• Title, Summary, Keyword: postnatal care center

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Effects of a Postnatal Care Program on Self-efficacy, Self-management, and Glycemic Control in Women with Gestational Diabetes Mellitus (임신성 당뇨병 산모를 위한 산후관리 프로그램이 자기효능감, 자가 관리 및 혈당 조절에 미치는 영향)

  • Jeon, Yeong Kyung;Kim, Hyo Jin;Yang, Mi Yeon;Jung, Da Yeong;Yoon, Kum Young;Noh, Gie Ok
    • Korean Journal of Women Health Nursing
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    • v.24 no.4
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    • pp.367-378
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    • 2018
  • Purpose: To examine effects of a postnatal care program on self-efficacy, self-management, and glycemic control in women with gestational diabetes mellitus (GDM). Methods: A non-equivalent control group non-synchronized quasi-experimental design was used. Sixty-two women with GDM were enrolled and assigned to either an experimental group (n=30) or a control group (n=32). The experimental group received an intervention which was postnatal care program for women with GDM. The postnatal care program for GDM included an individual education with leaflet and mobile web-based video with three times of telephone counseling. Effects of the intervention were measured with self-efficacy, self-management questionnaire, and a 75 g oral glucose tolerance test (75g OGTT). Statistical significance was examined using independent t-test and $x^2-test$. Results: Although there was no significant difference in 75g OGTT ($x^2=.11$, p=.748) or self-management (t=-1.28, p=.206), there was a statistically significant increase in self-efficacy (t=-2.02, p=.048) in the experimental group compared to that in the control group. Conclusion: A postnatal care program is needed for women with GDM to improve their self-efficacy. Further studies are warranted to improve self-management and glycemic control through tailored education for GDM postpartum women.

Indoor Environment of Infant Units in Postnatal Care Center - Focus on Indoor Air Quality by Types of Wooden Furniture and Intensity of Illumination by Arrangement of Lights - (산후조리원 내 신생아실의 실내 환경 특성 - 목재가구류에 따른 실내공기질과 조명배치에 따른 조도 특성을 중심으로 -)

  • Jung, So-Dam;Kim, Tae Wook;Jang, Seulae;Kim, Sughwan;Lee, Sang-Jin
    • Journal of the Korea Furniture Society
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    • v.24 no.1
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    • pp.33-41
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    • 2013
  • As professional postnatal care systems have been rapidly supplied, there is sharp increase of postnatal care centers without legal regulations for a mother and a infant. For the quick recovery of mothers, newborn infants that have weaker immune systems are being managed in group in the postnatal care centers. Recently, the attention of the postnatal care centers has been growing because the problem of pneumonia which led to result in a casuality in a infant unit was happen. So, this research analyzed the indoor environment of infant unit through measuring formaldehyde, carbon dioxide, intensity of illumination. As a result of the data, infant units showed higher concentration of formaldehyde and carbon dioxide than Indoor Air Quality Control Law. Moreover, infant units was measured higher intensity of illumination than the range of optimum illumination for infants.

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Effect of Intervention Programs for Improving Maternal Adaptation in Korea: Systematic Review (국내 모성적응증진 프로그램의 효과에 대한 체계적 문헌고찰)

  • Song, Ju Eun;Ahn, Jeong Ah
    • Korean Journal of Women Health Nursing
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    • v.19 no.3
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    • pp.129-141
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    • 2013
  • Purpose: The purpose of this study was to determine the current state of nursing intervention for maternal adaptation and its' effectiveness in Korea by utilizing a systematic review. Methods: The PICO(Population-Intervention-Compar ator-Outcome) strategy was established, and 1,720 pieces of literature published during the last ten-year period from four electronic databases were reviewed. Eighteen references that met inclusion and exclusion criteria were finally selected for systematic review. The quality of references using critical appraisal checklist for experimental studies were evaluated, and then systematic review and meta-analysis were conducted. Results: All 18 references were quasi-experimental research design. Most interventions were provided at the hospital and postpartum care center. Maternal adaptation interventions appeared to be of many types, and particularly maternal role education programs were the most common. Confidence in maternal role was used as the most common variable for the maternal adaptati on. Various interventions for helping maternal adaptation in the postnatal period improved maternal confidence, moth er-infant attachment, maternal satisfaction and mother-infant interaction effectively. Conclusion: A diversity of nursin g interventions in postnatal period improved various aspects of maternal adaptation. Randomized controlled trials and longitudinal studies are needed in order to verify the effect of interventions for maternal adaptation more clearly.

