• Title/Summary/Keyword: 분만과정

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A Convergence Study about Married Couples' Attitude toward Family-Birth according to the Spouse's Participation Range of Family-Birth (배우자의 가족분만 참여범위에 따른 부부의 가족분만에 대한 태도에 관한 융합연구)

  • Lee, Sun-Young;Oh, Sangeun
    • Journal of the Korea Convergence Society
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    • v.9 no.6
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    • pp.107-116
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    • 2018
  • Purpose: The purpose of the study was to assess married couples' attitude toward family-birth according to the range of spouse's participation in family-birth. Method: Data were obtained by the 54 couples who used to visited in order to participate on family-birth at two teritary women's hospital in G-city. Result: There was a significant difference in pregnant woman's attitude : the status of having a job(Z=-2.01, p=.044) & type of nuclear family(Z=-2.17, p=.029), planned pregnance(Z=-2.54, p=.011). The spouse who partly participated in the process of family-birth showed higher(t=2.30, p=.030) compared to the spouse who participated in the whole process of family-birth. Conclusion: The results of the study suggest that hospitals and women's hospitals should support pregnant woman's social work and encourage spouse who partly participation and develop education programs.

우리나라 낙농의 질병과 현장

  • 김재경
    • 월간낙농육우
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    • v.22 no.7 s.243
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    • pp.206-207
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    • 2002
  • 송아지의 난산 처치 요령은 서두르지 말고 순리대로 해야 한다. 장기간 분만과정을 거치면 수의사의 도움이 필요하다. 무리한 난산 처치를 하면 어미 소에 상당한 스트레스를 주게 되어 심각한 질병을 야기할 수 있다.

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Decision-making process and satisfaction of pregnant women for delivery method (임산부의 분만방법 결정과정과 만족도)

  • Jun, Hae-Ri;Park, Jung-Han;Park, Soon-Woo;Huh, Chang-Kyu;Hwang, Soon-Gu
    • Journal of Preventive Medicine and Public Health
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    • v.31 no.4 s.63
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    • pp.751-769
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    • 1998
  • This study was conducted to assess the attitude of pregnant women toward delivery method, understanding of the reason for determining her own delivery method, participation in decision-making process and satisfaction with delivery method after labor. Study subjects were 693 pregnant women who had visited obstetric clinic for prenatal care in the last month of pregnancy in one general hospital and one obstetrics-gynecology specialty hospital in Taegu city from February 1 to March 31 in 1998. A questionnaire was administered before and after labor and a telephone interview was done one month after labor. Proportion of women who had health education and/or counselling about delivery method during prenatal care was 24.0% and this proportion was higher for women who had previous c-section(35.5%) than others. Women thought vaginal delivery is better than c-section for both maternal and baby's health regardless of previous delivery method. About 90% of primipara and multiparous women who had previous vaginal delivery wanted vaginal delivery for the index birth, while 85.6% of multiparous women who had previous c-section wanted repeat c-section. Reasons for choosing c-section in pregnant women who preferred vaginal delivery before labor were recommendation of doctors(81.9%), recommendation of husband (0.8%), agreement between doctor and pregnant woman(4.7%), and mother's demand (12.6%). Reasons for choosing vaginal delivery were mother's demand(30.6%) and no indication for c-section(67.2%). Reasons for choosing c-section in pregnant women who preferred c-section before labor were recommendation of doctors(76.2%), mother's demand(20.0%), recommendation of husband(1.3%), and agreement between doctor and pregnant woman(2.5%). Of the pregnant women who had c-section, by doctor's recommendation, the proportion of women who had heard detailed explanation about reason for c-section by doctor was 55.1%. Mother's statement about the reason for c-section was consistent with the medical record in 75.9% . However, over 5% points disparities were shown between mother's statement and medical record in cases of the repeat c-section and mother's demand. In primipara and multiparous women who had previous vaginal delivery, the delivery method for index birth had statistically significant association with the preference of delivery method before labor(p<0.05). All of the women who had previous c-section had delivered the index baby by c-section. Among mothers who had delivered the index baby vaginally, 84.9% of them were satisfied with their delivery method immediately after labor and 85.1% at 1 month after labor. However, mothers who had c-section stated that they are satisfied with c-section in 44.6% immediately after labor and 42.0% at 1 month after labor. Preferred delivery method for the next birth had statistically significant association with delivery method for the index birth both immediately after labor and in 1 month after labor. The proportion of mothers who prefer vaginal delivery for the next birth increased with the degree of satisfaction with the vaginal delivery for the index birth but the proportion of mothers who prefer c-section for the next birth was high and they did not change significantly with the degree of satisfaction with the c-section for the index birth. These results suggest that the current high technology-based, physician-centered prenatal and partritional cares need to be reoriented to the basic preventive and promotive technology-based, and mother-fetus-centered care. It is also suggested that active involvement of pregnant woman in decision-making process for the delivery method will increase the rate of vaginal birth after c-section and decrease c-section rate and improve the degree of maternal satisfaction after delivery.

