• Title/Summary/Keyword: 조산사

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Midwife's role for mother and infant wellbeing (태아의 안녕과 안전한 출산 : 조산사의 역할)

  • Lee, Kyung-Hye
    • Korean Parent-Child Health Journal
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    • v.3 no.2
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    • pp.67-80
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    • 2000
  • This study was described as midwife's role and obstacle of midwife's role expansion. Midwife as primary medical personal who practices for a mother and infant health care and promotion of mother infant interaction. As the trend of increasing natural childbirth, midwifery has to provide childbearing care those who want delivery in a midwifery center. This study conducted to survey for 44 midwives who work at the midwifery center. The results of the study as fellows. 1. Most of the midwives role was care of pregnancy, delivery, postpartum women and babies. Another role was conducted educational classes childbirth, breast feeding, contraception and sexual education. 2. Some midwives role perform breech, vaccum delivery, episiotomy and suture, pitocin induction and augmentation, ultrasonogram, giving medication, anesthesia, collecting specimen from Pap smear and vaginal discharge. Midwife perform these roles without medical law support. 3. Most of the obstacles of the midwife role was the medical law limitation. Midwives want revise medical law to perform simple treatment for childbearing women and babies. 4. Half of the midwives refer cases to medical doctor in case of complication of women and newborns. 5. Current frequency of home birth rate is slightly higher than before and me cases like to have delivery under water. Finally, midwife and midwifery have to prepare to meet childbearing woman, baby and family's need. For activation and expansion of midwife's role, every midwife has to be aware of medical law accurately and they must know what practice they can do and what practice they can not do.

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Core Competency of Basic Practice of Nurse-Midwifery (조산사의 기본업무를 위한 핵심능력 개발)

  • Lee, Kyung-Hye;Kim, Kyung-Won
    • Women's Health Nursing
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    • v.9 no.4
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    • pp.410-421
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    • 2003
  • Purpose : The purpose of this study was to develop core competency of midwife practices to improve midwifery education, national examination and clinical practices. Method: Literature and. document review and internet search and survey were used. 127 registered in the Korean Midwifery Association midwives by structured instrument were surveyed to analyze midwife's practices and work situation. Result : Midwifery education program has to be either a post graduate or a graduate program for people with nursing license. Midwifery practice has to be extended to a lifelong health care of all women including non-pregnant women, not just a health care of pregnant women and newborns. Thus, a primary health care of women, laws/ethics, and management skills were included in the core competencies of midwifery practice considering the international trend of future-oriented and extended role of a midwife. Also, newborn care and ability to cope with emergency situations were emphasized based on the midwife´s opinion. Conclusion: This study has to be developed midwifery practices and education and the standard of midwifery practice has to be stated based on that result.

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Characteristics, Motivation of Choice and Childbirth Experience of Women Who Selected Delivery at Midwifery Clinic (조산원 분만을 선택한 여성의 특성, 선택동기 및 출산경험 조사)

  • Lee, Sun Hee;Lee, Mi Ok
    • Korean Parent-Child Health Journal
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    • v.16 no.1
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    • pp.1-10
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    • 2013
  • Purpose: This study is descriptive research to identify characteristics and childbirth experience of women who selected delivery with midwives. Methods: The research methods included structured questionnaires, open questions and charts and data were collected from March 2009 to May 2010 at one midwifery clinic. The 108 data of primipara and multipara were analyzed using descriptive statistics and grouping in same meaning. Results: The general characteristics of participants were age of 31~35, housewife, college or university graduate, religion 'yes', and economic state 'middle'. The obstetric characteristics of participants were abortion rate of 23.1%, none complication to pregnancy and delivery of 97.2%, and none postpartum complication. This study was analyzed using positive experiences of 3 categories, that is 'comfortable and natural childbirth', 'satisfaction and trust to personal care of midwives', and 'experience of baby-and-family-centered childbirth' and negative experiences of 3 categories, that is 'improvement of healthcare environment', 'insufficient facilities and nursing care', and'burden of cost'. Conclusion: This study is significant, since it investigates in the absence of domestic research on the characteristics of women who delivered at midwifery clinic. Thus, this study provided basic data on the characteristics of women who delivered at midwifery clinic.