Intrauterine growth restriction (IUGR) associated with confined placental mosaicism of ring chromsome 15

  • Ryu, Hyun-Mee;Yang, Jae-Hyug;Hong, Song-Ran;Park, So-Yeon;Choi, Soo-Kyung;Yang, Sung-Won;Han, Ho-Won
    • Journal of Genetic Medicine
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    • v.2 no.1
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    • pp.7-10
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    • 1998
  • The present report describes a case that showed a normal fetal karyotype in an antenatal genetic study but an abnormal placental karyotype of 46,XX,r (15) on postnatal examination. The pregnancy was complicated by fetal nuchal translucency in the first trimester and intrauterine growth restriction in the second and third trimesters. A 1780 gm female baby was born after 40 weeks of gestation, but died of respiratory distress and sepsis on the 10th day of life. Our case was unique in that the placental chromosomal aberration was a structural abnormality instead of a numerical aberration that is seen in most reported cases of confined placental mosaicism.

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Tertiary Hospitals' and Women's Special Hospitals' Postpartum Nursing Intervention Survey (상급종합병원과 여성전문병원 간호사의 산후 간호중재 조사)

  • Park, Hyunsoon;Kim, Ha Woon;Kim, Hee Jeong;Kim, Soon Ick;Park, Eun Hye;Kang, Nam Mi
    • Journal of Korean Clinical Nursing Research
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    • v.25 no.1
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    • pp.55-66
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    • 2019
  • Purpose: This study was done to assess development and postnatal care interventions in postnatal care intervention records for maternity ward nurses in tertiary hospitals and women's hospitals in South Korea. Methods: This mixed-method research was a Time-Motion (TM) study. Data were collected through external observation of 12 nurses in 4 wards over 24 hours. Mann-Whitney U test and independent t-test were employed for the analysis of frequency and provision time of direct/indirect care activity. $x^2$ (Fisher's exact test) was utilized to determine the difference in frequency between two groups. IBM SPSS 22.0 statistical program was employed for calculation. All statistical significance levels were at ${\alpha}=.05$. Results: According to the KPCS-1 (Korean Patient Classification System-1), women's hospitals are group 3 and tertiary hospitals, group 4. With respect to time difference in direct care, tertiary hospitals showed 791 minutes and women's hospitals, 399 a difference of 392 minutes. For time difference in indirect care, women's hospitals had 2,415 minutes while tertiary hospitals, 2,080, a difference of 335 minutes for women's hospitals. No difference was found in the average total care workload between the two institutions. Individual time also showed no difference (p>.05). Conclusion: High-risk maternal care strength in tertiary hospitals and breast-feeding strength in women's hospitals need to be benchmarked with each other.

A Survey on Health Service Activities of Public Health Nurses in Chung Buk Area. (충북지역 보건소 간호원의 보건사업 수행활동에 관한 조사연구)

  • Park Young Im
    • Journal of Korean Public Health Nursing
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    • v.1 no.1
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    • pp.75-88
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    • 1987
  • The purpose of this survey was to measure the health Service activity of the public Health Nurses and analyze the related factors influencing to their activities. The subjects of this study were 75PHN in Health Centers, Chung Buk area and survey was conducted from 15th, October to 30th, November, 1986. The results of this study were as follows; 1. General characteristics of PHN : $\cdot\;45.3\%$ of total respondents was in 30-39 age group and their average age was 34.9. $\cdot\;85.3\%$ of them were married women. $\cdot$ Their educational level was almost Nursing High School and Nursing College $(98.7)\%$. 2. Total performance average of health service activities was 2.031. Among the 11 health service categories, health service planning (2.859) and administrative service (2.489) were the most active service area. And among the specific activity items about the health service categories, the highest performed activities were. 'record & report' in health service planning (3.333 : mean), 'case finding & enrolling' in prenatal care (2.627), 'examination of health condition; in postnatal care (2.497), 'personal counselling & education' in family planning (2.560) and 'vaccination & personal education' in well-baby care (2.480). 3. There were significant difference between the performed degree of activities in department of Health Center(P<0.01). The highest health service planning activity was performed by the nurses in TB clinic and maternal care activities were carried out by MCH Center nurses. 4. PHNs in MCH Center were more active than the nurses in Health Center, which services were especially maternal and well-baby care. Their total activity score was 2.302 while 1.860 was of the nurses in Health Center. There were significant difference between their activities (P<0.01).

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The Effect of Postpartum Depression on Breast-Feeding Practice in Puerperium Mothers (산욕기 산모의 산후우울이 모유수유 실천에 미치는 영향)

  • Kim, Sun Mi;Kim, Byung Kwan
    • Journal of Digital Convergence
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    • v.17 no.7
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    • pp.187-195
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    • 2019
  • The purpose of this study is to identify the relationship between postpartum depression and breast-feeding in puerperium mothers to practice healthy breast-feeding. Puerperium mothers at postnatal care center completed an anonymous survey. Postpartum depression severity was observed at ($x^2=19.556$, p = 0.000). Postpartum depression was found to negatively affect healthy breast-feeding at a rate of Exp (B) = 0.887, p = 0.014. Puerperium mothers' postpartum depression has shown significant effect on breast-feeding practice, thus, when postpartum depression rate decrease, regular breast-feeding practice rate increased. Despite lacking robust statistical evidence, these results indicate that postpartum depression leads to bottle-feeding.

