• Title/Summary/Keyword: 분만경험

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The Meaning of Vaginal Delivery to Primiparous Mothers (초산모의 질분만 경험)

  • 송미승;이미라
    • Journal of Korean Academy of Nursing
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    • v.22 no.4
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    • pp.444-453
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    • 1992
  • Recent research reported that postpartum mothers showed different responses according to the type of delivery, and though most mothers preferred vaginal delivery to cesarean section, the numbers of negative comments about the delivery experience were higher in a vaginal delivery group than in a cesarean section group. This study set out to understand the meaning of vaginal delivery as perceived by mother who delivered their babies vaginally and how the mothers felt about their delivery experience. The subjects of this study were 17 primiparous mothers right after vaginal delivery in one university affiliated hospital. Date were collected from March to April, 1992 through interviews lasting 20∼30 minutes using open ended questions about the delivery experience. The data were analyzed by Giorgi's phenomenological analysis method and categorized according to similarity of countent. The meaning of the vaginal delivery was grouped in to four categories and the reason for vaginal in to three. One category of the meaning of vaginal delivery was pain, consisting of the subcategories too painful, want to be rid of the pain, unbearable pain and bearable pain. Another cutegory was a sense of accomplishment containing the subgroups wonderful, good and being finished, The third category was the feeling of becoming a mother The fourth category was that of not having any sense yet of the experience. The reasons for preference for vaginal delivery to a cesarean section were categorized in to the instinctive thinking that vaginal delivery was the natural method, a shortened period of recovery and a lower incidence of complications and a stronger feeling of maternal identity.

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Experience on Delivery Room Practice of Male Nursing Students (남자간호학생의 분만실 실습경험)

  • Jung, Ok-Bun;Park, Hyun-Joo
    • Women's Health Nursing
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    • v.17 no.1
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    • pp.64-76
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    • 2011
  • Purpose: This study was to understand the meaning of experience in delivery room practice of male nursing students. Methods: This is qualitative research using focus groups. Data were collected by group interviews from May 22 to June 20, 2010. The focus group interviews were conducted to 14 male nursing students who had experience clinical practice in delivery room. Data were analyzed through Colaizzi's method, in which meaningful statements were extracted. Results: Five theme clusters were identified from thirteen themes and twenty four sub-themes. The five theme clusters were 1) cultural perception of gender role, 2) perceived reality of male nurse, 3) difficulty in approaching clients, 4) counter-educational environment, 5) insight and new perception. Conclusion: For the purposes of remedying male nurse students' problems experienced during clinical practice in delivery room, it seems that there is a need for reeducating nurses' perception of male nurse students and develop programs specially dedicated to clinical practice of male nurse students.

Effects of Social Support, Sleep Quality, and Oral Health Impact Profile on Depression among Pregnant Women (일부 임신부의 사회적 지지, 수면의 질 및 구강건강영향지수가 우울수준에 미치는 영향)

  • Han, Se-Young;Han, Yang-Keum
    • Journal of dental hygiene science
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    • v.17 no.2
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    • pp.134-141
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    • 2017
  • This study examined 191 pregnant women before delivery in an obstetrics and gynecology clinic in North Gyeongsang Province from May to September 2016 by using a questionnaire after obtaining informed consent for voluntary participation in the study. The study was performed to investigate the association of depression with sociodemographic characteristics, pregnancy-related characteristics, social support, sleep quality and Oral Health Impact Profile (OHIP) in pregnant women. The prevalence of depression among the pregnant women was 25.1% in the healthy group and 74.9% in the depression group. The depression level was significantly higher in women in the depression group who were unsatisfied with their marriage life, had no occupation, had lower social support, had poor sleep quality and had higher OHIP scores. The results of the logistic regression analysis indicated that, the risk ratio for more severe depression was significantly higher in the group with no experience of miscarriage and induced childbirth than in the group with childbirth experience. Conversely, the risk ratio for more severe depression was significantly lower in the group with high social support than in the group with low social support. Depression in the respondents significantly positively correlated with sleep quality and OHIP score but significantly negatively correlated with social support. The multiple regression analysis revealed that the depression level was significantly higher by 22.3% among pregnant women with lower marital satisfaction, no childbirth experience, lower social support and higher OHIP scores. In summary, depression was related to marital satisfaction, childbirth experience, social support, and OHIP score, among others, in pregnant women in this study. Therefore, further investigation is warranted to construct programs and measures that will help build positive thinking by designing and verifying a three-dimensional study model by taking into consideration various variables to reduce the incidence of depression in pregnant women.

