Purpose: The purposes of this descriptive survey study were to describe postpartum depression level and to identify the influence of postpartum depression on maternal role confidence, parenting stress and infant temperament, in order to develop a base for nursing intervention programs for mothers who have postpartum depression. Method: Data were collected from 183 mothers of infants who visited one public health center in Goyang city. The instrument used for this study was a self-report questionnaire to identify the postpartum depression (BDI), maternal role confidence, parenting stress (PSI) and infant temperament (WBL). Results: Of the mothers 42.1% were in the normal range for postpartum depression, 33.3% in the mild group and 24.6% were in the moderate to severe group. There were significant differences in parenting stress, and infant temperament according to level of postpartum depression. There were correlations between maternal role confidence (r=-0.13), infant temperament (r=-0.20), parenting stress (r=0.51) and postpartum depression, and weak negative correlation between parenting stress and infant temperament (r=-0.30). Conclusion: Postpartum depression in the infant period when the mother's role is very important and the effect is not only on the mother's role but also on the infant's growth. It is essential to assess and provide immediate care to mothers who have postpartum depression.
The purpose of this descriptive study was to investigate the determinants of mother's choice of infant feeding method on immediate postpartum period & the breast feeding practice after 1, 2, 3, 4, 5months. The subjects were 170 mothers who were delivered at 2 hospital, 2 OBGY clinics, 1 midwifery in Jinju, the data were collected from Jan. 1 to Feb. 20 of 1991, form each subject at two periods of time ; postpartum 2 or 3 days via interview, 5months via telephone interview. The results were as fellows : 1. The propotion of mother planned exclusive breast-feeding was 66.5%, milk feeding 17.6%, mixed feeding 15.9%, End 38.9% of mothers planned to breast-feed their infants for 4-6moths, 25.7% for more than 12 months. The major reasons for selection of milk feeding method were the presence of mother's job(26.7%), the conditions of breast & milk production(23.7%). 2. There were significant relations between the choice of feeding method & the presence of s job(p<.01), & parity(p<.01). 3. The percentages of subjects that were received education about the advantages & method of breast feeding were 63.5%, 38.2%, respectively, & the informants were mass media, 89.8%, 81.5%. 4. The most of mothers had the knowledge about the advantages of breast feeding. 5. The percentage of mothers that practiced breast feeding on postpartum were 75.9%. 6. The rates of breast feeding practice by duration were more than 5months, 60.5%, 1 month, 27.1%, 2-4 months. 12.3%. 7. The reasons for the stop of breast feeding were the decrease of milk volume(22.9%), the presence of mother's job(17.4%). 8. The duration of breast feeding practice were differed significantly by the presence of mother's job, type of delivery, rooming-in, planned duration of breast feeding, the first feeding time.
The quality of mother-infant interaction during early postpartum period has a significant influence on the child growth and development in many aspects. The mother's initial perception of the newborns might have the lasting influence on the development of the mother-infant attachment and mother-infant relationship. Therefore the proper mother-infant interaction should be developed after infant birth. However, it is acknowledged that the high risk infants influence on the mothers' perception because of their abnormalities or disorders of physical condition and the restricted maternal contacts and interactions. The object of this study is to identify the difference of mother's perception of their normal and high-risk newborn during the early postpartum period. The ultimate goal is to contribute to use this basic data to develop nursing intervention toward the promotion of healthy mother-infant relationship and the helping of growth and development of children. The data were collected for this study from Sep. 21, 1990 to Oct. 1. 1991 at E University Hospital. The sample was 83 of mothers who had normal newborns and 73 mothers who had high risk newborns .The instrument was Neonatal Perception Inventory(NPI) designed by the Broussard for the measurement of mothers' perception of newborns about Average Baby and Your Baby. The data were analysed by using an SPSS Program and include percentage mean, SD, t-test, ANOVA. The results of this study are as follows : 1. The normal newborn mothers' perception is more positive than the high-risk newborn mothers(t=7.94, p=0.000). 2. Mothers' perception of the newborns is not related significantly to mothers' general characteristics. In conclusion, in order to promote positive, healthy mother-infant relationship, the nurse need to support, give information, and educate high-risk newborn mothers through early nursing assessment.
