• Title/Summary/Keyword: postpartum depression

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A Prospective Observational Study on Symptoms of the High Risk Group and Normal Group Used Postpartum Care Center during Six Weeks after Childbirth in Korean Medicine Hospital (고위험산모와 일반산모의 산후 6주간 증상에 대한 전향적 관찰 연구 - 일개 한방병원 산후조리원을 이용한 산모를 중심으로)

  • Jung, Jong-Kwan;Jeong, Seo-Yoon;Kim, An-Na;Jang, Hyun-Chul;Kim, Pyung-Wha;Lee, Eun-Hee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.32 no.4
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    • pp.116-131
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    • 2019
  • Objectives: The aim of this study was to observe the changes of women's postpartum symptoms, the quality of life and depression scale over the first six weeks after childbirth. Methods: Twenty seven mothers who received Korean medical treatment in the outpatient department treatment (from September 27th, 2017 to January 5th, 2018) were evaluated for Verbal numerical rating scale (VNRS), edema index, EuroQol Visual Analogue Scale (EQ-VAS), and Edinburgh Postnatal Depression Scale (EPDS). Results: There were 17 high risk participants (63.0%) and 10 normal participants (37.0%). The VNRS of edema is the highest in the first week, and the VNRS of joint pain is the highest from the second week to the sixth week in all patients. The Extra Cellular Water/Total Body Water (ECW/TBW) of high risk group significantly decreased from $0.403{\pm}0.011$ to $0.387{\pm}0.006$(p<0.05) in the first 2 weeks. The ECW/TBW of normal group significantly decreased from $0.393{\pm}0.070$ to $0.383{\pm}0.011$ (p<0.05) in the first 2 weeks. The EQ-VAS of high risk group increased from $64.12{\pm}13.941$ to $69.35{\pm}18.155$ (p<0.05) in the first 2 weeks. But this difference was not significant statistically (p=0.234). The EQ-VAS of normal group significantly increased from $62.50{\pm}21.763$ to $74.00{\pm}9.661$ (p<0.05) in the first 2 weeks. The difference of EPDS was not statistically significant between the first week and the sixth week in every participants. Conclusions: VNRS was the highest in edema in the first week, joint pain was the highest from the second week to six week. The edema index of high risk groups was higher than that of the normal group in the first week (p<0.05). The EQ-VAS of normal group significantly increased (p<0.05) in the first 2 weeks but high risk group didn't. In the EPDS, the ratio of nine or more points of high risk group was more than twice than normal group in the first 2 weeks.

A Case of Sheehan's Syndrome Mimicking Psychotic Depression (정신병적 우울증 양상을 나타낸 Sheehan씨 증후군 1례)

  • Jeong, Jong-Hyun;Hong, Seung-Chul;Lee, Sung-Pil;Han, Jin-Hee
    • Korean Journal of Psychosomatic Medicine
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    • v.5 no.1
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    • pp.118-122
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    • 1997
  • We experienced a case of 51-year-old female patient who showed symptoms of persecutory delusion, auditory hallucination and hallucinatory behavior, severe insomnia, psychomotor retardation and social withdrawal, along with some clinical signs of the deficiency of various hormones those gradually progressed after massive postpartum vaginal bleeding 13 years ago. She was admitted to a psychiatric ward under the impression of psychotic depression. However careful history taking and evaluation of clinical feature gave rise to the possibility of underlying medical condition. Laboratory work-up revealed panhypopituitarism, hypoglycemia and hyponatremia. After replacement of thyroid hormone and cortisol for 1 week, her clinical symptoms including psychiatric symptoms were improved. Taken together, these findings were compatible with the diagnosis of Sheehan's syndrome. On reporting this case, we would like to emphasize again the importance of differential diagnosis of medical problems causing psychiatric symptoms those are easily neglected in the clinical approach toward psychiatric patients.

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A Study on the Control of Lighting Color Temperature by Emotional Perception of Pregnant Women (임산부의 감정 인식에 따른 조명 색온도 제어 연구)

  • Son, Seongho;Choi, Donggyu;Jang, Jongwook
    • Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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    • 2021.05a
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    • pp.123-125
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    • 2021
  • Pregnant women's psychological health affects the health of the fetus. Therefore, health care for pregnant women is essential for a healthy fetus. One of the symptoms of pregnancy among many pregnant women is the depression of emotional ups and downs. One way to relieve this depression is to use light therapy and color therapy by using lighting. Adjust the color temperature of the light so that it affects the emotions through color. For example, ceiling lights in car dealerships are set up like a sun-light, or low color temperature are used to create a comfortable mood in facilities like spas. In this paper, we use image sensors to identify the psychological state and change the color temperature of the lighting in real time. The study was conducted to relieve postpartum depression by using the psychological effects of pregnant women with easily purchased lighting devices.