Comparative Study on Predictors of Maternal Confidence between Primipara and Multipara (초산모와 경산모의 모성역할 자신감에 대한 영향요인 비교)

  • Chung, Sung-Suk;Joung, Kyoung-Hwa
    • Child Health Nursing Research
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    • v.17 no.3
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    • pp.181-189
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    • 2011
  • Purpose: This study was done to investigate the predictors of maternal confidence between primipara and multipara mothers. Methods: The participants enrolled in this study were 145 mothers between 2 and 5 days postpartum. Data were collected using a questionnaire and analyzed using descriptive analysis, t-test, $X^2$ test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. Results: The predictors of maternal confidence among primipara mothers were social support, self-esteem, mode of delivery ($R^2$=.287, p<.001). Whereas, gender of baby, antenatal fetal attachment, and educational status explained maternal confidence among multipara mothers ($R^2$=.270, p<.001). Conclusion: The results indicate that when nurses develop programs to encourage maternal confidence for new mothers, they should take into account the differences between predictors of maternal confidence according to the mothers' experience of birth.

A case of scalp abscess caused by Achromobacter xylosoxidans after vacuum delivery (진공분만으로 출생한 신생아에서 발생한 Achromobacter xylosoxidans에 의한 두피 농양 1례)

  • Park, Eun-Young;Kwon, Moon-Kyung;Min, Seon-Jeong;Hwang, Hyung-Sik
    • Clinical and Experimental Pediatrics
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    • v.49 no.4
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    • pp.451-454
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    • 2006
  • Achromobacter xylosoxidans is an aerobic gram-negative bacillus that may cause opportunistic infections in immunocompromized patients and newborns. Neonatal scalp abscess is generally a complication of fetal scalp monitoring and is typically polymicrobial. We present a case of a newborn, delivered by vacuum extraction, who developed a scalp abscess that yielded growth of Achromobacter xylosoxidans.

A Floppy Baby with Congenital Myotonic Dystrophy Complicated with Huge Subgaleal Hematoma Occurring in Non-instrumental Vaginal Delivery

  • Yim, Shin-Young;Cho, Kye-Hee;Kim, Jae-Young;Hong, Ji-Yeon;Lee, Il-Yung
    • Journal of Genetic Medicine
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    • v.6 no.2
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    • pp.166-169
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    • 2009
  • Not only is the concurrence of congenital myotonic dystrophy (CDM) and subgaleal hematoma (SGH) hardly ever seen but also the development of SGH during unassisted vaginal delivery is rare. We report a boy who developed huge SGH in vaginal delivery without any use of vacuum or forceps and later was diagnosed as maternally transmitted CDM. The boy had prenatal history of polyhydramnios and decreased fetal movement. Six hours after birth, severe molding of the skull associated with huge SGH on left parieto-occipital area was recognized by CT scan. At corrected age of two months, he was diagnosed as maternally transmitted CDM. This is the first report of CDM complicated by SGH occurring in non-instrumental vaginal delivery.

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Statistical Studies on the Gestation and Delivery of the Pregnant Women and on the Neonates (한국부인의 임신.분만 및 신생아에 대한 통계적 연구)

  • Choi, Joong-Myung
    • Journal of Preventive Medicine and Public Health
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    • v.17 no.1
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    • pp.193-202
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    • 1984
  • Clinical and statistical observations were performed on 1,930 cases of pregnant women who were admitted for delivery in the Department of Obstetrics, Kyung Hee University Hospital during 1 year (1982) and on 1,961 cases of neonates who were born to the former. The results were obtained as follows: 1. Concerning maternal age distribution, the commonest age group was that of $25{\sim}29$ and the proportion of the age group $20{\sim}29$ was 82.4% of all. 2. Concerning obstetrical history, the proportion of the women who had no prior experience of delivery nor abortion was the highest, 45.5%. 3. Concerning abortion history, 36.1% of the women had experienced it and the mean number was 1.8. 4. Type of delivery was as follows: Spontaneous delivery; 58.1%, Vacuum extracted delivery; 22.4%, Cesarean section; 18:8%, Breech delivery; 0.7%. 5. Gestational period distribution of the neonates was as follows: Under 37 weeks (Preterm); 7.1%, Between 38 and 42 weeks (Term); 87.2%, More than 43 weeks (Postterm); 5.7%. 6. Sex ratio of male to female of the neonates was 1.03:1. 7. Birth weight distribution was as follows: Under 2,500gm.; 9.0%, Between 2,501 and 4,000 gm.; 85.5%, More than 4,001gm.; 5.5%. 8. The measured growth data of neonates were as follows: Body weight; 3.28kg. for male, 3.18kg. for female, Body height; 50.40cm for male, 49.77cm for female, Chest circumference; 32.54cm for male. 32.17cm for female, Head circumference; 33.49cm for male, 33.11cm for female. 9. The mean values of Apgar score per 1 minute were 7.70 for male and 7.63 for female. 10. The incidence rate of neonatal jaundice was 50.0% and no difference in sex respectively, but more prevalent in preform baby. 11. The incidence rate of neonatal diseases was 8.9% and the commonest disease was neonatal infection (35.6%). 12. Concerning multiple pregnancy, ratio to single births was 1 : 64.3 and the sex ratio of male to female was 1 : 1.03. 13. The incidence rate of congenital anomaly was 2.4% and the commonest anomaly was digestive system anomaly (30.9%). 14. The neonatal mortality rate was 11.73 per 1,000 neonates, and the majority of neonatal deaths were in low birth weight and preform neonates (78.3%). 15. The causes of neonatal deaths in decreasing order of frequency were abnormal ventilation (39.1%), prematurity (30.4%), congenital anomaly (13.0%) and etc.

