• The Journal of Korean Obstetrics and Gynecology
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• v.22 no.2
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• pp.163-171
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• 2009

Purpose: The purpose of this study is to report the effect of oriental treatments to postpartum depression. Methods: We treated 41 years old woman and 38 years old woman who had the postpartum depression. In the beginning of treatment, they had anxiety, depression, insomnia, fatigue. They were treated by oriental treatments such as herb medicine, acupuncture, moxa therapy. And then We compared postpartum depression before treatment with one after treatment by Edinburgh postnatal depression scale(EPDS). Results: After the oriental treatments, the clinical symptoms were improved and EPDS was reduced (one reduces from 18 to 10, the other reduces from 17 to 8). Conclusion: Oriental treatments are effective on postpartum depression. After this, further approach and study on postpartum depression might be needed.

• Korean Parent-Child Health Journal
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• v.4 no.1
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• pp.1-18
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• 2001

Fatigue after delivery affect women's birth experience and interrupt the process of labor. Finally woman cannot have a positive birth result and will experience a postpartum fatigue. But researches about fatigue during the labor are lacked. Nurse help adapting a mother's role, bonding with new baby, recovering after birth, and improving woman's quality of life through decreasing fatigue during the labor and intercepting a continued postpartum fatigue. So it is very important that measuring a fatigue and confirming relationships between fatigue and factors affecting fatigue. The purpose of this study was measuring the level of fatigue within 4hours after delivery and identifing factors affecting fatigue. The ultimate goal was to contribute to improving a birth experience and adapting after birth through decreasing the level of fatigue and interventions. The data was collected for this study at the hospital of two universities and the third hospital in Seoul from Aug. 15. to Nov. 10. 2000. The subjects were 106 of mothers who deliveried a normal newborn and were tested within four hours after birth. The instruments were The Visual Analogue Scale for fatigue, The State Anxiety Inventory, and The Labor Support Inventory. The data were analyzed by using percentage, mean, SD, t-test, ANOVA, Pearson correlation. The results of this study were as follows; (1) The level of fatigue during the labor was 61.48point. (2) The deferences according to general and obstetric character affecting fatigue founded that there were Significant differences according to job(t=2.659, p=0.009), and the type of delivery(t=-2.035, p=0.044). (3) The deferences according to factors affecting fatigue revealed that there was significant difference according to quality of sleep(F=2.935, p=0.037). The significant fatigue and the fatigue after delivery was anxiety(r=0.343, p=0.000). The above findings indicate that the level of fatigue during the labor is higher than during pregnancy and postpartum. Woman having a job, delivering by vacuum was more fatigued. The level of fatigue according to a quality of sleep was significant difference. The poor quality of sleep, higher level of fatigue. And the more anxiety after delivery, the more fatigue. So, the variable nursing interventions for lessening the level of fatigue through appling the situation for rest, relaxation during the labor to reserve energy, and decreasing anxiety should be provided for mothers.

• Women's Health Nursing
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• v.8 no.1
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• pp.55-68
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• 2002

While the survival rate of preterm infants and employment rates of mothers with infants have been dramatically increasing, little is known about the impact of maternal employment and having premature infants on maternal health recovery after delivery. The purpose of this longitudinal study was to examine differences in postpartum health by mother's employment and infant's prematurity over time during the first 3 months postpartum. The study used a longitudinal design and was secondary data analysis from a large study. A convenience sample of 132 mothers was recruited with mothers who had fullterm or preterm infants through the postpartum unit. They were followed up for 3 times (at 1-2 days, 6 weeks, and 3 months) during the first 3 months postpartum period. Level of fatigue and hysical symptoms were indicators for postpartum physical health; Positive affect and negative affect were assessed for postpartum mental health, and role functional status after childbirth was for role performance. Finding indicated that health indicators changed significantly over time but there was no main or interaction effect for maternal employment status. There were main effects of infant's prematurity on positive affect, negative affect, and role functional status (self-care and social and community activities). This study enhanced the understanding of postpartum health of mothers with preterm infants as well as those with fullterm infants during the postpartum period.

• The Journal of the Korea Contents Association
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• v.19 no.3
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• pp.649-658
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• 2019

The purpose of this study was to investigate the current status of postpartum depression intervention program performed in Korea and to evaluate its effectiveness. Of the Korean academic journals reported until November 2018, 13 experimental studies were selected and used for final analysis. The average age of the subjects was 26.9 to 34.4 years, and subjects were puerperal women or couples. The sample size was 6~39 (mean: 20.4) in the experimental group, 5~40 in the control group (mean: 20.0), and the intervention program consisted of 0.5~12 weeks/2~14 sessions/10~120 minutes per session. The design of all the studies was a non-equivalent control group pre-post test design. The main dependent variables, postpartum depression, fatigue, and maternal role self-confidence, were all found to have a statistically significant median level of effect size in the meta-analysis. This study confirms the composition and effects of various experimental studies used to mediate postpartum depression in Korea. This could be used as specific evidence-based data to form an optimal postpartum intervention program.

