• 가정의 벗
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• 제33권10호통권386호
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• pp.26-26
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• 2000

• 대한간호
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• 제19권3호통권106호
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• pp.44-48
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• 1980

• 부모자녀건강학회지
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• 제4권1호
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• pp.56-67
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• 2001

The purpose of this study was to recognize and compare the concrete factors(perception of painless delivery, Strength of labor pain, the time of labor, APGAR score, satisfaction of painless delivery) on primiparae with and without painless delivery. The subjects were 100 primipara with painless delivery and 100 without painless delivery who had delivered at K university's general hospital in Daegu city. The data that were collected from May. 20, 1998 to July. 30 analysed by the SPSS program. The results of the study were summarized as follow; 1) As a result of the perspective of the painless labor, the mean of primiparae with painless labor was higher than primiparae without painless labor. It was statistically significant(t=-2.63, p=0.0093). 2) As a result of the strength of labor pain, the mean of primiparae without painless labor was higher than primiparae with painless labor. And it was statistically significant(t=17.074, p=0.000). 3) As a result of comparison to the time of labor, In the 1st stage, Without painless labor group was higher than the other (t=256, p=0.0114). In the 2nd stage, with painless labor group was higher than the other(t=-2.13, p=0.0346). But in the 3rd stage, there was no significant differences between two groups. 4) As a result of measuring APGAR score, there was no significant differences. 5) As a result of measuring the satisfaction of painless labor in painless labor group, 'satisfied with painless labor' is 77%, but 'unsatisfied with explanation from health care giver' was 33%. On the basis of above findings, the following is suggested ; It is needed a extended study which are designed for multiparae. And also we suggested that independent nursing-intervention program has to be developed for controlling the labor pain that must lead to positive labor experiences.

• The Korean Journal of Pain
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• 제12권2호
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• pp.253-257
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• 1999

Hemolysis, elevated liver enzymes and low platelets (HELLP) syndrome, a variant presentation of severe preeclampsia/eclampsia is associated with high maternal morbidity and mortality. Despite several advantages to the use of epidural analgesia for the management of labor pain in preeclamptic parturients, this procedure is relatively contraindicated in the presence of severe thrombocytopenia. Determining the pain management of choice depends on the parturient's condition, fetal well-being, and the urgency of the situation. We report a safe case of epidural analgesia in a HELLP syndrome parturient with severe thrombocytopenia for labor pain management without any neurologic complications or epidural hematoma.

• 여성건강간호학회지
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• 제9권3호
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• pp.235-244
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• 2003

Purpose: To examine the difference of physical discomfort and childbirth satisfaction between postpartum women with and without having taken Epidural Analgesia. Method: The subjects were divided into one group of 128 primipara taken Epidural Analgesia and the other of the same 70 women who were not taken it. Data were collected by questionnaires of their own physical discomfort and birth satisfaction at postpartum 1 to 2 days in OBGY hospitals, and data were analyzed using SPSS Program. Result: Women having taken epidural analgesia appealed higher physical discomfort than those without it in the lower limbs exercise discomfort, difficult urination, urinary retention, nausea & vomiting, whereas appeared vice versa in breast pain. Among indicators for childbirth satisfaction, women having taken epidural analgesia preferred the same delivery method later again more than those without it. Conclusion: It is confirmed that the method of epidural analgesia is not an absolute way to control labor pain, rather stir physical discomfort after childbirth and does not fully increase the women's childbirth satisfaction. Therefore, it is proposed that nurses should provide the pregnant women the right knowledge and information, thereby enabling them to select the useful method of childbirth to their own course of childbirth and health-recovering after the delivery.