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Effects of Various Synchronization Methods on Postpartum Reproduction in Hanwoo (다양한 발정제어 방법이 한우의 분만성적과 분만후 차기번식에 미치는 영향)

  • Lee M. S.;Park J. J.;Jung Y. H.;Park S. B.;Suh G. H.;Kang M. J.;Moon S. J.;Kim C. K.
    • Journal of Embryo Transfer
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    • v.20 no.1
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    • pp.49-53
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    • 2005
  • This study was conducted to investigate the effects of repetition usage of various estrus synchronization and seasonal breeding in Hanwoo. Body weight(kg) at birth and weaning in calves produced by seasonal breeding are 24.0kg, 75.6kg in female, 24.9kg, 78.3kg in male, respectively. Changes of birth weight(kg) by parity in Hanwoo increased gradually. Raising rates of calves by raising experience of farmer higher than in more 10 years as $88.4\%$ and in more 6 years as $84.0\%$. Delivering rates by induced estrus methods in $PGF_{2}{\alpha}$, PRID, CIDR and $GnRH-PGF_{2}{\alpha}-GnRH$ were $87.0\%$, $87.3\%$, $91.6\%$ and $96.0\%$, respectively. Conception days of post-partum following to induced estrus methods in Control, $PGF_{2}{\alpha}$ PRID, CIDR and $GnRH-PGF_{2}{\alpha}-GnRH$ were 137.1, 147.6, 141.3, 116.6 and 118.0 days, respectively. The results show that repetition usage of various estrus synchronization were not effective on postpartum reproduction in Hanwoo.

Mother's Prenatal Care and Delivery Services Satisfaction according to Mode of Delivery (분만유형별 산모의 산전관리 실태와 분만서비스 만족도)

  • Cho, Dong-Sook;Kim, Yun-Mi;Hur, Myung-Haeng;Oh, Hyo-Sook;Kim, Eun-Young
    • Women's Health Nursing
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    • v.15 no.4
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    • pp.353-361
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    • 2009
  • Purpose: This study aimed to provide fundamental information about childbirth and antenatal care for pregnancy women and to find differences in mother's antenatal care and delivery service satisfaction between vaginal delivery and cesarean section. Methods: This study was conducted in 4 residential areas and a study sample of 184 postpartum mothers who agreed to collect data. Data was collected from September 1 to October 20 2007 and a structured questionnaire were recruited by the survey. The data was analyzed by t-test and chi-squire test using SPSS/WIN 12.0. Results: There was a significant difference in delivery place between vaginal delivery and cesarean delivery. Only 10.7% of vaginal delivery group delivered in general hospitals, however 24.5% of the cesarean section group delivered in general hospitals. Early antenatal care also showed statistical difference in mode of delivery. 43.5% of vaginal delivery mothers visited hospitals for the detection of pregnancy but 28.3% of cesarean section mothers did that. Vaginal delivery mothers more satisfied with her own delivery method and suggested a vaginal delivery to others. Conclusion: These results suggest that cesarean section mother's sensitivity of early antenatal care was less than vaginal delivery mother. Satisfaction related to delivery care services were higher in the vaginal delivery group.

Effects of a One Session Spouse-Support Enhancement Childbirth Education on Childbirth Self-Efficacy and Perception of Childbirth Experience in Women and their Husbands (입원 시 배우자 지지 강화 출산교육이 산부와 배우자의 분만자기효능감 및 분만경험지각에 미치는 효과)

  • Eom, So-Ye;Kim, Eun-Sil;Kim, Hyun-Jung;Bang, Yang-Ok;Chun, Na-Mi
    • Journal of Korean Academy of Nursing
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    • v.42 no.4
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    • pp.599-607
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    • 2012
  • Purpose: This study was conducted to evaluate the effect of a one-session spouse-support enhancement childbirth education on childbirth selfcefficacy and perception of childbirth experience. Methods: The design of this study was a nonequivalent control group pretest-posttest experiment. The participants in the study were 31 couples in the experimental group and 30 in the control group. The experimental couples were provided with one session on spouse-support enhancement childbirth education the night before delivery. Data were collected at two hours after delivery using the Childbirth Self-Efficacy Inventory (CBSEI) and perception of childbirth experience scale. Data were analyzed using PASW statistics 18 program. Frequencies, percentage, mean, $x^2test$, t-test were used for data analysis. Results: Childbirth self-efficacy significantly increased in the experimental group as compared to the control group, but there was no significant difference in perception of childbirth experience in the experimental group compared to the control group. Conclusion: The results suggest that a one-session childbirth education has beneficial effects on enhancing childbirth self-efficacy in pregnant couples. A one-session spouse-support enhancement childbirth education is recommended as an effective nursing intervention to promote couple's childbirth self-efficacy and it is also recommended that modifications of program to promote women's childbirth experience should be considered.