• Title, Summary, Keyword: postnatal care center

Search Result 34, Processing Time 0.04 seconds

A Study on the Investigation of Safety Consciousness and Improvement Plan for Fire Safety Manual in Postpartum Care Center (산후조리원 화재안전매뉴얼구축을 위한 안전의식 조사 및 개선방안에 관한 연구)

  • Jin, Seung-Hyeon;Kim, Hye-Won;Han, Ji-Woo;Park, Sung-Ha;Lee, Byeong-Heun;Kwon, Young-Jin
    • Proceedings of the Korean Institute of Building Construction Conference
    • /
    • /
    • pp.96-97
    • /
    • 2018
  • Facilities used by senior citizens, infants, and disabled people have characteristics that make it difficult to escape on their own or require a lot of evacuation time. Therefore, to ensure safety in case of fire, clear measures for securing safety of facilities, fire response methods, and training are required in accordance with the regulations. In 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 the domestic manual lacks. Accordingly, a field survey for security of the manual revealed that the establishment of awareness and facilities on temporary waiting areas and smoke control, which are easy for evacuation and fire safety, was a problem.

  • PDF

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

  • 양봉민
    • Health Policy and Management
    • /
    • v.1 no.1
    • /
    • pp.54-71
    • /
    • 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.

  • PDF

Effects of Postpartum Depression and Temperament of Infant on Child-care Stress among Mothers of Newborn Infants (영아기 어머니의 산후 우울과 아기 기질이 양육 스트레스에 미치는 영향)

  • Kwon, Hye-Jin;Kim, Kyung-Hee;Choi, Mi-Hye;Cho, Ju-Yeon;Ahn, Young-Mi;Kim, Ki-Sook
    • Child Health Nursing Research
    • /
    • v.17 no.2
    • /
    • pp.69-73
    • /
    • 2011
  • Purpose: This study was designed to identify mother and infant related factors that influence child-care stress among the mother of newborn infants. Methods: Data were collected through self-administered questionnaires and descriptive statistics, correlation and multiple regression were used to analyze the data. The data survey was conducted with 957 conveniently selected mothers of infants when they visited a public health center in Seoul to have their children immunized. Results: The average item score for the Childcare Stress Inventory was 38.03, for the Edinburgh Postnatal Depression Scale, 9.31 and for the Degree of Bother Inventory, 23.42. The CSI was positively correlated to EPDS (r=.44, p<.001) and DBI (r=.40, p<.001). Also these two variables explained 30.0% of CSI in infants' mothers. Conclusion: These findings are expected to expand the understanding about postpartum mothers' child-care stress and can contribute to the development of comprehensive interventions based on community health nursing.

Effects of a Reinforcement Program for Postpartum Care Behavioral Skills of Couples with Their First Baby (산욕기 첫 출산 부부를 위한 산후관리 행동기술 강화 프로그램 효과)

  • Park, Meera;Park, Kyung Min
    • Journal of Korean Academy of Nursing
    • /
    • v.49 no.2
    • /
    • pp.137-148
    • /
    • 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.

Effects of on-the-job Training for Health Extension Workers in Tigray, Ethiopia: A Pilot Study (에티오피아 일개 지역 보건지소 건강관리요원에 대한 직무교육의 효과)

  • Bang, Kyung-Sook;Lee, Insook;Chae, Sun-Mi;Kang, Hyunju;Yu, Juyoun;Park, Ji-Sun
    • Korean Parent-Child Health Journal
    • /
    • v.16 no.1
    • /
    • pp.11-16
    • /
    • 2013
  • Purpose: Ethiopia is one of the sub-Saharan countries most affected by high maternal and infant mortality. The government has trained health extension workers (HEWs), the community health workers, to deliver preventive and basic curative health services to community residents in Ethiopia. Very few studies have investigated on-the-job educational effects for HEWs on improvement of their knowledge and performance confidence in maternal and child health care (MCH). This study aimed at identifying the educational effects for HEWs in one health center in Tigray, Ethiopia on improvement of their knowledge in MCH. Methods: Twelve HEWs from 6 health posts participated in this study. A health center officer provided a total of 5 educational sessions on antenatal and postnatal care, family planning, and newborn care from August, 2012 to April, 2013. Ten to 12 items regarding the topics were tested before and after each education. Wilcoxon signed rank test was used to analyze the data. Results: All the HEWs were female with average 4-year working experience. Their knowledge significantly increased after education, except the first session. Their satisfaction on education was greater than 45 points out of 50. Conclusion: This study suggests a focused education for HEWs should continue to improve their capacity on MCH.

