• Title/Summary/Keyword: 태아건강

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An Exploration of the maternal & paternal-fetal attachment (임신한 부부의 태아 애착에 관한 연구)

  • Ahn, Suk-Heui
    • 모자간호학회지
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    • v.3 no.1
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    • pp.49-63
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    • 1993
  • The purpose of the study was to identify the maternal & paternal-fetal attachment. The subjects were 130 pregnant women and 85 their husbands. Data were collected in OB & GY clinic by modified Cranley's Maternal-Fetal Attachment Scale. The results were as follows : 1. The mean scores of maternal-fetal attachment (MFA) was 75.57(range: 48-92). The most frequently practiced attachment item was "I can hardly walt to hold the baby(mean 4.32)". The mean scores of paternal-fetal attachment (PFA) was 65.48(range : 48-92). The most frequently practiced attachment item was "I can hardly wait to hold the baby(mean 4.25)". 2. There were significant difference in the degree of MFA, namely, gestational period(p=.020), whether the women had been special things(p=.000) and had experiened on ultrasound scan(p=.001). In the PFA, gestational period(p=.013) gravida(p=.016), duration of marriage(p=.001), family type(p=.036) and whether the women had a health problem(p=.035) were significant difference in degree of attachment. In conclusions, it can be said that parent demonstrated mid-level of attachment to their fetus during pregnancy. Several other factors seemed to be related, indicating a need for further study on maternal & paternal-fetal attachment. It will designed and managed parental class to promoting maternal & paternal-fetal attachment.

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Changes of Maternal-fetal Attachment and Self Efficacy for Delivery after the Taekyo-perspective Prenatal Class (태교관점 임부교실 참여 전후 임부 태아애착과 분만자신감의 변화)

  • Chang, Soon-Bok;Kim, Ki-Young;Kim, Eun-Sook
    • Women's Health Nursing
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    • v.7 no.1
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    • pp.7-17
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    • 2001
  • The purpose of this study was to evaluate the effects on maternal-fetal attachment and self efficacy for delivery using the Taekyo-oriented prenatal class. This class is for 2 hours/week for 4 weeks. The program covers the contents of fetal growth and development including their responding ability, the importance of the uterine environment, sharing the motive and purpose of pregnancy, sharing experiences about pregnancy, sharing of prejudices against delivery, training of maternal-fetal interaction, understanding delivery, relaxation breathing techniques, maternity exercises, writing letters or prayers to the baby, and declaration of loving the baby. This study took place from March 4th to June 15th, 2000, in a university hospital and community care center, and was done by with a pretest-posttest design, with 55 pregnant women who were within 32-36 weeks pregnant and who agreed to participate in this study. Data was measured twice by self-report by the Cranley's Maternal-fetal Attachment Scale(MFAS, 1981), and the Shin's(1997) Self Efficacy for Delivery Scale at the beginning and at the completion of the class. Data was analyzed by SAS. The study results were: 1. The score of maternal-fetal attachment was significantly increased after the Taekyo perspective prenatal class than before the class. (t=7.389, p=0.000) 2. The score of self efficacy for delivery was significantly increased after the Taekyo perspective prenatal class than before the class. (t=8.885, p=0.000) The above results proved that the present Taekyo perspective prenatal education program was effective in increasing maternal-infant attachment and self efficacy for delivery. Therefore, it is concluded that the existing prenatal class should include Taekyo perspective elements. However, further study is needed to compare the effects with preexisted prenatal class.

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Mother's perceptions and practices of Taegyo, Belief toward Korean Mother-Fetus Interaction (임부의 태교관련 지각, 태교관행 및 태교관점 모-태아상호작용 신념)

