• Title/Summary/Keyword: 모성연령

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Impact of Changes in Maternal Age and Parity Distribution on Low Birth Weight Incidence Rate (모성연령과 출산순위의 변화가 저체중아 출생률에 미친 영향)

  • Kim, Young-Ae;Park, Jung-Han
    • Journal of Preventive Medicine and Public Health
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    • v.22 no.2 s.26
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    • pp.276-282
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    • 1989
  • The objective of this study was to examine the impact of changes in maternal age and parity distribution on birth weight. The study population included 7,786 single live births in 1977 and 8,671 single live births in 1987 delivered at 9 medical facilities in Pusan. Data were obtained from the delivery record. The proportion of infants born to the mothers of 25-29 years increased from 56.475 in 1977 to 65.1% in 1987 and the proportion to the mothers of 30-34 years increased from 18.8% in 1977 to 21.6% in 1987. In the same period, the proportions of 1st and 2nd birth order were increased from 56.9% and 28.8% to 59.9% and 36.8%, respectively. The proportion of infants born to the age group of ${\leq}24\;and\;35{\leq}$ years were decreased in 1987. The proportion of births of the third or higher birth order was decreased from 14.2% in 1977 to 3.3% in 1987. Low birth weight (<2500gm) incidence rate was 5.3% in 1977 and it was decreased to 4.0% in 1987. It was estimated that changes in maternal age-parity distribution accounted for 10.7% of the decreased in low birth weight incidence rate. Rest of the change (89.3%) was attributed to the reduction of age-parity specific low birth weight incidence rate. Application of the direct adjustment method was considered to be an adequate tool for evaluating the impact of family planning on neonatal health.

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A Comparison of Primiparous and Multiparous Mothers on Maternal Role Strain and Maternal Role Attainment (산후 4개월된 초산모와 경산모의 모성 역할 긴장 및 모성역할 획득정도 차이)

  • 이혜경
    • Journal of Korean Academy of Nursing
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    • v.24 no.2
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    • pp.241-250
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    • 1994
  • 어머니와 아기의 관계는 가장 기초적인 인간관계로서 아기의 탄생은 한 가족의 생활에 지대한 영향을 미치는 것으로 알려져 왔다. 아기 출산후 어머니들이 겪는 변화는 초산모와 경산모가 달라 새로 태어난 아기의 양육도 책임지며, 다른 자녀와의 관계도 유지해야하는 경산모는 초산모보다 더 많은 역할을 수행하여야 한다. Rubin(1967)은 이것을 다자손(poly-Progeny)의 문제라고 서술하면서, 경산모의 어려움을 언급하였다. 그러나 사회에서나 간호현장에서는 처음 어머니가 된 초산모를 어떻게 도와야 하는가에 주로 관심을 갖고 있으며, 그동안 이루어진 연구도 초산모를 대상으로 하는 것들이 대부분이었다. 이에 본 연구에서는 산후 4개월된 초산모와 경산모의 모성역할 긴장과 모성역할 획득정도의 차이를 조사하였다. 연구결과 모성역할 획득 중 모성역할 수행과 모성 정체감은 초산모와 경산모에 따라 차이가 없었으나, 아기와의 상호작용은 초산모가 경산모보다 더 많이 한다고 보고 하였다. 모성 역할 긴장은 경산모가 초산모보다 더 느끼는 것으로 나타났으며, 어머니의 연령과 남편의 지지를 공변량 처리하여 보았을 때도 경산모가 초산모보다 모성역할 긴장을 더 느끼고 있었다.

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Physical and Intellectual Development of Korean Children in Relation to Family formation patterns (가족형성의 양상과 관련된 한국아동의 신체형성 및 지능발달에 관한 연구)