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Taegyo in Korea (한국에서의 태교)

  • Kim, Young-Hee
    • Korean Parent-Child Health Journal
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    • v.12 no.1
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    • pp.37-45
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    • 2009
  • Purpose: This study was done to review Taegyo types, the practice of Taegyo, factors of Taegyo, and the effect of Taegyo programs in Korea. Method: This study reviewed the preceding research related to Taegyo through websites, articles, and books. Result: As a result of a review of Taegyo types, the practice of Taegyo, factors of Taegyo, and the effect of Taegyo programs through websites, articles, and books, it was summarized that pregnant women were independent people able to practice Taegyo from pre-pregnancy to childbirth for baby's health. If she practiced encouraging behaviors of Taegyo with her husband's physical, emotional, and economical support, she and her husband would easily transition to parenthood and form strong attachments with their baby. In addition, the rate of mother's postpartum depression was decreased. However, some pregnant women felt a psychological, social, and economical pressure to practice Taegyo. Conclusion: Activating organized and accessible to support systems and community networks, such as community health centers, nurses can help pregnant couples to increase self-care through the performance of Taegyo.

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The Trajectories and Predictors of Maternal Post Natal Depressive Symptoms in a High Risk Group, Based on Latent Growth Modeling (우울위험 집단 어머니의 우울 변화궤적 및 예측요인 분석: 잠재성장모형을 중심으로)

  • Lee, Wanjeong;Kim, Gyunhee
    • Korean Journal of Child Studies
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    • v.36 no.3
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    • pp.77-92
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    • 2015
  • The purpose of this study was to employ the Latent Growth Curve Model to investigate the developmental trajectories of maternal depressive symptoms and to identify predictors that might have an effect on change and the level of developmental trajectories. The results of this study indicated that the maternal depressive levels of a high risk group had increased significantly over the past 5 years. The predictors for these developmental trajectories of maternal depressive symptoms were as follows; birth order, maternal prenatal depressive levels, self-esteem, marital satisfaction, parenting stress and the level of family crisis experienced by the high risk group.

Psychometric testing of the Chinese version of the Perinatal Infant Care Social Support tool: a methodological study

  • Feiyan Yi;Sukhee Ahn;Miyeon Park
    • Women's Health Nursing
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    • v.30 no.2
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    • pp.128-139
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    • 2024
  • Purpose: This study aimed to translate the Perinatal Infant Care Social Support (PICSS) instrument into Chinese and to verify the reliability and validity of the translated version. Methods: This study used a cross-sectional design to examine the reliability and validity of the Chinese version of the PICSS (C-PICSS). A cohort of 150 first-time mothers in China participated, attending hospital follow-up care at 6 weeks postpartum. Data were collected after obtaining informed consent from the mothers. Results: The majority of mothers were aged between 20 and 29 years, with a mean age of 26.25 (±3.90) years. An item analysis of the 19 items in the C-PICSS showed that all items had an item-total score correlation above 0.2. This resulted in a Kaiser-Meyer-Olkin value of 0.92 and a significant Bartlett's test of sphericity (χ2=1,778.65, p<.001), confirming the suitability of the data for factor analysis. Correlation analyses revealed a strong positive relationship between infant care social support and general social support (r=.62, p<.001), and a negative relationship between infant care social support and postpartum depression (r=-. 38, p<.001). Higher scores for infant care social support were associated with reporting positive relationships with their husbands (t=3.72, p<.001) and high levels of spousal involvement (t=4.09, p<.001). In terms of structural support, spouses were identified as the primary source. Conclusion: The research results indicate that C-PICSS is reliable and valid as an indicator of social support for infant care among Chinese mothers.

