• Title/Summary/Keyword: postpartum fatigue

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Nutritional condition in the dry period is related to the incidence of postpartum subclinical endometritis in dairy cattle

  • Taniguchi, Asako;Nishikawa, Tatsuya;Morita, Yasuhiro
    • Animal Bioscience
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    • v.34 no.4
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    • pp.539-545
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    • 2021
  • Objective: Endometritis is a major disease, that causes infertility in cattle, and is usually categorized as clinical or subclinical endometritis (SCE). The nutritional condition during the dry period is important for recovery after the last stage of the lactation period, and for postpartum production and reproduction. This study aimed to clarify the relationship between nutritional and metabolic characteristics in the dry period, and the risk of postpartum SCE. Methods: Multiparous Holstein dairy cows (n = 25, raised in a tied stall) were used. Endometrial cytological analysis was performed around 30 days post-partum, with 5% to 14% polymorphonuclear (PMN) as a cut-off point to define SCE. Serum levels of glucose, non-esterified fatty acids, β-hydroxybutyric acid (BHBA), blood urea nitrogen, total cholesterol, aspartate aminotransferase, γ-glutamyl transpeptidase, calcium, phosphorus, and magnesium were measured in the cows at the dry period to evaluate energy status, protein metabolism, and mineral metabolism. Results: The incidence of SCE in the cows was 60.0% (n = 15/25) and the mean PMN% in postpartum cows diagnosed as SCE was 8.05%±2.6%. Overall, 17 and 8 samples were collected from the cows in the far-off and close-up periods, respectively. The serum concentration of BHBA in the far-off period and serum glucose concentration in the closeup period were correlated with postpartum PMN% (r = 0.62, p<0.01; r = -0.74, p<0.05, respectively). Serum levels of calcium and magnesium in the dry period were associated with the incidence of postpartum SCE (healthy vs SCE cows, p<0.05). Conclusion: Blood levels of glucose, BHBA, calcium, and magnesium in dry periods could be useful parameters for predicting the risk of postpartum SCE. The present study also suggests that management in the close-up period is essential for promoting recovery from calving fatigue.

A Comparative Study on the Level of Postpartum Women's Fatigue and Breast Feeding Rate according to the Types of Rooming-in care (모자동실제 유형에 따른 산모피로도 및 모유수유율 비교)

  • Kim, Youngmi;Kim, Sunghee;Cho, Kap-Chul
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.5
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    • pp.445-455
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    • 2017
  • This study was conducted to identify the relevance between postpartum women'sfatigue and breast-feeding rate in accordance with the types of rooming-in care at one hospital in Seoul. The data were collected by using a self-report questionnaire between June and July of 2014. All subjects were full-time rooming-in group, with 64 mothers and part time rooming-in group, 43 mothers. The collected data were analyzed using SPSS 22.0 windows program. The result supported Hypothesis 1, in which the number of full-time rooming-in group's daily breast-feeding would out number that of part time rooming-in group. Hypothesis 2, on the other hand, which was that the breast-feeding rate would differ between the full-time rooming-in and the part-time rooming-in groups was overruled. Hypothesis 3, in which the fatigue of the full-time rooming-in group would be higher than the part-time rooming-in group was supported. Hypothesis 4, in which postpartum women'sfatigue would relate to breast-feeding rate during hospitalization period was overruled. Thus, based on this research, it is suggested that rather than collectively running the full-time rooming-in care, part-time rooming-in care that is individualized with considerations to the conditions of the mothers and new-born should be considered.

Influence of Fatigue, Depression and Anxiety on Quality of Life in Pregnant Women with Preterm Labor (조기진통 임부의 피로, 우울과 불안이 삶의 질에 미치는 영향)

  • Kang, Hyuna;Nho, Ju-Hee;Kang, Hyejin;Lee, Soojin;Lee, Hwangmi;Choi, Sunsook
    • Women's Health Nursing
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    • v.22 no.4
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    • pp.254-263
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    • 2016
  • Purpose: The purpose of this study was to identify effects of fatigue, depression and anxiety on quality of life in pregnant women with preterm labor. Methods: With a survey design, data were collected from 138 mothers who were admitted at a hospital in Seoul, between June 2014 and September 2015. Instruments used to collect the data for the study were: Fatigue Continuum Form, Depression anxiety stress scale (DASS-21) and maternal postpartum quality of life (MAPP-QOL). Results: The mean fatigue score was 68.30 with 50.7% of women being depressed and 79.7% of the 138 women being anxious. The mean quality of life was 18.92 with quality of life being associated with fatigue, depression and anxiety. Depression and fatigue explained 26% of the variance in quality of life. Conclusion: Depression and fatigue adversely affected women's quality of life. It is important to address appropriate management of depression and fatigue in order to improve quality of life in pregnant women with preterm labor.