  • Han, Kyung-Ja;Kim, Jeong-Soo
    • Korean Parent-Child Health Journal
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    • v.7 no.2
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    • pp.144-159
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    • 2004
  • Purpose: The purpose of this study is to explore mother's perception and practice of Taegyo. In addition, belief factors toward Taegyo oriented Korean mother-fetus interaction are identified in order to obtain baseline data for the development of Taegyo oriented program enhancing mother-fetus interaction. Method: The sample consisted to 186 pregnant women who visited public health center or hospital for prenatal care. Self-reporting questionnaire devised by investigator was used. Data were analyzed by SPSS win program and contents analysis was used. Result: Although mothers intended to a pregnancy, many of them were perceived negatively toward pregnancy. The study revealed that most of pregnant women continued cultural practices related to Taegyo, they focused on mother-fetus interaction behavior-such as listen to the music, reading a book, talk to fetus, stroke the fetus- with being altered traditional beliefs toward Taegyo or Taemong. Most of pregnant women had Taemong and believed a it's predictive functions. Beliefs toward mother-fetus interaction were classified to 6 factors, pregnancy, Taemong. fetus, practice behavior, infant's abilities and mother-fetus interaction behavior. The scores of belief toward mother-fetus interaction and each factors of pregnancy, fetus, practice behavior, infant's ability were statistically significant different depending upon husbands education. Also pregnancy factor in belief toward mother-fetus interaction was statistically significant different depending upon the number of children, child birth, experience of abortion, premature birth. Conclusion: Developing Taegyo oriented program enhancing the mother-fetus interaction need to include the elements of being facilitated maternal identity formation and maternal confidence for the pregnant women. In addition, it should be developed the program concerning with the characteristics of the pregnant women.

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A Case of Fetal Hepatic Calcificaion with a Good Prognosis (양호한 예후를 보인 태아 간 석회화 1례)

  • Na, Kyong Hee;Lee, Hyun Jung;Kim, Eun Young;Kim, Sung Soo;Kim, Kyoung Sim;Kim, Yong Wook
    • Clinical and Experimental Pediatrics
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    • v.45 no.3
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    • pp.395-400
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    • 2002
  • Recently, the increasing use of antenatal high resolutional ultrasonographic studies, and the increasing expertise of sonographers have contributed to the more frequent prenatal detecton of fetal hepatic calcification. Fetal hepatic calcification can arise from peritoneal, ischemic, infectious, neoplastic, and idiopathic causes. There are many reports that the prognosis is good in isolated fetal hepatic calcification without chromosomal aberrations, associated congenital malfomations or other organ abnormalities. We report one case of fetal hepatic calcification diagnosed by prenatal ultrasonography at gestational age of 27 weeks, without chromosomal abnormalities or other associated organ abnormalities, showing good prognosis.

Boy Preference and Imbalance in Sex Ratio in Korea (한국의 남아선호와 성비의 불균형)

  • Hong, Moon-Sik
    • Korean Journal of Health Education and Promotion
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    • v.12 no.1
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    • pp.151-164
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    • 1995
  • 한국보건사회연구원의 조사결과에 의하면 이상적인 성비는 1960년의 160에서 1991년에는 130으로 크게 낮아졌다. 아직도 한국 부인들의 이상자녀수는 여아보다 남아가 더 많게 나타나고 있다. 남아의 가치에 대해서는 1960년대에는 노후봉양이 가장 으뜸가는 변수였으나, 최근에는 가계계승보다도 그 중요도가 떨어지고 있는 경향을 보이고 있다. 또한 정서적 유대, 즉 아들이 있어야 든든하다는 식의 주장이 보다 강한 이유로 지적되고 있다. 이러한 남아선호사상은 사회적으로 상당한 영향을 미치는 요인이 되고 있다. 즉 성비의 불균형과 장래의 결혼시장의 혼란이 초래된다는 문제가 그것이다. 예를 들면 현재 셋째 및 넷째 아이의 성비가 크게 상승하고 있는 문제이다. 즉, 1992년의 경우 첫째 아이의 출생성비는 여아 100명당 남아 196.5이고, 넷째 아이의 경우는 229.0으로 더욱 높게 나타났다. 그리고 2000년에는 결혼적령의 남녀 성비의 차이는 신부보다 신랑이 19.1%나 많아질 것이며, 이러한 차이는 2010년에 가면 더욱 심화되어 신부감보다 신랑감이 무려 28.6%가 초과될 전망이다. 가뜩이나 농촌 총각들이 장가 들기가 어려운 터에 장가 못갈 총각이 크게 늘어날 수 밖에 없는 사정이 된다면 사회적으로 큰 혼란이 야기될 것임에 틀림없다. 이러한 성비의 불균형이 초래되는 배경은 남아선호사상의 잔존으로 저출산 내에서 태아의 성을 감별함으로써 선택적인 인공유산을 하는데서 비롯되는 것으로 볼 수 있다. 따라서 현재에도 불식되지 않고 있는 남아선호사상에 대한 주의를 다시 한번 환기시켜야 할 것이다. 특히 이 분야의 보다 깊은 연구를 지속적으로 실시하여 대응전략의 제시에 노력해야 할 것이며, 우선 무엇보다도 여성들의 사회적 지위향상 등 여권신장에 관한 정책적 노력과 더불어 교육 홍보를 통한 노력이 강화되어야 할 것이다. 아울러 태아의 성감별 등 바람직하지 못한 의술남용 행위 등을 근절토록 보다 강력한 법적 적용에도 행정력을 집중시켜 나가야 할 것이다.