  • Kim, Joung-Soon; Chung, Moon-Ho;Suh, Sung-Jae
    • Korea journal of population studies
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    • v.15 no.2
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    • pp.104-124
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    • 1992
  • 형제수, 출산순위, 출산터울, 모성의 출산시 연령 등 가족형성 양상은 아동의 신체적 발육 성장 및 지능발달과 강한 관련성을 보여 왔음이 세계 여러나라 아동을 대상으로 수행된 연구에서 보고되었다. 본 연구는 형제수와 출산순위, 그리고 출산시 모성의 연령은 아동의 신체적 지능적 발달과는 역상관관계를, 출산터울의 길이는 순상관관계를 나타낼 것이라는 가설을 증명하고자 1984년 한국중학생 1,2,3학년 약 46,000명을 대상으로 수행되었다. 지역별 그리고 사회경제적 상태별 비교를 위하여 서울시 고소득층이 주로 거주하는 학구내의 중학교와 저소득층이 거주하는 학구내 중학교 각각 5개를 선정하고 강원도내 전형적 농촌의 중학교 12개를 선정하여 신장, 체중, 좌고, 혈구용적 지능지수를 측정하였다. 이들 측정치들의 평균은 학부모와 담임선생님의 도움으로 작성된 가족형성 변수별로 비교되었으며 다중 희귀분석과 부분상관분석으로 연관성의 통계적 유의성을 검정하였다. 동일연령의 신체적 발육성장 지표들은 도시의 고소득지역 아동들이 가장 우수했으며 다음이 도시저소득 지역 아동이었고 농촌아동이 가장 빈약하였다. 남녀별 신체적 발육지표들의 차이는 연령이 많을수록 더 현저했으며 연령별 지역별 차이는 남학생에게서 더 두드러졌다. 평균 지능지수는 도시고소득지역 남학생들이 월등히 높아 114.8인데 비해 도시저소득지역 남학생들은 106.1, 그리고 농촌 남학생들은 105.3이었다. 남학생보다는 여학생의 지능지수가 낮았는데 이것은 대만 아동들도 여학생이 모든 연령에서 남학생보다 낮았다는 보고와 일치하였다. 한편 도시저소득지역과 농총지역 학생들은 남녀모두 평균지능지수가 비슷하였다. 가족형성변수들은 혼란변수들은 모든 제어했을 경우에도 아동들의 신체적 지능적 발달에 독립적으로 영향을 미쳤다. 발육지표중에 지능지수와 형제수가 가장 가족형성 변수들과의 연관성이 강했다.

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Determinants of Utilization of Postnatal Care in Kapchorwa District, Eastern Uganda (산후건강관리서비스 이용의 결정요인에 관한 연구 -우간다 동부 카프초르와 구를 중심으로-)

  • Chelangat, Irene Kapsawani;Jin, Ki-Nam;Kim, Sunmi;Um, Tae Rim;Kim, Jinjoo
    • The Journal of Korean Society for School & Community Health Education
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    • v.16 no.1
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    • pp.51-63
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    • 2015
  • 목적: 사하라 이남 아프리카 지역 중저소득국가 모성보건지표의 더딘 개선율은 MDG 5(모자보건향상) 미달성의 주요 원인 중 하나로 꼽힌다. 따라서 본 연구는 우간다 동부 카프초르와 구의 모성사망과 밀접한 산후건강관리(PNC, Postnatal care)서비스 이용결정요인을 파악하는데 있다. 이를 통해 지역건강관리자들에게 PNC 서비스 이용 개선을 위한 정책 수립 및 방안 마련에 기초자료를 제공하고, 궁극적으로는 MDG 5 지표 개선에 일조하고자 한다. 방법: 표본 집단은 카프초르와 구의 15세~49세 여성들 중 최근 1년 내에 출산을 경험한 자들을 대상으로 편의추출 되었다. 조사기간은 2014년 7월부터 10월까지였으며, 구조화된 설문에 총 171명이 응답하였고, 19명의 주요 정보제공자와의 심층면담도 실시하였다. 응답자의 사회인구학적 특성 및 PNC 이용행태를 알아보기 위해 빈도분석을 실시하였으며, 각 독립변수가 PNC 이용에 어떤 영향을 미치는지 파악하기 위해 로지스틱 회귀분석을 실시하였다. 결과: 응답자의 55%만이 의료시설의 PNC 서비스를 받은 것으로 나타났다. 로지스틱 회귀분석을 통해서는 응답자의 연령과 사회적 네트워크, 인지된 건강상태, 산전관리서비스 이용이 PNC 서비스 이용에 긍정적인 영향을 미치는 것으로 나타났으며 의료시설과의 거리, 가족의 규모는 부정적인 영향을 미치는 것으로 나타났다. 결론: PNC 서비스 이용개선을 위해서는 먼저 여성의 사회적 자본 확충 및 개선을 위한 모성보건교육인 소프트 인프라 지원이 지자체 차원에서 실시되어야 할 것이며, 서비스 이용을 가능케 하고 접근성을 높이는 응급후송체계 구축과 같은 물리적 인프라 지원도 도입되어야할 것이다. 또한 가족계획 서비스를 제공하는 등 모성보건관리에 대한 지자체의 민감성을 높이는 것도 필요하겠다.

