• Women's Health Nursing
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• v.11 no.2
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• pp.129-134
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• 2005

Purpose: This study was purposed to survey pain, efficacy, and comfort during the first stage of labor and to identify correlations among them. Method: The subjects were 116 laboring women who were admitted to a baby-friendly hospital recommended by UNICEF for breast feeding. Data were collected using a structured questionnaire composed of labor pain, labor efficacy, and labor comfort with 10 cm visual analog scale respectively. The data were analyzed by frequency, Pearson's correlation, and ANOVA. Result: Labor pain, labor efficacy, and labor comfort in latent phase were positive correlation with them in active phase. The more pain, the less labor efficacy and the less comfort in latent phase. and the more pain, the less comfort in active phase. Labor efficacy was positively correlated with labor comfort in both phase. Lastly, women supported by their husbands had significantly higher labor pain than women supported by their mothers. Conclusion: The results suggest that nurses develop a labor efficacy program for pregnant women and their mothers or spouses.

• Journal of Korean Academy of Nursing
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• v.33 no.6
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• pp.753-761
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• 2003

Purpose: The study was done to examine the effects of San- Yin-Jiao(SP6) acupressure treatment on subjective labor pain, length of delivery time in women during labor. Method: The study design was a randomized controlled clinical trial study using a double-blinded method. Data were collected using a structured questionnaire, a subjective labor pain scale and measurement of delivery time. The experimental group(n=29) was received SP6 acupressure and control group(n=29), SP6 touch for the duration of each uterine contraction, during 30 minutes after 3cm dilatation of cervical os. Result: The subjective labor pain scores was significantly different between the two groups(p=0.042). The total length of delivery time in the group which had the SP6 acupressure was shorter than SP6 touch group (p=0.036). Conclusion: These findings showed that SP6 acupressure was effective related to labor pain, length of time for delivery. SP6 acupressure during labor could be applied as an effective nursing treatment.

• Journal of Korean Academy of Nursing
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• v.21 no.1
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• pp.41-49
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• 1991

From of old, labor has been accompanied by pain and much effort has been mode to eliminate or diminish the amounts of pain during labor. Little concern has yet been given to the subjective meaning of pain in labor. Recently, rates of cesarean section in Korea and in some other nations have increased rapidly and some investigators are reporting negative reactions such as anger, disappointment and feeling of loss due to lack of control over labor and its pain. These findings are thought to suggest that control of labor and its pain gives some meaning to the laboring woman. Thus the investigators sought to discover the meaning of pain during labor for Korean women. Specific objectives of this study were to explore the meaning of pain in labor to the mothers, their reactions to the experience of labor add their preference for delivery method. The subjects of this study were 95 mothers who delivered their babies in hospital from September 989 to May 1990 : 45 gave birth by vaginal delivery, and 50 by cesarean section. Data were gathered through direct interviews by the investigators, and questions were focused on five areas i.e. mothers' feelings about delivery and their babies, their feelings about of having more children, the most difficult aspect about this labor and delivery, and what they thought the differences were between vaginal delivery and cesarean section. After interview, mothers' answers were summarized, and classified according to the degree of positive or negative attitude. To ascertain the difference in meaning of labor pains and reaction to delivery experience between mothers delivered vaginally and by cesarean section a Median test was done using an SAS. Results were as follows. 1. More mothers who had delivered vaginally realized that they “have became a mother” than those who had a cesarean section(X$^2$＝8.409, df＝3, p＝0.038). 2. Immediate reaction to their delivery experience was more positive for mothers who had a cesarean section. 3. These Korean mothers expressed preference for vaginal delivery. Suggestions for further research on the meaning for mothers of their experience of labor, and on the meaning of pain for mothers who have a cesarean section were made.