A Study on the Changes of Early Puerperium Symptoms and Blood Stasis Index of Women Taking Gungguijohyeol-eum-gamibang (궁귀조혈음가미방(芎歸調血飮加味方)을 복용한 여성의 산욕 초기 증상과 어혈 변화에 대한 연구)

  • Choi, Seok-Young;Kim, Chan-Woo;Kim, Nam-Hoon;Park, Kyoung-Sun;Hwang, Deok-Sang;Lee, Jin-Moo;Lee, Chang-Hoon;Jang, Jun-Bock
    • The Journal of Korean Obstetrics and Gynecology
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    • v.31 no.1
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    • pp.1-19
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    • 2018
  • Objectives: The purpose of this study was to investigate the changes of early puerperium symptoms and Blood Stasis Index in women during the first two weeks after childbirth. Methods: 38 women staying at Korean postpartum management facilities were studied. Questionnaires were filled out on the date of arrival and departure. Changes in overall physical conditions including neuropsychiatric, circulatory, digestive, musculoskeletal, and urogenital and breast symptoms as well as Blood Stasis Pattern were studied. Results: 1. Neuropsychiatric symptoms were shown in order of Depressed Feeling, Insomnia, Dizziness, Headache, and Easy to Anger and Nervous on arrival. All symptoms showed improvement after two weeks, without significance. 2. Circulatory symptoms were shown in order of Excessive Sweating, Edema, Fatigue, Hot Flash, Anemic Feeling, Alternating Chills and Fever, Cold Hypersensitivity, Chills, Oppression in the Chest, and Palpitation on arrival. Hot Flash, Excessive Sweating, and Edema showed significant improvement after two weeks. 3. Digestive symptoms were shown in order of Dyspepsia, Dry Mouth, Constipation, and Loss of Appetite. All symptoms showed improvement after two weeks, without significance. 4. Pain of Muscles & Joints showed improvement after two weeks, without significance. Pain of Teeth & Gingiva showed slight worsening after two weeks, without significance. 5. Urogenital and Breast symptoms were shown in order of Wound Pain, Fever and Distending Pain in the Breast, and Lower Abdominal Pain on arrival. All symptoms showed significant improvement after two weeks. 6. Blood Stasis Index showed significant improvement after two weeks. Conclusion: Most symptoms were improved in women staying at Korean postpartum management facilities for two weeks. Hot Flash, Excessive Sweating, Edema, Wound Pain, Lower Abdominal Pain, Fever and Distending Pain in the Breast and Blood Stasis Index showed significant improvement.

Management of breastfeeding (모유수유모(母乳授乳母)의 관리(管理)에 관한 고찰)

  • Kim, Ro-Sa;Kim, Jin-Hwan;Cho, Jung-Hoon;Lee, Jin-Moo;Lee, Chang-Hoon;Jang, Jun-Bock;Lee, Kyung-Sub
    • Journal of Oriental Medical Thermology
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    • v.8 no.1
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    • pp.48-63
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    • 2010
  • Purpose : Mothers and primary encounter and Korean traditional Gynecology clinician's perspective on breastfeeding, the importance and general knowledge, familiar with the breastfeeding-related issues to help resolve the maternal education and treatment. treatment options for a specific note down the need for Maternity and think that the existing studies and articles about breast diseases with reference to the view of the contemplated. Method : Maternity and breast disease with reference to research and review papers. Results : The first, from the past to encourage nursing mothers to eat a lot of nursing was given recently is changing the perception of adequate calories. and second, the posture of breastfeeding in prevention of mother's fatigue and pain and the baby's milk intake should be considered effective. The third, breast feeding is heavier than normal because of the surrounding muscle tissue in the breast to support the training may be helpful to. At last is emotional stability, and adequate nutritional intake and their milk is not enough awareness and interest in and education about breast-feeding mothers to breastfeed will help you look. Conclusion : Prenatal care program in order to facilitate breastfeeding and breast-feeding from the breast managed Postpartum Care Program consists of a map for the breast-related discomfort in advance to lead to prevention and to increase women's satisfaction seems to be.

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The Complaints Rates of Minor Discomforts and Its Influencing Factors. (임신중 경증불편감 호소율과 영향 요인에 관한 연구)

  • Lee, Mi-La;Cho, Cheong-Ho;Kim, Eun-Kyung;Song, Mi-Seung
    • 모자간호학회지
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    • v.1
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    • pp.16-22
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    • 1991
  • Various minor discomforts are reported to be complained by the pregnant women. but what were and how much were they complained has not been revealed until recently. So, These lack of knowledge have given nurses difficulties in planning of care to promote the health during the pregnancy. Objectives of this study were to identify the rate of complaints in each minor discomforts and to explore the influencing factor on reduction of complaints of minor discomforts. The subjects were 120 mothers, who delivered their babies in hospital, from September to December 1990 and the reason why the postpartum mothers were selected as the subjects were minor discomforts could develope during the entire period of pregnancy. Data were gathered by the questionnares and analized statistically using SAS and SPSS program. Results were as follows. 1. More than one third of the subjects complained frequent urination, fatigue, increase of the vaginal discharge, morning sickness, the increased urination at night, pain in leg, backache, edema in leg, constipation, dyspnea, varicose vein, flatulence, headache. 2. Minor discomforts complained to be severe in more than one third of the subjects were frequent urination and increased urination at night. 3. The influencing factor to reduce the complaints of minor discomfort was revealed to be the perceived family support (r=0.030431, t=0.0007). We suggest that nurses should emphasize the importance of the family support to the pregnant women and their family, and to explore the relationships among the locus of control, the perceived family support and the complaints of minor discomforts.

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