Basic Study for Improving the Fire Safety of Postpartum Care Centers (산후조리원의 화재안전성 향상을 위한 기초연구)

  • Lee, Jae-Won;Jin, Seung-Hyeon;Kim, Si-Kuk;Kwon, Young-Jin
    • Fire Science and Engineering
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    • v.33 no.1
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    • pp.138-146
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    • 2019
  • The present article reports the results of a basic study for improving the fire safety of postpartum care centers. In the case of postnatal care center facilities, newborn babies and mothers reside 24 hours a day, and as they are located in high-rise and multi-use facilities, measures for fire safety are necessary, but there are no domestic manuals. This study examined the problems of fire safety through an analysis of fire cases of postpartum care facilities and related regulations, and conducted surveys on the fire safety consciousness of employees and mothers regarding postpartum care management. The fire safety consciousness of the mother was analyzed.

Comparison of the Mortality and In-Hospital Outcomes of Preterm Infants Treated with Ibuprofen for Patent Ductus Arteriosus with or without Clinical Symptoms Attributable to the Patent Ductus Arteriosus at the Time of Ibuprofen Treatment

  • Yoo, Hani;Lee, Jin A;Oh, Sohee;Jung, oung Hwa;Sohn, Jin A;Shin, Seung Han;Choi, Chang Won;Kim, Ee-Kyung;Kim, Han-Suk;Kim, Beyong Il
    • Journal of Korean Medical Science
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    • v.32 no.1
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    • pp.115-123
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    • 2017
  • The aim of this study was to assess the differences in the mortality and in-hospital outcomes of preterm infants with < 28 weeks of gestation who received ibuprofen treatment according to the presence of clinical symptoms (any of oliguria, hypotension, or moderate to severe respiratory difficulty) attributable to hemodynamically-significant patent ductus arteriosus (hsPDA) at the time of first ibuprofen treatment. In total, 91 infants born from April 2010 to March 2015 were included. Fourteen infants (15.4%) received ibuprofen treatment when there were clinical symptoms due to hsPDA (clinical symptoms group). In clinical symptoms group, infants were younger (25 [23-27] vs. 26 [23-27] weeks; P = 0.012) and lighter (655 [500-930] vs. 880 [370-1,780] grams; P < 0.001). Also, the clinical risk index for babies (CRIB)-II scores were higher and more infants received invasive ventilator care ${\leq}2$ postnatal days. More infants received multiple courses of ibuprofen in clinical symptoms group. Although the frequency of secondary patent ductus arteriosus (PDA) ligation and the incidence of bronchopulmonary dysplasia (BPD) was higher in the clinical symptoms group in the univariate analysis, after multivariate logistic regression analysis adjusting for the CRIB-II score, birthweight, birth year, and the invasive ventilator care ${\leq}2$ postnatal days, there were no significant differences in mortality, frequency of secondary ligation and in-hospital outcomes including necrotizing enterocolitis (NEC), intraventricular hemorrhage (IVH), BPD or death. Our data suggest that we can hold off on PDA treatment until the clinical symptoms become prominent.

Maternal Child Health : Toward Better Performance (공공부문 분만개조 사업 : 평가 및 발전방향)

  • 양봉민
    • Health Policy and Management
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    • v.1 no.1
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    • pp.54-71
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    • 1991
  • Health of a nation is quite often represented by the statistics such as infant death rate and maternal mortality rate. It is indisputable that maternal child health(MCH) is the basis of health of a nation. MCH is also one of the cardinal component of primary health care. The importance of MCH is conspicuous especially in the developing countries. In Korea, People in the rural communities still have high access barrier to basic health care needs, including MCH services. Access to quality care during pregnancy and delivery seems to be the crucial factor in preventing deaths in women and children. The beneficial effects of prenatal and postnatal care on the outcome of pregnancy for mother and child, and those of health professional-attended institutional delivery on the health of mother and child have been well documented in many studies. Recognizing these effects, the government of Korea received IBRD loan of $30 million in 1979 for th purpose of constructing 89 rural MCH centers. The construction is complete now and all 89 MCH centers are under operation ti imporve primary health care for mothers and children in Korea. However, it has been observed over time that overall performance of public MCH centers is declining. The decline has been attributed partly to low quality services by public MCH centers, poor management by health center mangers, competition with for-profit private clinics, and to the development of national health insurance. This study investigates the utilization by rural communities in Korea of MCH services provided by public sector health centers deemed to be physically and financially accessible to the community but suboptimally used. It seeks also to determine the factors that influence people's utilizations. This study sets out to discover a desirable form of MCH center from among alternative forms of centers, thereby to construct a MCH model.

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