• Women's Health Nursing
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• v.9 no.3
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• pp.224-234
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• 2003

Purpose: This study was to test the effects of a full body massage on labor pain and delivery stress reaction for primipara during labor. Method: This study employed a quasi- experimental method(nonequivalent control group, pre-post test design). The subjects of this study were 57 primipara hospitalized at the U OB & GYN hospital in Inchon from November 1. 2001 to July 31, 2002. 28 women were assigned to the experimental group and 29 to the control group. The experimental group was given 20 minutes full body massage for each of three delivery phases. The control group was given conventional delivery care. The levels of labor pain were measured by the Visual Analogue Scale and the expression scores of the labor pain and the levels of delivery stress reaction were measured by pulse rate, respiration rate, and blood pressure, and State-Anxiety Scale. Data were analyzed using the repeated measures analysis of covariance(ANCOVA), t-test, $X^2$- test, simple ANCOVA with SPSS program. Result: There was no interaction effect between time and group(F=.370, p=.693), but significant time effects were found for subjective labor pain(F=3.840, p=.028). There was no interaction effect between time and group(F=.112, p=.894), but significant group effects were found for objective labor pain(F=12.299, p=.001). There was no interaction effect between time and group for PR(F=.172, p=.843), RR(F=.626, p=.539), SBP(F=.089, p=.915), DBP(F=.748, p=.479), but significant group effects were found for SBP(F=7.547, p=.008). The level of status anxiety of the experimental group was significantly lower than the control group(F=11.787, p=.001). Conclusion: This study showed that the full body massage has partially positive effect on labor pain and delivery stress reaction. Therefore this study suggested that the full body massage might be used clinically to help primipara during labor.

• Women's Health Nursing
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• v.11 no.2
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• pp.135-141
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• 2005

Purpose: The purposes of this study were to verify the effects of aromatherapy on labor pain and perception of the childbirth experience. Methods: This study was a nonequivalent control group pretest-posttest design. The subjects of this experiment consisted of forty eight primiparas without problems during the gestation period. Twenty four primiparas in the experimental group were given general obstetric nursing care with aromatherapy every two hours. Twenty four primiparas in the control group were given general obstetric nursing care only. Data was collected for labor pain measured by a labor pain expression scale, uterine contraction activity measured by Montevideo units in the latent phase, active phase, and transition phase and the perception of childbirth experience 24hours after birth. Data was analyzed by t-test, and repeated measures of ANOVA with an SPSS program. Results: No significant group effects were found, but significant time effects were found for labor pain, and uterine contraction activity. There was no significant difference in postpartum mothers' perception about childbirth. Conclusion: In this study, effects of aromtherapy decreasing labor pain expression, and increasing the perception of childbirth was not found.

• Women's Health Nursing
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• v.17 no.3
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• pp.195-204
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• 2011

Purpose: The purpose of this study was to determine the effects of the spouse's aromatherapy massage on labor pain, anxiety during labor and childbirth satisfaction for laboring women. Methods: The subjects of this study were laboring women who didn't have any complication during pregnancy and who have admitted for childbirth with their spouse to E. hospital in D city. This study was carried out from June to November in 2007. The subjects were allocated into three groups: spouse's aromatherapy massage group, spouse's carrier oil massage group and control group. Aromatherapy massage and carrier oil massage was applied for ten minutes every hour after the cervix dilated 5cm. The subjects in the control group were with their spouse during labor. Results: The labor pain by VAS was significantly different among the three groups (Kruskal-Wallis $x^2$=7.09 p=.029) in the deceleration phase. The anxiety during labor by VAS were significantly different among the three groups (Kruskal-Wallis $x^2$=6.77 p=.034) in the deceleration phase. There was no significant difference in childbirth satisfaction among the three groups. Conclusion: The spouse's aromatherapy massage using Lavender, Clary sage, Frankincense and Neroli could be effective in decreasing labor pain and decreasing anxiety level during labor.

• Women's Health Nursing
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• v.4 no.2
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• pp.203-216
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• 1998

Pain is commonly characterized as a multi-dimensional experience, varing in quality as well as in intensity. So, We need to understand the lived experience of primiparous women in order to provide basic information of nursing care. Therefore, The purpose of the study is to explore the construction of labor pain experience. The data are collected through in-depth interviews of 20 primiparous women in Pusan city from March 1998 to May 1998. Their labor pain experiences conducted 1-2 days after delivery at admission room. Each interview lasted about 25 minutes average. I have interviews one time with each subject. The record was taken with the consent of the subject. Data were analyzed by means of Giorgi's phenomenological analysis methods and categorized according to the similarities of its contents. The investigator read the data repeatedly to identify and categorized themes and main meaning. Eleven themes of labor pain as experienced by these subjects were : 1) fear 2) suffering 3) evasion of pain 4) will power about overcome 5) support need 6) apprehension of parent 7) producing confidence 8) obtain his roles 9) attributing the cause of labor pain to others 10) not feeling of touching 11) ambivalence. Five main meaning identified were : 1) fear 2) evading and confrontation 3) the maturity of personality 4) unreality 5) ambivalence. The significes of this study for nursing are : 1) It enables nurses and other health care providers understand more clearly the lived experience of labor pain. 2) It provides that the way of more effective pain management.