Bibliographic Studies on Disorder of Milk Secretion (유즙분비이상에 관한 문헌적 고찰)

  • Ban, Hye-Ran;Yang, Seung-Joung;Park, Kyung-Mi;Cho, Seong-Hee;Lee, Jin-A
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.2
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    • pp.329-338
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    • 2005
  • Breast milk is general term for crude milk and mature that is secrete after two-three days of delivery. Because amount of milk secretion is different, disorder of milk secretion is to be classified into galactostasis and spontanous flow of milk. According to this point, we considered thirty four papers and got the conclusion about the concept, cause, therapeutic method and medication of secreation disorder. Therefore we report the result. galactostasis due to deficiency of the qi and blood, depression of liver qi, blood stasis of postpartum, excessiveness and so on. If the qi and blood is deficient, therapeutic method is enriching qi and benefiting blood, if the liver qi is deprssive, treatment is relieving the deprssive liver and regulating the circulation of qi. The milk is flowing spontanously and continously due to a prosperous condition of qi and blood, too deficiency of the qi and blood, depression of liver qi and so on. If the qi and blood is deficient, therapeutic method is tonifying and arresting the qi and blood, if Liver channel is stagnated fire, puring the liver of pathologic fire, relieving the deprssive liver and regulating the circulation of qi. Clinical study for the 1 case of the recurrent cervical cancer patient.

Effects of a Postpartum Back Pain Relief Program for Korean Women

  • Oh, Hyun-Ei;Lee, Young-Sook;Shim, Mi-Jung;Kim, Jin-Sun
    • Journal of Korean Academy of Nursing
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    • v.37 no.2
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    • pp.163-170
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    • 2007
  • Purpose. Despite the high prevalence of back pain and its subsequent effects in post-partum women, intervention programs are scarce. The purpose of this study was to test the effects of a back-pain-reducing program on post-partum women who experienced low-back pain during pregnancy. Methods. A non-equivalent control-group pretest-posttest design was used. Pregnant women who attended a hospital for prenatal check-ups and experienced back pain participated in an intervention program (n=27), and the results were compared with women in a control group from another hospital (n=25). Results. At 8 weeks post-partum, the pain intensity, functional limitations were lower in the intervention group than in the control group. However, differences in mean change of the pain intensity and functional limitations between 36 and 39 weeks of gestation and at 8 weeks post-partum were not statistically significant between the groups. Moreover, the flexibility, post-partum functional status, and post-partum depression did not differ significantly between the groups. Conclusions. A back-pain-relief program in this study was not effective to reduce the back-pain intensity in post-partum women and to decrease the associated functional limitations. The implications for nursing practice and directions for future research are discussed.

The Effects of the Integrated NICU Hospitalization Education on Maternal Attachment, Maternal Self-Esteem, and Postpartum Depression in the Mothers of High-Risk Infants (통합적 NICU입원교육이 고위험신생아 어머니의 모아애착, 모성자존감, 산후우울에 미치는 영향)

  • Ahn Young-Mee;Lee Sang-Mi
    • Child Health Nursing Research
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    • v.10 no.3
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    • pp.340-349
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    • 2004
  • Purpose: The quasi-experimental study was conducted to investigate the effects of the integrated NICU hospitalization education on maternal attachment, maternal self-esteem, and EPDS in the 26 mothers of high-risk infants(HRI). Method: The subjects were divided into the experimental group to received the integrated NICU hospitalization education included the enforced direct education of NICU and HRI to the mothers using a booklet and the provision of the neomaternal exposure as soon as possible after delivery. The control group received the routine education of the NICU hospitalization, mostly including the admission process and the NICU rules delivering to the husband. The research variables were maternal attachment, maternal self-esteem, and EPDS. Result: The results showed the increases in these variables after the integrated education in experimental group compared to the control group. Conclusion: It supports the benefits of the early direct NICU education and the neomaternal exposures on maternal adaptation process in the mothers of HRI.

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Analysis of Newspaper Articles on Child Abuse Deaths (아동학대 사망사건에 대한 신문기사 분석)

  • Kim, Jihae;Chung, Ickjoong;Lee, Heeyoun;Kim, Kyunghee
    • Korean Journal of Social Welfare
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    • v.65 no.2
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    • pp.131-154
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    • 2013
  • Although fatalities due to child abuse are frequently happened, there has been a dearth of research on the topic. The present research analyzes deaths due to child abuse in representative newspapers in order to examine incidences, causes, and characteristics of child abuse. The results showed that from 2000 to 2012 child abuse deaths occurred 141 cases. Most deaths due to child abuse were committed by single mothers, biological mothers, cohabiting women and stepmothers, and biological fathers. As regards the reasons of deaths due to child abuse, the frequency of newborn infant deaths as the result of abuse by single mother or single parent was the highest, and lack of parenting skills, postpartum depression, hardships of living and lack of financial abilities were followed. Also, subjects received extensive media coverage were crime compositions-stereotypes of child abusers, habitual and continual child abuse, lack of child abuse reporting and prevention system, and mild penalties. Finally, based on the results of the study, the implications to prevent and resolve deaths due to child abuse were discussed.

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