment, history of hypertension, and smoking status. Among pregnant women, CMDs was also associated with first-trimester pregnancy, previous pregnancy complications, and small upper arm circumference. For postpartum mothers, significant factors include living in rural areas, history of abortion, unwanted pregnancy, pregnancy complications, lack of antenatal care, spontaneous delivery, postpartum complications and contraceptive use. Conclusions: CMDs can impact in pregnant and postpartum women. Early diagnosis and management must be seamlessly integrated into primary healthcare practices.

Study of the oriental medical literature for 産後風(chan hou feng) (산후풍(産後風)에 대(對)한 문헌적(文獻的) 고찰(考察))

  • Min, Byung Ho;Yoo, Dong Youl
    • Journal of Haehwa Medicine
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    • v.13 no.1
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    • pp.159-168
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    • 2004
  • '産後風(chan hou feng)' is a postpartum pain-syndrome which caused by inadequate postpartum health care. Recently '産後風(chan hou feng)' contain some symptoms in relate with dystonia like sleep disorder, tiredness, depression, anxiety etc. According to The International Association for the Study of Pain(IASP) "Pain is an unpleasant sensory and emotinal experience associated with actual or potential tissue damage, or described in terms of such damage". This definition means the pain is related to emotional state as well as physical, Physical and emotional changes are common after childbirth, which can cause pain. The important point in treating its '産後風(chan hou feng)' is that the patient in the postpartum period.

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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.

A phenomenologic study on the stresses and the experiences of pregnant women and postpartum mothers who had immigrated to the United States (이민 임산부의 스트레스와 분만경험에 대한 현상학적 연구)

  • 조영숙
    • Journal of Korean Academy of Nursing
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    • v.24 no.3
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    • pp.432-447
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    • 1994
  • Koreans are one of the fastest growing immigrant groups in America. Adjsting to life in foreign country produces a great deal of stress. Differences in culture, language, expectation and social behavior can lead to misunderstandings. The pregnancy and delivery event is one of maturational crisis in life cycle. The purpose of this research was to understand the structure of the lived experience of pregnant women and postpartum mothers who had immigrated to the United States. The research question was "What is the structure of the experience of pregnant women and postpartal mothers?" The sample consisted of 16 women registrated at the Obstetrics and Gynecology Department of one local clinic in Hawaii. The unstructured interviews were carried out from Jnuary 5, through January, 30, 1994. They were audio-recorded and analyzed using Van Kaam's method. There are different views on the causative factors of stress. Maladjustement to the immigrant life, spousal conflicts, anxiety related to bringing up the bay and conflicts between mother-in-law and daughter-in-law are considered to be related factors. The experiences of pregnant women over the period of the pregnancy can be varied and can include change of body image, emotional and physical change. The experiences of postpartum mothers over the postpartum period can be varied and can include postpartum depression emotional irritability, fear related to bringing up the baby and disappointment with husband. Positive experiences over the period of pregnancy and postpartum were the strengthen-ing beliefs. Sources of support were, first, spouse then mother and faith. Support was also received from the physician in charge and through self-control. The nurse, by providing empathetic support, should be a person with whom they can express their feelings and share their experiences.

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Moderating Effect of Family Support on the Relationship between Parenting Stress on Depression of Immigrant Women

  • Park, Ok-Im;Moon, Hee
    • Women's Health Nursing
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    • v.17 no.5
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    • pp.447-453
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    • 2011
  • Purpose: The purpose of this research was to identify levels of parenting stress, depression and family support of immigrant women and to investigate the moderating effect of family support on the relationship between parenting stress and depression of immigrant women. Methods: The research was carried out with 86 immigrant women who were registered in multi-cultural support centers and receiving education in three cities South Jeolla Province. Data were collected using structured questionnaires and analyzed using descriptive statistics, correlation analysis and hierarchical regression analysis with SPSS/WIN 17.0. Results: The level of parenting stress perceived by the immigrant women was moderate and the level of depression was slightly high. The level of family support as perceived by the wives was slightly high as well. There was a positive correlation between depression and parenting stress but no correlation with family support. Effects of parenting stress on depression were moderated by family support. Conclusion: Results indicate that family support provided to immigrant women moderated effects of parenting stress on depression. Accordingly, as family support is critical to immigrant women, education and other programs need to be provided to promote understanding of family support as a help for immigrant women.

A Short-Term Longitudinal Investigation of Pre- and Postnatal Depressive Symptoms of Korean Women (산전후 우울 변화 - 성장혼합모형을 이용한 단기종단연구)

  • Shin, Na-Ry
    • Journal of the Korean Home Economics Association
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    • v.49 no.9
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    • pp.59-72
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    • 2011
  • This study examined whether there are underlying latent classes of growth trajectories of maternal depression in the Korean population. Data from the first phase of the Panel Study of Korean Children (PSKC) of the Institute of Child Care and Education (KICCE) were used for this study. The final sample of participants included 1,471 mothers, who completed three interviews: at birth, at one month, and at four months. A two-class model consisting of depression (12.3%) and non-depression (87.7%) was considered the best-fitting solution using Mplus 3.13. The changes in postnatal depression in the Korean population within four weeks after childbirth, which is the period of "postpartum onset", seem to be important. Logistic regression analysis showed that duration of breast-feeding and planned pregnancy effects were significantly associated with trajectory class membership.

The Effects of the Systemic Follow up Health Care Program on the Health Promotion and the Risk Reduction in Premature Infants and Their Mothers (체계적 건강관리프로그램이 모성과 미숙아의 건강증진 및 질병예방에 미치는 영향에 관한 연구)

  • Ahn Young-Mee
    • Journal of Korean Academy of Nursing
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    • v.34 no.6
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    • pp.1129-1142
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    • 2004
  • Purpose: This research was conducted to evaluate the effects of asystemic follow-up care program on health promotion and risk reduction in 64 high-risk infants(HRI) including premature infants and their mothers. Method: The intervention consisted of systemic NICU education, tele-counseling and 3 home visits in 6 months. The subjects were divided into either the intervention group or the control group receiving the conventional NICU education without the tele-counseling and home visiting. Infant health promotion was measured using physical assessment, types of health problems, reflexes, OPD visiting history, DDST, immunization, feeding assessment, Infant death rate, etc. Maternal self-esteem, postpartum depression and family function were measured using the maternal self-report inventory(MRI), EPDS, and family apgar score(Fapgar), retrospectively. Result: All premature infants in the intervention group were in the normal range of growth and development, and the regular vaccination schedule. The health problems in the intervention group were addressed early so not to develop into adverse effects. The follow-up program for 6 months showed beneficial effects on MRI, EPDS, and Fapgar. Conclusion: A systemic follow-up health care program is beneficial on health promotion and risk reduction in 64 HRI including premature infants and their mothers.