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산욕기 질병관리(유열)

  • Kim, Hyeong-Jong
    • Feed Journal
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    • v.4 no.10 s.38
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    • pp.132-137
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    • 2006
  • 목장 경영의 성공과 실패에는 여러 가지 요인이 작용하지만 연중 얼마나 적은 소가 도태되는가 하는 것 또한 아주 중요하게 생각해 보아야 할 사항이다. 낙농에 있어 거의 대부분의 질병이 산욕기에 발병하는데 산욕기(産褥期)란 분만으로 인한 상처가 완전히 낫고, 자궁이 평상시 상태가 되며 신체의 각기관이 임신 전의 상태로 회복되기까지의 기간으로 대개 분만 후 6~8주간을 말한다. 산욕기에 주로 발생할 수 있는 다양한 질병(산욕기 부전마비, 난산, 급성유방염, 제4위 전위증 등)들이 조기에 발견되어 적절히 치료되지 못하고 만성화되면서 전해질불균형, 에너지와 단백질의 섭취부족에 의한 영양장애로 허약과 지방간 및 케토시스 등으로 진행되어 결국 도태됨으로서 목장 경영에 있어 막대한 영향을 끼치는 것이다. 이러한 산욕기 질병의 주 원인은 건유기 사양관리에 있다. 건유기간 동안 체점수(BCS)의 변화를 최대한 줄이면서 분만전의 스트레스를 얼마만큼 줄일 수 있도록 관리하는가에 달려있다. 다시말해 분만 전 마지막 한달간에 건유에서 분만으로의 이행과정을 얼마나 매끄럽게 연결 지어주는가에 따라 산욕기 질병의 발생률이 결정되는 것이다. 본 고에서는 건유기 사양관리 소홀로 발생되는 산욕기 부전마비에 관해서 자세히 설명해 보고자 한다.

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Pregnant Women's Labor Progress, Childbirth Outcome, and Childbirth Satisfaction according to the Presence or Absence of Labor Induction (유도분만 시행 여부에 따른 임산부의 분만진행과정, 분만결과, 분만만족도)

  • Jeong, Yun Ah;Chung, Chae Weon
    • Women's Health Nursing
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    • v.24 no.1
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    • pp.58-70
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    • 2018
  • Purpose: To provide accurate information on induced labor and find strategies to enhance women's childbirth satisfaction. Methods: Participants were pregnant women expected to have normal vaginal delivery. A total of 113 women with induced labor and 61 women with spontaneous labor were surveyed. Data were collected using a questionnaire and electronic medical records. Results: The following variables related to labor progress showed significant differences between the induced labor group and the spontaneous labor group: length of the first stage of labor in primigravidas, use of analgesic, incidence of uterine hyperstimulation, incidence of fetal distress, and medical treatment for the expectant mother. Delivery type and the incidence of postpartum complications showed significant difference between the two groups. Induced labor women's childbirth satisfaction was mainly affected by the process of labor whereas spontaneous labor women's childbirth satisfaction was affected by the outcome of childbirth. Conclusion: Medical staff should have accurate information on the risk of induced labor and the benefits of a natural delivery. Moreover, medical staff should provide necessary information and environment for women to participate in the decision-making process.

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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Effect of Insulin Resistance on the Metabolism of Periparturient Dairy Cattle (분만전후기 젖소에서 insulin resistance의 대사적 작용)

  • Kim, Jin-Wook
    • Journal of agriculture & life science
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    • v.44 no.5
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    • pp.65-74
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    • 2010
  • Dairy cow undergoes major adaptations in glucose and lipid metabolism to meet fetal and mammary nutrient requirements during the periparturient period. These adaptations are characterized by major changes in response to the homeostatic signal of insulin. In response to insulin, fatty acids are mobilized to meet energy demand. And cow develop insulin resistance during the late prepartum period to facilitate glucose sparing for the fetus and mammary gland. Insulin resistance is an important adaptation and may be partly responsible for the large increase in plasma nonesterified fatty acid (NEFA) that occurs prior to parturition and coincides with the characteristic decrease in dry matter intake (DMI). Modulation of insulin resistance by administration of thiazolidinedione (TZD) during the periparturient period, likely through the activation of $PPAR{\gamma}$, has substantial potential to minimize energy and immune-related metabolic disorders, and thus may result in increased productivity and improved health of dairy cows.