  • PDF

A Field Study of 「Toronto Birth Centre」 in the Perspective of a Public Service Strategy Coping with Low Birth-rate (저출산 대응 공공서비스 관점에서 본 「토론토 출산지원센터」 현지조사연구)

  • Lee, Yeunsook;Park, Jiyoung;Kim, Hyunjung
    • Journal of the Korean housing association
    • /
    • v.26 no.1
    • /
    • pp.31-41
    • /
    • 2015
  • Korea has shown the lowest birth rate among OECD countries for over 10 years. This caused various social tensions and problems including negative impacts on national economy. To deal with these problems and to cope with future risk, diverse strategies must be actively explored. The purpose of this research is to delineate the characteristics of Toronto Birth Centre in Canada which was established currently to support families. Field visit study was the major methodology which includes interview with a staff and walk-through guided observation accompanied by visual recording. As a result, the specific functions and the logic of utilizing the center along with its spatial characteristics were delineated. The result has significant implication in developing coping strategies to release the social tension. The birth center can be an efficient strategy to include as a public strategy to Korean Society who has suffered from long lasting lowest birth rate.

Health Effects of Exposure to Indoor Mold and the Levels of Mold in Facilities with Susceptible Populations in Korea (곰팡이 노출에 따른 건강영향 및 민감 시설 내 곰팡이 분포 현황)

  • Seo, SungChul
    • Journal of Environmental Health Sciences
    • /
    • v.46 no.4
    • /
    • pp.359-367
    • /
    • 2020
  • Objectives: Exposure to mold is strongly associated with adverse health effects (development or exacerbation of allergic diseases). We reviewed the health effects of mold exposure and explored to determine the annual distribution of indoor mold in facilities with susceptible populations. Methods: The health effects of mold exposure were mainly summarized by reviewing related papers and WHO research reports. We selected 10 facilities, including daycare centers, postpartum care centers, medical institutions, and elderly care facilities within the Seoul Metropolitan. Mold sampling was performed once every week or once every quarter from February 2016 to 2017. In addition, fungal species analyses was performed, and distribution status by month and facility was analyzed in the same manner as concentration. Results: Adverse health effects attributed to fungal exposure are largely divided into allergic symptoms, toxic effects, and infectious effects. Monthly mean concentrations of mold indoors and outdoors was 368.8 CFU/㎥ (geometric mean 213.4 CFU/㎥) and 496.0 CFU/㎥ (327.9 CFU/㎥), respectively. The indoor concentration has begun to increase in February, peaked in July, declined in August, increased again until October, and then decreased in November. About 36 genera of indoor fungal species were found in each facility. Cladosporium sp., Penicillium sp., Fusarium sp., Aspergillus sp., Alternaria sp., and Arthrinium sp. were observed as the dominant species. Conclusions: Our findings showed that the overall level of indoor mold was below the 500 CFU/㎥ level recommended by the Ministry of Environment. The development of DNA-based assessment and expanding facilities to be monitored for mold would be necessary for preventive aspects.

The Importance of Multidisciplinary Management during Prenatal Care for Cleft Lip and Palate

  • Han, Hyun Ho;Choi, Eun Jeong;Kim, Ji Min;Shin, Jong Chul;Rhie, Jong Won
    • Archives of Plastic Surgery
    • /
    • v.43 no.2
    • /
    • pp.153-159
    • /
    • 2016
  • Background The prenatal ultrasound detection of cleft lip with or without cleft palate (CL/P) and its continuous management in the prenatal, perinatal, and postnatal periods using a multidisciplinary team approach can be beneficial for parents and their infants. In this report, we share our experiences with the prenatal detection of CL/P and the multidisciplinary management of this malformation in our institution's Congenital Disease Center. Methods The multidisciplinary team of the Congenital Disease Center for mothers of children with CL/P is composed of obstetricians, plastic and reconstructive surgeons, pediatricians, and psychiatrists. A total of 11 fetuses were diagnosed with CL/P from March 2009 to December 2013, and their mothers were referred to the Congenital Disease Center of our hospital. When CL/P is suspected in the prenatal ultrasound screening examination, the pregnant woman is referred to our center for further evaluation. Results The abortion rate was 28% (3/11). The concordance rate of the sonographic and final diagnoses was 100%. Ten women (91%) reported that they were satisfied with the multidisciplinary management in our center. Conclusions Although a child with a birth defect is unlikely to be received well, the women whose fetuses were diagnosed with CL/P on prenatal ultrasound screening and who underwent multidisciplinary team management were more likely to decide to continue their pregnancy.

