• Title/Summary/Keyword: Antenatal self-care

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Predictors of Postpartum Depression: Prospective Cohort Study (산후우울증 관련요인: 전향적 코호트 연구)

  • Youn, Ji Hyang;Jeong, Ihn Sook
    • Journal of Korean Academy of Nursing
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    • v.43 no.2
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    • pp.225-235
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    • 2013
  • Purpose: This prospective cohort study was done to investigate recall bias to antepartum variables measured at postpartum periods and predictors of postpartum depression. Methods: Participants were 215 women who answered a self-administered questionnaire which included demographics, Postpartum Depression Predictors Inventory-Revised and Korean version of Edinburgh Postpartum Depression Scale at antepartum 36-40 weeks and postpartum 2 weeks and 6 weeks. Data were analyzed using kappa, and hierarchical multiple logistic regression. Results: Agreement between antepartum variables at both antepartum and two postpartum periods was relatively high (${\kappa}$=.55- .95). Postpartum depression rates were 36.3% and 36.7% at two follow-up points. In hierarchical multiple logistic regression analysis, prenatal depression (OR=4.32, 95% CI: 1.41-13.19; OR=5.19, 95% CI: 1.41-19.08), social support (OR=1.40, 95% CI: 1.18-1.66; OR=1.27, 95% CI: 1.06-1.53) and maternity blues (OR=4.75, 95% CI: 1.89-11.98; OR=4.22, 95% CI: 1.60-11.12) were commonly associated with postpartum depression at two follow-up points. Child care stress (OR=1.85, 95% CI: 1.01-3.37) was only associated with postpartum depression at 2 weeks postpartum and pregnancy intendedness (OR=1.57, 95% CI: 1.09-2.27) was only associated with postpartum depression at 6 weeks postpartum. Conclusions: The results indicate a need to apply nursing interventions such as prenatal education and counseling with families from antenatal period.

Comparisons of Maternal Perceptions between Rooming-in and Non Rooming-in Postpartum Women (신생아간호 운영체계에 대한 산모의 인식과 이용에 따른 차이)

  • Kim, Yun Mi;Park, Kwang Ok;Jang, Hae Ryung;Jung, Eun Ja;Kim, Ji Soo;Kim, Eun Young
    • Journal of Korean Clinical Nursing Research
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    • v.15 no.2
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    • pp.77-89
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    • 2009
  • Purpose: The purpose of this study was to compare maternal perceptions between two groups of postpartum women, women who chose to have their babies room-in and women who did not (non rooming-in group). Methods: Data collection was conducted in 37 hospitals from August 10 to September 20, 2008. The participants were 209 mothers opting for rooming-in and 128 mothers for non rooming-in. The women completed a questionnaire which included the Edinburgh postpartum depression scale, maternal attachment inventory, and postpartum self-evaluation questionnaire. Results: There were significant differences in education level, income and antenatal education between the rooming-in and non rooming-in groups. The rooming-in group also showed higher levels of satisfaction with medical services. More important, the rate of breast feeding for the rooming-in group was higher than for the non rooming-in group. There was no difference between the two groups for postpartum depression, maternal attachment and mothers' confidence with infant care tasks. Conclusion: These findings suggest that rooming-in system has more advantages compared to non rooming-in and that it can help to promote breast feeding. The authors recommend that the rooming-in system be expanded nationwide. The results of this research can be used to assist the development of future rooming-in system expansion strategy.

Common Mental Disorders and Associated Factors During Pregnancy and the Postpartum Period in Indonesia: An Analysis of Data From the 2018 Basic Health Research

  • Arum Ariasih;Besral;Meiwita Budiharsana;Sudarto Ronoatmodjo
    • Journal of Preventive Medicine and Public Health
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    • v.57 no.4
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    • pp.388-398
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    • 2024
  • Objectives: A substantial proportion of women experience mental health challenges during pregnancy or the postpartum period. Common mental disorders (CMDs), including depression, anxiety, and obsessive-compulsive disorder, are prevalent. Identifying causes and associated risk factors is imperative for early intervention and the prevention of mental health issues. Methods: This study utilized data from the 2018 Basic Health Research, which was conducted nationwide in Indonesia, using a cross-sectional approach. We focused on women aged 13-49 years who were currently or previously married, and had experienced pregnancy, including 8889 pregnant women and 77 012 women who had delivered between January 1, 2013 and August 31, 2018. The Self-Reporting Questionnaire-20 was employed to assess CMDs. Multivariate logistic regression was performed. Results: The prevalence of CMDs in pregnant women was 12.6%, while postpartum mothers exhibited a prevalence of 10.1%. Poor health status displayed the strongest impact on CMDs during both pregnancy (adjusted odds ratio [aOR], 12.23; 95% confidence interval [CI], 9.01 to 16.60) and the postpartum period (aOR, 16.72; 95% CI, 14.85 to 18.82). Additional significant factors for both group include young maternal age, lack of education, unemployment, history of hypertension, and smoking status. Among pregnant women, CMDs was also associated with first-trimester pregnancy, previous pregnancy complications, and small upper arm circumference. For postpartum mothers, significant factors include living in rural areas, history of abortion, unwanted pregnancy, pregnancy complications, lack of antenatal care, spontaneous delivery, postpartum complications and contraceptive use. Conclusions: CMDs can impact in pregnant and postpartum women. Early diagnosis and management must be seamlessly integrated into primary healthcare practices.

Pregnant Women's Information Seeking Experience : Structure and Process of Information Seeking (임신부의 정보추구 경험 - 정보추구의 구조와 과정 -)

  • Kim, Kap-Seon
    • Journal of the Korean Society for Library and Information Science
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    • v.40 no.1
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    • pp.13-37
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    • 2006
  • Using Grounded Theory. the present study was to discover structure and process of pregnant women's information seeking experience through identifying concepts and relationships of the experience. In-depth interviews were conducted with 16 Participants selected by theoretical sampling. The findings were : 1) Pregnant womens' information seeking was caused by Acceptance of Pregnancy . 2) The phenomenon of information seeking was for Maintaining Normalcy to Pregnancy(MNP), 3) MNP occurred in connection with Perceived Anxiety and Desire to Know 4) Action/interaction Strategies to MNP were related to the Awareness of Ways Acquiring Information. Previous Knowledge. Self-Regulation, and Information Access Environment. 5) Action/interaction Strategies to MNP were Seeking Diagnostic Data of Antenatal Care. Seeking Standard Knowledge. Seeking Experience. and Seeking Emotional Support. 6) As consequences of taking strategies, pregnant women were experienced in Sufficient. or Insufficient. 7) A three-stage process of information seeking was discovered : Comparing, Contextualising, Making sure. 8) In terms of change of information needs during pregnancy, a four-phasic process was discovered. Acceptance Phase. Adjusted Phase, Focusing Phase, and Transitional Phase. Based upon these results. it needs to generate a substantive theory contributed to holistically explain and predict pregnant women's information seeking behavior.