Phenomenological Study about the Converging Experience of Women's Gender Role after Childbirth (출산 후 여성의 융합적인 성역할 경험에 관한 현상학적 연구)

  • Lee, Suzy;Ki, Chaerin;Shin, Gisoo
    • Journal of the Korea Convergence Society
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    • v.9 no.9
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    • pp.421-430
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    • 2018
  • This study is a qualitative study using phenomenological methods that focus on the meaning of what individuals experience to understand the meaning of the gender role of women after childbirth. The participants of this study are 17 women who gave a birth from 8 weeks of the postpartum period to a year after the birth. Seven categories were derived from the results of analyzing the meaning of the gender roles of participants, and the seven categories are confirmed to be body changes and pain, just making me feel down, the difference between expectation and reality, isolation from husband and social network, thinking about my mother as a woman, the pain of body and mind sublimates, and convergence/dissociation between femininity and motherhood. This study is meaningful in that the results of this study provided information that would have a broader understanding of women's gender role after giving birth.

Clinical Survey of Cesarean Section (제왕절개술에 대한 임상적 고찰)

  • Kim, Jae-Wung;Lee, Young-Gi;Kim, Jong-Wook;Lee, Tae-Hyung;Park, Wan-Seok;Lee, Sung-Ho;Chung, Wun-Yong
    • Journal of Yeungnam Medical Science
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    • v.3 no.1
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    • pp.249-260
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    • 1986
  • Recent reports have noted the increase of and questioned the justification for cesarean section rate in the past decade. This study was carried out retrospectively based on the clinical charts of 510 patients who had been performed cesarean section among 3,357 deliveries at Yeungnam University Hospital from May, 9, 1983 through Nov., 30, 1986. The results were as follows : 1. Overall incidence of cesarean section was 15.7% of total deliveries. Of these, 10.9% were by primary cesarean section and 4.7% by repeat operation. There has been a gradual increase in the cesarean section rate. 2. In the distribution of age, the 26-30 aged group was the most prevalent(60.2%). 3. The most common indications for cesarean section were previous cesarean section(30.2%), CPD (26.9%), Malpresentation(22.7%), and fetal distress(3.5%). In primipara, CPD was the most frequent and in multipara malpresentation. 4. A great proportion(31.6%) was done at 40th gestational week. 5. In the weight distribution of infants, the group of 3,000-3,499gm was the most prevalent(39.8%), premature baby was 9.1%, and giant baby was 5.6%. 6. In the type of operation, lower segment transverse cesarean section was the most(97.5%). 7. In the combined surgery, sterilization was the most prevalent and the next was ovarian cystectomy, hysterectomy, and myomectomy in order. 8. In the type of the anesthesia, general anesthesia was 83.5%. 9. Maternal morbidity was 14.7%. Among the causes of this morbidity, wound infection was the most and the next was urinary tract infection, fever of unknown origin, and atonic bleeding in order. 10. It was found that 18.4% was maternal morbidity in the patients below 10gm Hb. In this group, maternal morbidity was markedly increased as the level of Hb was decreased. 11. Maternal morbidity was increased as the duration of ruptured membrane was prolonged. In the group of over 24 hours after rupture of membrane, it was markedly increased(44.4%). 12. Maternal morbidity was increased as the duration of labor was prolonged. In the group of over 12 hours after the onset of labor, it was 24.6%. 13. Maternal morbity of lower segment transverse cesarean section was the least(14.1%). 14. Maternal morbidity of emergency cesarean section was about two times as much as elective cesarean section.

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Structure of fatherhood in Korea: Fathers whom daughters remember (한국사회 부성의 구조 - 딸들이 기억하는 아버지 -)

  • Chung, Chin-Sung
    • Issues in Feminism
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    • v.9 no.1
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    • pp.79-111
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    • 2009
  • This paper analyses the stories of 38 women of the in-depth survey, enforced by the Institute for Gender Research, Seoul National University. This survey focused on motherhood, but many memories were told by most of women. That shows strong existence of fatherhood in the process of personality formation in Korean society. The stories of 38 women could be divided into 5 types: (1) 5 cases where there is no mention about father; (2) 5 cases where simple and negative mentions are made about fathers; (3) 6 cases where no instrumental fatherhood but expressive fatherhood is found; (4) 11 cases of women who experienced both instrumental and expressive fatherhood, and (5) 12 cases (1 case is overlapped with one of the 3rd type) where the relationship between daughter and father is very close. The analyses denies the dichotomy of instrumental and expressive fatherhood, and the theories of "New Men" with expressive fatherhood who appeared as a result of social change and feminist movement. It also shows the various aspects of expressive fatherhood, and that close relationship between father and daughter plays an important role for the empowerment of daughter.