• 대한교통학회지
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• 제2권1호
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• pp.103-119
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• 1984

복잡다기해지는 도시교통문제를 효율적으로 대처하려면 제도시교통정책에 의한 교 통분담율효과를 사전에 추정할 수 있어야 한다. 단기간의 교통분담율효과를 추정하는데 미 국 및 구라파 등지에서 널리 이용되고 있는 모형이 개별교통모형(Disaggregate Travel Demand Model)이다. 본 연구의 목적은 로짓모형(Multinomial Logit Model)을 서울시의 종 로축을 이용하는 출근통행자를 대상으로 실시한 조사결과에 적용하여 매개함수(Parameters) 를 추정함에 있다. 조사는 1980년7월5일부터 7월15일까지 10일간 종로축을 이용하는 통행자 536명에게 실시되었다. 조사실시전 서울시의 교통체계의 특성과 통행자의 행태를 면밀히 분 석하여 적합한 변수를 선정하였다. 여러 가지로 변수와 표본의 변형을 시도한 결과 교통비 용을 소득으로 나눈 변수와 시기시간(OVTT)을 거리로 나눈 변수를 포함한 모형이 가장 논 리적인 것으로 나타났다. 한편 표본은 고소득층과 저소득층으로 구분하여 추정한 모형이 비 교적 만족스러운 결과를 나타내었다. 이는 우리나라 대도시의 경우 소득계층에 따라 교통수 단선택범위가 한정되기 때문이다. 마지막으로 고소득층과 저소득층의 시간가치를 각각 산정 하였는바, 이는 교통시간의 매개변수와 교통비용의 매개변수를 나눔으로서 구해질 수 있다. 시간가치는 고소득층은 910원 저소득층은 582원으로 각각 산출되었다.

• The Korean Journal of Pain
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• 제12권1호
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• pp.108-113
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• 1999

Background: There is some concern that the administration of epidural analgesia for pain relief during labor increases the likelihood of cesarean delivery. But, several investigators showed a decrease in the rate of emergency cesarean delivery after epidural analgesia. The purpose of this study was to compare the emergency cesarean rate between the two groups with and without epidural analgesia. Methods: We reviewed retrospectively the medical records for 7846 parturients admitted our hospital between January 1, 1995 and December 31, 1996 and whose attending physician anticipated a normal labor and vaginal delivery. The number of parturients with epidural analgesia using 0.25% bupivacaine with fentanyl were 2839 and parturients without epidural analgesia were 5017. Results: An administration of epidural analgesia was not associated with the incidence of cesarean rate. 149 (5.25%) of 2839 parturients in epidural group and 371 (7.31%) of 5017 parturients in non-epidural group underwent emergency cesarean section. Conclusions: Our retrospective study has shown that an administration of epidural analgesia neither decrease nor increase in the rate of emergency cesarean delivery when compared with a non-epidural analgesia.

• The Korean Journal of Pain
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• 제9권1호
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• pp.63-68
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• 1996

Background; Epidural analgesia for controlling labor pain has recently gained world-wide popularity. However, many patients scheduled for continuous epidural analgesia voice concern over harmful effects to their fetus and other possible complications such as hemodynamic changes, back pain and neurologic sequelae etc. The aim of this study was to evaluate the hemodynamic changes with and without epidural block as a measure to determine the safety of epidural analgesia during labor and delivery. Methods: Twenty healthy subjects were divided equally into two groups(Group 1 without epidural block, and Group 2 with epidural block) and serial hemodynamic measurements were taken in all subjects with transcutaneous impedence cardiography. The epidural catheter was inserted at the level of $L_{3,4}$ in Group 2 and analgesia was maintained using 0.25% bupivacaine mixed with fentanyl. Results: Cardiac output increased slightly with cervical dilatation in both groups, but no significant differences were found between the two groups. Similarly, no significant differences were found in blood pressures between the two groups. Stroke volume and end-diastolic volume indices were slightly decreased in group 1 and slightly increased in group 2. However, there were no significant differences between the two groups. The ejection fraction was nearly constant and ranging 56~59%. Conclusion: We concluded epidural analgesia for labor and delivery is a safe technique for the parturients since results indicated no significant differences in hemodynamic changes, as compared to the control group.