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Meaning of 'Natural Childbirth' and Experiences of Women Giving Birth using Midwifery - A Feminist Approach (조산원 출산 여성의 '자연출산' 의미와 경험 - 페미니스트 접근)

  • Lee, Eun-Ju;Park, Young-Sook
    • Women's Health Nursing
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    • v.18 no.2
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    • pp.135-148
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    • 2012
  • Purpose: The purpose of this study was to explore the meanings of 'Natural childbirth' from experiences of Korean women who gave birth to a baby in the midwifery using a feminist approach. Methods: This paper is a qualitative research study and applies a feminist epistemology and methodology to the experiences of women who gave birth in midwifery. The data were collected by individual in-depth interviews with eleven participants. Results: Two main themes emerged from the feminist content analyses and each main theme had three sub themes. A. transformation of control and knowledge on childbirth and the body 1) refusing coercive medicalization and building a new normality, 2) specific expectations about biological health and maternity rather than a return to nature, 3) the subject of pregnancy and childbirth, B. 'natural childbirth' practice as a new embodied discipline 1) helpers to support mothers, midwives, 2) helping the body to do 'natural childbirth', 3) from isolated labor to cooperative reproduction. Conclusion: These results indicate that women desired to practice being a subject, consultation with professionals, self-discipline and named actors except for women as 'other subjects' in childbirth.

Work performance and calling as factors influencing job satisfaction among nurse midwives working in the delivery room (분만실에 근무하는 조산사의 직무수행과 소명의식이 직무만족도에 미치는 영향)

  • Jung, Geum Ah;Kim, Moon Jeong
    • Women's Health Nursing
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    • v.26 no.1
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    • pp.10-18
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    • 2020
  • Purpose: The purpose of this study was to investigate work performance and calling as determinants of job satisfaction among nurse midwives. Methods: The participants of this study were registered nurse midwives who had worked in the delivery room for more than 6 months. Data were collected by face-to-face interviews, postal mail, and mobile devices. Subjects completed self-report questionnaires from July to August 2017. The dataset was analyzed using descriptive statistics, the independent t-test, analysis of variance, the Pearson correlation coefficient, and multiple regression. Results: The mean score for job satisfaction was 3.42±0.45. Among the sub-factors, income had the lowest score (2.67±0.72) and management of delivery had the highest score (3.81±0.66). Job satisfaction was significantly different according to marital status (t=2.25, p=.028), residential area (t=2.43, p=.016), and cause of job satisfaction (F=4.54, p=.012). Job satisfaction showed a significant positive correlation with work performance (r=.29, p<.001) and calling (r=.57, p<.001). The correlation between work performance and calling was also positive and statistically significant (r=.32, p<.001). Purpose and meaning (β=.48, p<.001) and marital status (β=-.15, p=.025) significantly influenced job satisfaction. The model developed in this study explained 45% of variation in job satisfaction. Conclusion: Nurse midwives' job satisfaction may be enhanced by entrusting them with professional roles and tasks. Above all, it is necessary to develop and provide programs that help nurse midwives connect their jobs with the meaning and purpose of their lives.

A Direction for Nurse-Midwife's Expanded Roles for Women's Health in the New Millenium (새천년의 여성건강을 위한 조산사의 역할 확대 방향)

  • Yoo, Eun-Kwang;Kim, Young-Hee;Lee, Chang-Eun;Kim, Yong-Bun;Lee, Mee-Young
    • Women's Health Nursing
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    • v.5 no.1
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    • pp.65-79
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    • 1999
  • The purpose of this study was to figure out a direction for midwifes' expanded roles for integrative woman's health care focused on health promotion & maintenance and primary prevention of women's health disorders including family health in the new millenium as a primary women's health practitioner. Data sources used for analysis were the book published from International Confederation of Midwives including role, code, situation and others from the international aspects : the empirical data from direct contact by participation in the ICM held in Manila, Philipine, May 22-26, 1999 : and documentation of Korean Midwives Association. Historical and current changing perspectives toward woman's health & nurse-midwifery and the reality women's health & nurse-midwifery and the reality of expand role that should be acquired toward the new millenium are discussed. In conclusion, Nurse-midwives are the very primary women's health care providers who can provide not only the exact needs of women who have health related problems, which are developed in the unique socio-cultural context women are belonged to, but also reproductive affairs including labor and delivery as it was midwive's traditional role, not just as practitioner, educator, counselor but conscious raiser for women's right. Futhermore, for this, thorough preparation through various kind of active and contemplated approach such as remodeling roles and education and continuing education system, training for high skilled & technical action, making laws and policy, and others is absolutely required.