애니메이션 <하울의 움직이는 성>에 나타난 여성상의 고찰

  • Lim, Chan
    • Archives of design research
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    • v.19 no.2 s.64
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    • pp.293-300
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    • 2006
  • Mr. Miyazaki's heroines tend to be plucky young women who combine guileless decency with tough-mindedness. However, in his the latest film the female character often change herself into wise older women who sometimes serve as foils, sometimes as mother figures. His heroine, Sophie, starts out as a shy girl, but then a curse transforms her into 90-year-old. Her partner is Howl who supports and is supported by Sophie their mutual drawbacks. At first horrified by the change, she comes to embrace it as a liberation from anxiety, fear and self-consciousness, and discovers in herself a new zest for adventure. The castle is surely one of the most extraordinary contraptions to appear on screen recently, more ingenious in its way than the intergalactic armada. It ranges freely from place to place and is also, somehow, in several places at once, its magical front door opening onto different landscapes with the flip of a knob. It is not exactly haunted, but it is nonetheless infused with whimsical and sometimes somber spirits. Sophie, in both her incarnations, joins an impressive sisterhood of Miyazaki heroines, whose version of girl power presents a potent alternative to the mini-machismo that dominates American juvenile entertainment.

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Advanced Aged Women's Needs for Pregnancy and Childbirth Care (고령임산부의 임신과 출산 건강관리 요구)

  • Min, Hye Young;Jeong, Geum Hee
    • Women's Health Nursing
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    • v.21 no.4
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    • pp.332-341
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    • 2015
  • Purpose: Advanced aged pregnancy may be related with health problems so that more aggressive health care is necessary for these women. This study aimed to provide the basic data for developing nursing intervention programs to enhance the health of pregnant women and their new-born babies and by identifying the advanced aged women's need for pregnancy and childbirth. Methods: It is the cross-sectional descriptive study to identify the advanced aged women's need on pregnancy and childbirth. Subjects were pregnant women 35 years or older and postpartum women. Total number of subjects was 95. Measurement tool is self-reporting survey that consisted of 67 items with four-point Likert scale, which was completed during October to November 2014. Results: Average score was 3.44 out of maximum 4 on the care need on pregnancy and childbirth. Average scores according to category were as follows: baby rearing and parental role, 3.55; preconception care, 3.49; delivery care, 3.47; postpartum care 3.42; and prenatal pregnancy, 3.39. The degree of needs on pregnancy and childbirth was different according to delivery experience (t=-2.49, p=.014). Conclusion: Prenatal and postpartum nursing interventions were completed regardless of pregnant women's age until now; however, new nursing intervention programs are necessary to prevent the risk of advanced aged pregnancy, to provide the preconception care, and to increase the infant care and family support.

A study on work-family compatibility of female wage workers with underage children

  • Kang, Myung-Hee
    • Journal of the Korea Society of Computer and Information
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    • v.25 no.6
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    • pp.171-181
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    • 2020
  • This is an empirical study that analyzes factors affecting the work-family compatibility of female wage workers with underage children. The analysis was conducted with 1,113 women from the 7th wave of the Korean Longitudinal Survey of Women & Families by Korean Women's Development Institute. As for research methods, multiple regression analysis was used in order to analyze the effects of 'social support(home support, maternity protection support, childcare and education services)', 'job characteristics', 'socio-demographic variables' and 'husband characteristics' on 'work-family compatibility and conflict'. As a result, it was analyzed that the husband's support for work life, gender inequality at work and women's educational training were the factors that strengthen work-family compatibility. It was also analyzed that gender inequality, use of childcare and education facility, number of underage children, age of husband, husband's satisfaction with caring support and husband's support for work life were the factors that cause conflict between work and family. Thus, if the policy of strengthening the work-family compatibility is a long-term policy, it appears that it is necessary to supplement and strengthen policies that can reduce conflict factors in the short term. It is hoped that the results of the study will be used as objective and academic data to strengthen the maternity protection and work-family compatibility of female workers with underage children.