• Korean Parent-Child Health Journal
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• v.14 no.1
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• pp.28-35
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• 2011

Purpose: The aim of this study is to suggest a direction for the development of effective methods for relieving labor pain, by analyzing non-pharmacological interventions through a literature review. Methods: Collection of literature data in this study has been accomplished through theses, reports, and academic data searched on databases of the Research Information Sharing Services (Riss), PubMed, ProQuest, and the National Discovery for Science Leaders (NDSL). Results: Non-pharmacological interventions analyzed as effective in relieving labor pain, in literature published both within and outside of Korea, included: pre-delivery education, Yoga, Doula delivery care, Massage, Music therapy, Aromatherapy, Hypnosis, TENS, Sterilized water injection, and Acupuncture. Conclusion: Several different interventions have been attempted for the relief of labor pain. Since even the same intervention shows different results depending on the research method utilized, critical factors must be acknowledged that compromise the effectiveness of these methods. In addition, study of potential synergy effects of interventions that combine these various methods might also prove to be significant.

• The Korean Journal of Emergency Medical Services
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• v.17 no.2
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• pp.9-20
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• 2013

Purpose: The purpose of this study is to provide basic data to improve prehospital emergency care for patients with labor pain, vaginal bleeding and rape experience by analyzing the reports of 119 emergency medical technicians. Methods: Data were prehospital reports of 190 patients having chief complaints of labor pain, vaginal bleeding and rape in Chungcheongnam-do from January 1, 2012 to December 31, 2012. Data were analyzed using SPSS 21.0 descriptive statistics and $x^2$-test. Results: From the 190 cases of labor pain, vaginal bleeding and rape, labor pain accounted for 57.9% including 75.5% of normal delivery; vaginal bleeding accounted for 35.8% including 26.5% of postpartum hemorrhage; and rape victims accounted for 6.3%. Cases with more than one vital sign accounted for 94.2%, but cases without primary assessment of the obstetrics and gynaecology accounted for 38.4% from gestation weeks, 78.0% from parity, and 87.4% from history taking relating to event. Patient care including emotional support was the first priority care accounted for 78.4% and 60% of care was keeping the patients warm. Conclusion : In order to handle various emergency situations properly, the records must be supplemented by obstetrical and gynaecological rape checklist and rape victims supporting system should be established.

• Korean Parent-Child Health Journal
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• v.4 no.1
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• pp.56-67
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• 2001

The purpose of this study was to recognize and compare the concrete factors(perception of painless delivery, Strength of labor pain, the time of labor, APGAR score, satisfaction of painless delivery) on primiparae with and without painless delivery. The subjects were 100 primipara with painless delivery and 100 without painless delivery who had delivered at K university's general hospital in Daegu city. The data that were collected from May. 20, 1998 to July. 30 analysed by the SPSS program. The results of the study were summarized as follow; 1) As a result of the perspective of the painless labor, the mean of primiparae with painless labor was higher than primiparae without painless labor. It was statistically significant(t=-2.63, p=0.0093). 2) As a result of the strength of labor pain, the mean of primiparae without painless labor was higher than primiparae with painless labor. And it was statistically significant(t=17.074, p=0.000). 3) As a result of comparison to the time of labor, In the 1st stage, Without painless labor group was higher than the other (t=256, p=0.0114). In the 2nd stage, with painless labor group was higher than the other(t=-2.13, p=0.0346). But in the 3rd stage, there was no significant differences between two groups. 4) As a result of measuring APGAR score, there was no significant differences. 5) As a result of measuring the satisfaction of painless labor in painless labor group, 'satisfied with painless labor' is 77%, but 'unsatisfied with explanation from health care giver' was 33%. On the basis of above findings, the following is suggested ; It is needed a extended study which are designed for multiparae. And also we suggested that independent nursing-intervention program has to be developed for controlling the labor pain that must lead to positive labor experiences.