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Geologic Structure of the Anatolian Peninsula: Tectonic Growth of Collisional Continental Margins (아나톨리아 반도의 지질구조: 대륙 충돌에 따른 구조적 성장)

  • Ryu, In-Chang
    • Economic and Environmental Geology
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    • v.45 no.4
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    • pp.465-476
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    • 2012
  • The Anatolia peninsula consists of several continental fragments that include the Pontide Block in north and the Anatolide-Touride Block in south as well as the Arabian Platform in southeast. These continental blocks were joined together into a single landmass in the late Tertiary. During most of the Phanerozoic these continental blocks were separated by paleo-oceans, such as Paleo-Tethys and Neo-Tethys. The Pontide Block in north show Laurasian affinities, and was only slightly affected by the Alpide orogeny; they preserve evidence for the Variscan and Cimmeride orogenies. The Pontic Block is composed of the Strandja, Istanbul and Sakarya zones that were amalgamated into a single terrane by the mid Cretaceous times. The Anatolide-Tauride Block in south shows Gondwana affinities but was separated from Gondwana in the Triassic and formed an extensive carbonate platform during the Mesozoic. The Anatolide-Tauride Block was intensely deformed and partly metamorphosed during the Alpide orogeny; this leads to the subdivision of the Anatolide-Tauride Block into several zones on the basis of the type and age of metamorphism and deformation. The Arabian Platform in southeast forms the northernmost extension of the Arabian Plate that shows a stratigraphy similar to the Anatolide-Tauride Block with a clastic-carbonate dominated Palaeozoic and a carbonate dominated Mesozoic succession. A new tectonic era started in Anatolia Peninsula in the Oligocene-Miocene after the final amalgamation of these continental blocks and plate. This neotectonic phase is characterized by extension, and strike-slip faulting, continental sedimentation, and widespread calcalkaline magmatism, which played a very important role in producing beautiful landscapes of the Anatolia Peninsula today.

Opening Status of the Korea Midwifery Birthing Centers and Development of Midwifery Practice Guideline (한국 조산원 개원실태 및 조산직무지침 개발)

  • Song, Ji Young;Park, Young-Joo
    • Journal of Korean Academy of Nursing
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    • v.50 no.4
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    • pp.583-598
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    • 2020
  • Purpose: This study was to investigate the operational status of the midwifery birthing centers (MBCs) and midwives' job status (Phase 1) and to develop midwifery practice guidelines (MPG) (Phase 2) in Korea. Methods: In the first phase, the subjects were 15 midwives who operated 11 of 14 MBCs that were opened as of August 2018. The questionnaire consisted of items to measure the operational status of the MBC and midwives' job status. In the second phase, the MPG was developed from literature review, interviews with five midwives opening their MBCs, surveys with 74 midwives, and a validity evaluation conducted by seven experts. Results: The distribution of operating MBCs was five in Gyunggi-do, two each in Seoul and Incheon, one each in Busan, Chungcheongbuk-do, Gyeongsangbuk-do, Gyeongsangnam-do and Jeju-do. The mean age of midwives was 54.3 and all were female. In 2017, a total of 762 births including 81 homebirths were performed by midwives. The job performance was highest in the order of neonatal care 3.81, childbirth care 3.56, and postpartal care 3.53, respectively. The MPG included seven areas of prenatal care, childbirth care, postpartal care, neonatal care, primary health care, law/ethics, and administration, with 56 tasks and 166 task elements. Conclusion: This study provides the valid basic data for the operational status of the MBC and the midwives' job status. The MPG describes the midwife's job and may be used as basic data for preparing policies for the development of midwifery practice in Korea.