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Impact of Breastfeeding Knowledge, Attitude, and Barriers on Breastfeeding Practice among Twin Mothers (쌍태아 어머니의 모유수유 지식, 태도 및 장애요인이 모유수유 실천에 미치는 영향)

  • Shim, Jae In;Kang, Sook Jung
    • Women's Health Nursing
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    • v.23 no.2
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    • pp.89-98
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    • 2017
  • Purpose: This study was conducted to identify effects of breastfeeding knowledge, attitude, and barriers on breastfeeding practice on twin mothers and to provide basic data for successful breastfeeding for twins. Methods: Participants were 151 mothers with two to twelve months-old twins. Data were collected from online support groups by an online survey. Results: Mean score for breastfeeding knowledge was $18.34{\pm}4.63$, for breastfeeding attitude was $3.61{\pm}0.51$, and for barriers to breastfeeding was $13.35{\pm}1.08$. The breastfeeding practice rate was 27.8% when twins were two months old. The breastfeeding knowledge was significantly different depending on mother's occupation, number of children, utilization of postpartum caretaker, and age of the children. There were significant differences in the breastfeeding attitude depending on gestational week of twins, planned length of the breastfeeding, and decision period for the breastfeeding. The practice of the breastfeeding was significantly different depending on the number of children. Factors influencing the breastfeeding practice were the breastfeeding attitude (p<.05), age of mother (p<.01), and the number of children (p<.01). Conclusion: An educational program and expert-led supportive system that is designed for twins are necessary, and they need to be included in prenatal care in order to have positive attitude for the breastfeeding as well as to breastfeed successfully.

A Comparative Study of Anxiety, Pain and Maternal-fetal Attachment between Women who became Pregnant after Infertility Treatment and became Pregnant Naturally (난임 시술로 임신된 임산부와 자연 임산부의 출산 시 통증 및 태아애착행위 비교연구)

  • Yoon, Hee Ja;Lee, Seung Shin;Ye, Song Hee;Han, Ah Reum;Lim, So Ri;Chung, Hyun Jung;Park, Jum Mi
    • Women's Health Nursing
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    • v.22 no.2
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    • pp.71-77
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    • 2016
  • Purpose: This study was a comparative study to understand the levels of anxiety, pain and maternal-fetal attachment between women who became pregnant after infertility treatment and became pregnant naturally. Methods: This study used a comparative survey design. Data were collected by 50 couples of natural pregnancy and of who became pregnant after infertility treatment who visited delivery room in C Medical hospital, Seoul. These couples were to have first baby, and cervix dilatation of women was less than 3 cm regardless of diagnosis. Results: The score of anxiety of infertile women was significantly higher than that of naturally pregnant women; however, that of spouses showed no difference. The pain score for infertile women was significantly higher in both the active and transition phases. Pain scores that reported by their spouses did not show differences in either phase. The score of maternal-fetal attachment showed no difference between two groups of women. Conclusion: The result showed the importance of nursing intervention to reduce women's anxiety and pain, through both antenatal-childbirth education programs and assertive nursing interventions. It is necessary to develop and evaluate new intervention which would be more effective for reducing pain and anxiety for couples who became pregnant after infertility treatment.