Antenatal Corticosteroids and Clinical Outcomes of Preterm Singleton Neonates with Intrauterine Growth Restriction

  • Kim, Yoo Jinie;Choi, Sung Hwan;Oh, Sohee;Sohn, Jin A;Jung, Young Hwa;Shin, Seung Han;Choi, Chang Won;Kim, Ee-Kyung;Kim, Han-Suk;Kim, Beyong Il;Lee, Jin A
    • Neonatal medicine
    • /
    • v.25 no.4
    • /
    • pp.161-169
    • /
    • 2018
  • Purpose: We assessed the influence of antenatal corticosteroid (ACS) on the inhospital outcomes of intrauterine growth restriction (IUGR) infants. Methods: A retrospective study was conducted with singletons born at $23^{+0}$ to $33^{+6}weeks$ of gestation at Seoul National University Hospital from 2007 to 2014. We compared clinical outcomes between infants who received ACS 2 to 7 days before birth (complete ACS), at <2 or >7 days (incomplete ACS), and those who did not receive ACS in IUGR and AGA infants. Multivariate logistic regression using Firth's penalized likelihood was performed. Results: 304 neonates with 91 IUGR neonates were eligible. Among AGA neonates, mortality (adjusted odds ratio [aOR], 0.13; 95% confidence interval [CI], 0.02 to 0.78), hypotension within 7 postnatal days (aOR, 0.20; 95% CI, 0.06 to 0.64), and severe bronchopulmonary dysplasia (BPD) or death (aOR, 0.24; 95% CI, 0.07 to 0.77) were lower in complete ACS group after adjusting for pregnancy induced hypertension and uncontrolled preterm labor. Mortality (aOR, 0.18; 95% CI, 0.04 to 0.78), hypotension (aOR, 0.26; 95% CI, 0.09 to 0.70), and severe BPD or death (aOR, 0.33; 95% CI, 0.12 to 0.92) were also lower in the incomplete ACS group. Among IUGR infants, after adjusting for birth weight and 5-minute Apgar score, inhaled nitric oxide use within 14 postnatal days was lower in both complete ACS (aOR, 0.07; 95% CI, 0.01 to 0.67) and incomplete ACS (aOR, 0.04; 95% CI, 0.01 to 0.37) groups. Conclusion: ACS was not effective in reducing morbidities in IUGR preterm infants.

The Predictors of Postpartum Depression (산후우울 예측요인)

  • 박영주;신현정;유호신;천숙희;문소현
    • Journal of Korean Academy of Nursing
    • /
    • v.34 no.5
    • /
    • pp.722-728
    • /
    • 2004
  • Purpose: This study was designed to determine the predictors of postpartum depression. Method: One hundred-sixty one women within one year after delivery from one public health center located in the northern area of Seoul were used in this study. The instruments were a survey of general characteristics, the Edinburgh Postnatal Depression Scale, recent life events index, perceived social support from family, Quality of marriage index, parenting stress index, and Rosenberg's self-esteem inventory. Data was analysed using descriptive statistics, Pearson correlation coefficients, and logistic regression. Result: The average item score of the EPDS was 6.67. 12.4% of respondents, who scored above a threshold 12, were likely to be suffering from a depression of varying severity. The fitness of the model for explaining postpartum depression from six variables, plan for pregnancy, family support, quality of marital relation, perceived social support, life events, childcare stress, and self-esteem, was statistically significant and the predictive power of these variables was 90.9%. The significant predictors of postpartum depression were family support and child care stress. Conclusion: Further research is needed to identify the prevalence rate of postpartum depression using more reliable sampling methods from a large general population. Nursing interventions need to be developed for promoting family support and reducing childcare stress.