The purpose of this study was to explore the maternal caretaking behaviors during the first 3 days postpartum. The sample consisted of 132 healthy, married women and their baby was full-term & normal also. Data were collected from April to June 1995 and analyzed using SPSS. The results of this study are as follows : 1. Primiparous mothers feel difficulty in performance of caretaking behavior for their baby was especially bathing, umblical cord care, identify the crying & baby's condition. But mothers feel doing so well was diaper change, clothing, immunization etc. 2. The results revealed that caretaking behaviors was not related to age, education & family. After the birth of a baby, the baby needs caring of parents especially mother. So, the mother feel difficulty in performance of maternal role. It means higher educational need for mother. Nurses were the primary source for caretaking behavior during early postpartum period at hospital and home also. Therefore the nurse need the strategies of nursing intervention to increase for caretaking activites of primiparous mothers. Further research is needed to determine which strategies affect the mother's competence of their caretaking behavior.
Kim, Young-Eun;Kim, An-Na;Seo, Su-Min;Kim, Pyung-Wha;Son, Mi-Ju;Lee, Eun-Hee;Jang, Hyun-Chul
The Journal of Korean Obstetrics and Gynecology
/
v.35
no.1
/
pp.1-11
/
2022
Objectives: Management of the postpartum period is important for the health of mothers, and postpartum edema is one of the management targets. In this study, the relationship between the value measured by the device and the postpartum edema sensation was examined to explain the subjective sensation of the mother as an objective value. Methods: Data from 54 cases provided by 24 mothers within 6 weeks postpartum were used in the study. The degree of postpartum edema sensation was measured using a visual analog scale (VAS), and the effect of VAS changes on the body edema index and weight change before and after childbirth was estimated through linear regression analysis. Results: As a result of the regression analysis, when the edema sensation of the mothers VAS increased by 1 point, the Inbody edema index increased by 0.002 points (p=0.000, R2=0.272), and when the VAS increased by 1 point, the weight gain increased by 0.99 kg compared to before pregnancy (p=0.000, R2=0.243), and when VAS increased by 1 point, weight loss decreased by 0.56 kg compared to just before childbirth (p=0.004, R2=0.136). Conclusions: The results of this study, in which the edema sensation of postpartum mothers was statistically significantly related to the edema index and weight change before and after childbirth, showed that the edema sensation complained by the mother could be used as an evaluation index for postpartum edema management in the future.
Purpose This study was designed to verify the effect of aromatherapy on a postpartum mother's perineal healing. Method The research design was a clinical trial. The methods of aromatherapy were applied sitz bath or soap application using essential oils with Lavender, Myrrh, Neroli, Rose, Grapefruit, Mandarin, Orange, and Roman Chamomile. The subjects of this experiment were postpartum mothers who delivered vaginally with an episiotomy. They were allocated to one of three groups; the aroma-sitz bath group, aroma-soap application group or control group. To evaluate the effect of aromatherapy, the perineal healing status was measured using the REEDA scale and smears of episiotomy wound were obtained. The data were analyzed by repeated measures of ANOVA, ANCOV A, x$^2$- test, and multiple response analysis via SPSS program. Results The REEDA scale was significantly low in the experimental group at postpartum 5th and 7th days (P=.009, P=.003), respectively. Most were observed ‘few’(5-10 bacteria per field) bacteria in the smears of episiotomy wound. The one bacteria was identified in the 50.8% of subjects in pretest and two bacteria in the 60.3% in posttest. Most frequently identified bacteria were Escherichia coli and Enterococcus faecalis. Conclusion In conclusion, these findings indicate that postpartum aromatherapy for perineal care could be effective in healing the perineum perineal care could be effective in healing the perineum.