• Child Health Nursing Research
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• v.28 no.2
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• pp.103-111
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• 2022

Purpose: This study investigated the physical and emotional health of South Korean mothers of preterm infants in the early postpartum period. Methods: In this descriptive correlational study, the participants included 91 mothers of preterm infants who were admitted to the neonatal intensive care unit of a tertiary hospital in South Korea. Physical health status was measured using a self-reported questionnaire, postpartum depression using the Edinburgh Postnatal Depression Scale, anxiety using the State-Trait Anxiety Inventory, and guilt using a 4-item scale. Results: Fatigue had the highest score among mothers' physical health problems, followed by shoulder pain, nipple pain, neck pain. The average postpartum depression score was 11.02 points, and 44% of women had postpartum depression with a score of 12 or above. Postpartum depression significantly was correlated with physical health (r=.35, p=.001), anxiety (r=.84, p<.001), and guilt (r=.75, p<.001) and was significantly higher for women with multiple births, and preterm infants who required ventilator and antibiotic treatment. Anxiety also showed a significant difference according to preterm infants' condition. Conclusion: The significant correlations between postpartum depression and physical health, anxiety, and guilt indicate a need for nursing interventions that provide integrated management of mothers' physical and emotional health.

• Women's Health Nursing
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• v.6 no.2
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• pp.305-315
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• 2000

The purpose of this study was to explore the psychoneuroimmunologic effect of aromatherapy massage and to compare the effect with that of massage. This study is designed as a nonequivalent control group pretest-posttest quasi-experimental study and each twenty postpartum mothers volunteered the experimental group and control group. For experimental group, researcher used massage with 2% Jojova oil mixed with Lavender and Rosemary oil (Bush Boake Allen Inc., USA) for 20 minutes, whereas for control group Jojova oil was used as luburicant for massage. Skin temperature was measured with YSI Tele-thermometer(Simpson electric Co., USA) and the concentration of IgA in salivary was analyzed by immunoturbididimetric assay(Cobas INTEGRA, Roche, Swiss) at pre and post test. Also at this time fatigue were measured by Rhoten Fatigue Scale through self-report. The data were analyzed using SAS and hypothesis was tested with unpaired t-test. The results were as follows : 1) Score of fatigue decreased significantly after use of aromatherapy massage. 2) Skin temperature increased significantly after use of aromatherapy massage. 3) Concentration of salivary IgA increased significantly after use of aromatherapy massage. In conclusion, from the standpoint of psychoneuroimmunologic view, the results suggest that aromatherapy massage have greater effect compared with massage and can be effective nursing intervention to enhance relaxation of mind and body in the postpartum mothers.

• Journal of Korean Academy of Nursing
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• v.49 no.2
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• pp.137-148
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• 2019

Purpose: This study aimed to investigate the effects of a reinforcement program for behavioral skills in postpartum care for couples with their first baby. Methods: The study used a non-equivalent control group and pretest-posttest design. It was conducted from January 14 to April 10, 2016 at a postpartum care center in D city. It analyzed 43 couples (22 in the experimental group and 21 in the control group.) For data analysis, descriptive statistics, test of homogeneity in pretest, independent t-tests, and repeated measures ANOVA were used. Results: For maternal fulfillment of postpartum care and postpartum fatigue, there was no significant difference in the interaction between group and time. In terms of parent-newborns attachment, the interaction between group and time showed a significant difference for mothers (F=13.63, p=.001) and fathers (F=6.51, p=.001). In marital intimacy, the interaction between group and time showed a significant difference for mothers (F=14.40, p<.001) and fathers (F=9.46, p=.004). In parenting stress, the interaction between group and time showed a significant difference for mothers (F=31.8, p<.001) and fathers (F=11.69, p=.001). A significant difference was found for the mothers' postpartum sleeping hours (F=0.14 p=.004). Conclusion: This program for behavioral skills in postpartum care, which is based on the information-motivation-behavioral skills model, improves postpartum care, parent-newborn attachment, marital intimacy, parenting stress, and maternal postpartum sleeping, by reinforcing behavioral skills required for postpartum care.

• The Journal of the Convergence on Culture Technology
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• v.4 no.1
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• pp.111-117
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• 2018

This study was conducted to examine the relationship between perineal demage, a physiological element that mothers experience immediately after delivery, and postpartum depression. The postpartum depression level of women after delivery was $6.67{\pm}4.34$ points at delivery, $7.41{\pm}4.77$ after 2 weeks, and $7.77{\pm}5.27$ after 6 weeks. The degree of mild postpartum depression increased to 26% after delivery, 33% after 2 weeks, and to 41.4 after 6 weeks. At 2 weeks and 6 weeks postpartum, the feeling of discomfort during walking or sitting caused by perineal incision had a direct correlation with postpartum depression. Therefore, in order to prevent postpartum depression, management of discomfort associated with the perineal incision should be given priority.

• 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.

• Journal of Korean Academy of Nursing
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• v.40 no.4
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• pp.503-514
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• 2010

Purpose: The purpose of this study was to compare levels of postpartum fatigue, depression, childcare stress, and maternal identity according to postpartum period between primiparas who used Sanhujori facilities and those who did not. Methods: The research design was a longitudinal descriptive study using self-report questionnaires. Participants were 55 healthy primiparas who delivered at one of 3 hospitals in Chungnam, 21 using Sanhujori facilities and 34 not using these facilities during the first three weeks after childbirth. Data were collected from October 2008 to April 2009 at three measurement points, 2-4 days after childbirth (T1), 4-6 weeks (T2), and 12-14 weeks (T3). Data were analyzed using the SPSS 17.0 WIN program. Results: There was a significant difference in childcare stress between the two groups at 4-6 weeks after childbirth. Postpartum depression and childcare stress at 4-6 weeks were significantly higher than those of the other postpartum periods, while maternal identity was significantly lower. Conclusion: Child care stress is the most important issue among women who use Sanhujori facilities and the 4-6 week period after childbirth is very difficult to primiparas. These results indicate that nursing interventions for primiparas in Sanhujori facilities should focus on reducing childcare stress. Furthermore proper follow-up programs at 4-6 weeks are needed to decrease the difficulties in adjustment by new mothers.