Anxiety-depression and Maternal Fetal Attachment Behaviors of Pregnant Women with Preterm Labor and Normal Pregnant Women (조기진통임부와 정상임부의 불안 우울과 태아애착행위)

  • Moon, Eun-Hye;Kim, Jae-Youn;Jeung, Min-Kyong;Son, Hyoe-Min;Oh, Jin-A
    • Korean Parent-Child Health Journal
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    • v.9 no.2
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    • pp.128-139
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    • 2006
  • The purpose of this study was to compare the differences of anxiety-depression and maternal fetal attachment between pregnant women with preterm labor and normal pregnant women. The number of subjects was 132 convenienced sample. The sample were 66 pregnant women with preterm labor admitted in clinics and 66 normal pregnant women visited OB outpatient department at 1 general hospital in Busan. The data were collected by a self-reported questionnaire from Aug. 1st to Oct, 31th. 2006 and were analyzed with t-test, ANOVA, chi-square test using SPSS/Win PC+ 12.0. The research results were as follows: 1. The general characteristics between normal and preterm pregnancy were homogeneous. 2. It was significantly differed according to anxiety-depression between two groups, but it was not significantly differed according to maternal fetal attachment. 3. There were negative correlations with anxiety-depression and maternal fetal attachment. In conclusion, the special program should be created for each pregnant women and ante-natal nursing service may assessed and consulted on anxiety-depression and maternal fetal attachment, and needed the development of professional and educational nursing intervention on anxiety-depression and maternal fatal attachment enhancement in prenatal health care.

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Effects of a supportive program on uncertainty, anxiety, and maternal-fetal attachment in women with high-risk pregnancy (고위험 임부를 위한 지지적 프로그램이 불확실성, 불안, 태아 애착에 미치는 효과)

  • Kim, Hyun Jin;Chun, Nami
    • Women's Health Nursing
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    • v.26 no.2
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    • pp.180-190
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    • 2020
  • Purpose: The purpose of this study was to identify the effects of a supportive program on uncertainty, anxiety, and maternal-fetal attachment in high-risk pregnant women. Methods: The participants were 59 high-risk pregnant women admitted to the maternal-fetal intensive care unit. The control group (n=30) received usual treatment and antenatal care, while the experimental group (n=29) received an additional supportive program. Uncertainty, anxiety, and maternal-fetal attachment were measured in both groups prior to the intervention and at 3 days and 10 days after the intervention (or at discharge). Data were analyzed with the t-test, chi-square test, repeated-measures analysis of covariance, and the Greenhouse-Geisser correction in SPSS version 23.0. Results: A supportive program including information provision, nutritional care, emotional care, and exercise care was developed from the literature. All variables except women's length of stay were found to be homogeneous the between experimental and control groups in the pre-test. Length of stay was calculated as a covariate for testing hypotheses. There was a significant difference in state anxiety over time between the two groups, while there were no differences in uncertainty or maternal-fetal attachment. Conclusion: This supportive program was identified as an effective nursing intervention on state anxiety in high-risk pregnant women during their stay in the maternal-fetal intensive care unit. It is suggested that nurses could apply this program to alleviate high-risk pregnant women's state anxiety, and that this program could be modified to be more effective on uncertainty and maternal-fetal attachment in high-risk pregnant women.

Healthcare Application Modeling Using Smartphone (스마트폰을 이용한 헬스케어 스케쥴링 애플리케이션)

  • Lee, Seung-Ho;Lim, Myung-Jae;Lee, Ki-Young
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.10 no.4
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    • pp.35-40
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    • 2010
  • Recently, The medical services make use mobile healthcare system to transmit patient information on wireless environment. But It is difficult to satisfied for specified patient to send message, and it's not sufficient healthcare system to help regular treatment for example a diabetic or a pregnant woman. Thus, this paper proposes an healthcare scheduling application which manages a pregnant woman pregnant-checking, fetal movement sensing, antenatal training and promotion of health information using networking, data transmission method and application framwork of WPAN concepts.