A Survey on Status of Pregnancy and Delivery at a Rural Village, Nepal(Dolakha Bazar Area) (네팔 돌카지역의 임신분만 환경)

  • Ahn, Young-Woo;Kang, Yune-Sik;Kam, Sin;Lee, Jong-Young
    • Journal of Preventive Medicine and Public Health
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    • v.29 no.4 s.55
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    • pp.721-732
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    • 1996
  • This study was conducted to investigate the status of pregnancy and delivery and relationship among knowledge, attitude and practice about pregnancy and delivery in poor country, Nepal. A questionnaire survey by interviewer was conducted to examine the general characteristics, knowledge about pregnancy and delivery, attitude about pregnancy and delivery, the rate of prenatal care and delivery condition of women who had an experience of delivery during last year$(1994.4.13\sim1995.4.12)$ at a rural area, nepal(Dolakha Bazar Area). The major findings are as follows ; Among respondents, 87.5 percentage never had health education and the degree of knowledge about pregnancy and delivery was low. Among respondents, 56.6 percentage had the attitude that they didn't want antenatal care, 42.8 % of respondents answered that they wouldn't visit hospital or health center when vaginal bleeding occurred and 82.9% thought that the delivery itself was dirty. The proportion of women who experienced antenatal care was 28.3%, the proportion of health facilities delivery was 5.3%, which was very low and 82.6% of home delivery case didn't sanitate the tool to cut the umbilical cord. The women who had positive attitude about antenatal care and health facility utilization experienced more antenatal care and health facilities delivery. On consideration of above findings, health education for pregnancy and delivery is required to improve mother-child health status in poor country. To make efficient health education, the target population group, such as the uneducated, inhabitants far from health center or medical facility, must be chosen. To help the poor countries in medical field, the study on health status and its related factors on these countries like this article would be required.

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Attitudes of Wives and Husbands to the Husband's Presence during Labor and Delivery (배우자의 분만과정 참여에 대한 산모와 배우자의 태도 조사)

  • Park, Mi Jung;Oh, Hyun Jung;Yun, Jung Hee;Kim, Eun Sil;Yi, Young Hee
    • Journal of Korean Clinical Nursing Research
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    • v.18 no.1
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    • pp.74-85
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    • 2012
  • Purpose: The purpose of this study was to explore the attitudes of wives and husbands to the husband's presence during labor and delivery. Methods: A total of 264 participants including 132 wives and 132 husbands were surveyed. The participants' attitudes towards the husband's presence during child birth were collected using a questionnaire. The data were analyzed by descriptive analysis, t-test, Mann-Whitney test, ANOVA with post hoc, and Kruskal-Wallis test. Results: 119 husbands participated in all stages of labor. Mean attitude scores were 109.7(13.47) for wives and 108.7(12.60) for husbands. Husbands' attitudes scores were significantly related to marriage satisfaction and family planning. Conclusion: Wives and husbands had positive attitudes to the husband's presence during the labor and delivery. Therefore, husband's presence during labor and delivery could be encouraged.

Effects of Sounds on Human Sensibility (제품의 음향적용에 따른 인간감성의 변화)

  • 김병주;이구형;정일석
    • Proceedings of the Korean Society for Emotion and Sensibility Conference
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    • 2001.05a
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    • pp.92-96
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    • 2001
  • 제품에 대한 소비자의 평가는 제품이 나타내는 전반적인 특성에 대하여 이루어지며, 이 과정에서 인간의 오감이 모두 작용한다. 최근 대두되기 시작하고 있는 다감각 디자인은 형태와 색상을 중심으로 한 시각 중심의 디자인에 시각분만 아니라 청각과 후각 등의 감각요소를 추가하려는 시도를 하고 있다. 제품 디자인에 다감각을 활용하기 위해서는 복합적인 감각자극과 인간의 감성 사이의 관계가 명확하게 이해되어야 하며, 복합자극 이전에 시각 이외의 단순 감각자극에 의한 감성 변화에 대한 이해가 선행되어야 한다. 본 연구는 음향자극에 대한 감성변화를 평가하는 것을 목적으로 하였으며, 선별된 30개 음향을 대상으로 6쌍의 감성어휘를 이용하여 평가한 결과, 음향이 피실험자의 감성에 변화를 발생시키는 것을 확인하였다. 감성의 변화는 음향의 물리적 속성 분만 아니라 사용자 자신의 개인적, 사회적, 문화적 요인에 의해 차이를 보였으며, 이 결과는 감성의 개인적 속성을 확인시켜 주었다.

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