The purpose of this study was to investigate the effects of husbands' help on postpartum depression and self-efficacy of mothers, to investigate what to fix of research design and to examine the feasibility of following experimental study. There was no significant difference in the general characteristics of two groups, which consisted 10 pairs of postpartum mothers and husbands, respectively, confirming the homogeneity of between groups. The prevalence of postpartum depression was 45% in the subjects who were measured at 1 week postpartum, and the average performance of the husbands' help in the experimental group was 3.2 out of 4 points. In the Mann-Whitney U Test, the husbands' help lowered the mean rank of postpartum depression in the experimental group(p<.001), and the mean rank of self-efficacy was higher than the control group, but there was no significant difference. In the process of this study, it was confirmed that, on the side of postpartum mothers of control group had burdens of responding to the questionnaire without the benefit of treatment so it is necessary to revise the design of following experimental study.
Purpose: This study was done to investigate into the relationship between mother's stress in postpartum period and perception of infant in order to provide basic data for developing nursing intervention program. Methods: The data were collected from September 1, 2004 to October 15, from one women's hospital and three facilities for taking care of women's health after delivery located in B metropolitan city, and analyzed by SPSS/12.0 program frequency, percentage rate, mean, standard deviation, average, the maximum value, the minimum value and Person's correlation coefficient. Results: 1. The degree of stress of subjects was $75.6{\pm}38.3$(0-376) in average, and $.8{\pm}\;.4$(0-4) of average point, and the degree of perception of infant was $-5.8{\pm}5.6$(15-75) in average and $-\;.4{\pm}.4$(1-5) of average point. The relationship of degrees between the stress of subject and conception of infants that showed weak reverse relation(r= .210, p= .030). That is, the more the stress of subject was high, the more the perception of infant is relatively indefinite. Conclusion: As a result, The stress of mother in postpartum period was a level to be in need of management and the perception of infant was slightly negative. thus, the introduction of nursing assistance program is necessary to relive the stress of mother in postpartum period to promote the affirmative perception of infant.
This study is attempts to clarify the effect of infant massage for the promotion of primipara's mother-infant interaction Method: The term for collecting data for experimental group ranged from April 25, 2001 to June 5, 2001. The infants for this group were sampled among normal mother-infant from one postpartum care center located in J city. The term for collecting data for control group ranged from June 10, 2001 to August 3, 2001. The infants for this group were sampled among normal mothers infant from 1 general hospital, 1 university hospital and 1 postpartum care center located in J city. The experiment was implemented giving primipara education about massage based on protocol for infant massage provided by Johnson & Johnson Korea and they received 10 days of education, 10 minutes a day (from 10 to 11 a.m) In the post test, we videotaped both the control group and the experimental group visiting their homes 4 weeks after delivery to observe mother-infant play interaction. Data analysis was done using SAS and the homogeneity between general properties owned by both control group and experimental group and mother's perception scale for children was verified through -test. Mother-infant play interaction with both control group and experimental group was analyzed through t-test in the experiment. And analysis of mother-infant interaction points based on general properties was made using ANOVA and t-test. Result: Hypothesis that mother-infant play interaction with primipara who gave her infant a massage will be more active than that of the primipara who didn't was verified (t= -4.27, p=.0001). And the points in each item, points in each item were estimated as follows. Mother behavioral items (t=-4.96, p=.0001), infant behavioral item (t=-0.36, p=.71), mother-infant interaction reciprocity (t=-2.64, p=.01). Conclusion: An infant massage program can contribute to promoting the Mother-Infant Play Interaction positively.
Obesity is psychological and socioeconomic problems as well as health problems related to physical disease and disorder. The obesity epidemic, including a marked increase in the prevalence of obesity among pregnant women, represents a critical public health problem throughout the world. Gung-Gui-Tang (GGT), a prescription of traditional Korean medicine, has been used to treat dizziness due to loss of blood as well as static blood after childbirth. However, the therapeutic potential of GGT on postpartum obesity has not been fully elucidated in an experimental model. In our research, GGT inhibited the increases of body weight and adipose tissues in postpartum mice fed a high-fat diet. GGT also inhibited the elevations of plasma lipid profiles such as triglyceride, low-density lipoprotein cholesterol, total cholesterol, and glutamate pyruvate transaminase. Overall, these results provide evidence that GGT can help to inhibit postpartum obesity and open new perspective to recover the shape of mother into the moment of conception.
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