• Title/Summary/Keyword: Multiple Pregnancy

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Stress, Depression, and Fetal Attachment in Pregnant Women having Infertility Treatments (불임 치료 임부의 스트레스, 우울 및 태아애착)

  • Kim, Miok
    • Women's Health Nursing
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    • v.20 no.2
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    • pp.163-172
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    • 2014
  • Purpose: The purpose of this study was to determine the stress, depression, and fetal attachment of pregnant women who underwent infertility treatment, and to identify factors associated with fetal attachment. Methods: As a correlation survey design, data were collected from 136 pregnant women who underwent infertility treatment. Data were analyzed using ${\chi}^2$-test, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. Results: Stress, depression, and fetal attachment averaged $3.01{\pm}0.60$ (range of scale 1~5), $10.02{\pm}6.51$ (out of a possible 63), and $3.64{\pm}0.55$ (range of scale 1~5), respectively. Level of fetal attachment was higher when mother's age was less than 35, having other children, and having prenatal education experience. Lower score of depression and client's age less than 35 were significant factors affecting fetal attachment. Conclusion: Infertility is a life-affecting trauma for the individual, and personal and social changes due to infertility cause physical and psychological difficulties even after a successful pregnancy with infertility treatment. Therefore, prenatal management programs need to be developed giving consideration to the emotional and physical changes in order to promote physical and psychological stability in the women pregnant following infertility treatment.

The Effects of Fatigue, Postpartum Family Support on Postpartum Depression in Postpartum Women (산욕기 산모의 피로, 산후 가족지지가 산후우울에 미치는 영향)

  • Lee, Da-Jin;Park, Jung-Suk
    • Korean Parent-Child Health Journal
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    • v.21 no.1
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    • pp.39-49
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    • 2018
  • Purpose: This study was to investigate the effects of fatigue, postpartum family support on postpartum depression in postpartum women. Methods: Data were collected through structured questionnaires. The participants of this study were 123 postpartum women in B metropolitan city. The data were analyzed with the SPSS/Win 18.0 program, using descriptive statistics, in independent t-test, and stepwise multiple regression. Results: The subjects' degree of fatigue and postpartum depression had strong positive correlation (r=.623, p<.001). The subjects' degree of postpartum family support and postpartum depression had moderate negative correlation (r=-415, p<.001). Factors that affect postpartum depression were fatigue (${\beta}=.492$, p<.001), postpartum family support (${\beta}=-.234$, p=.001), pre-conception job (${\beta}=.222$, p=.001), Pregnancy depression (${\beta}=.177$, p=.007), Parity (${\beta}=.167$, p=.009). The explanation power was 55.0%. Conclusion: The study results indicate that it is necessary to various programs that can reduce postpartum mothers' fatigue and improve postpartum family support, in order to reduce the postpartum depression.

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The Relationship between Toddlers' Negative Emotionality and Mothers' Parenting Stress: The Moderating Roles of Husbands' Cooperation, Mother-Teacher Partnership, and Other Social Support (걸음마기 아동의 부정적 정서성과 어머니의 양육스트레스 간 관계: 남편 및 보육교사의 협력과 주위도움의 조절효과)

  • Park, Hyeon Ju;Kim, Hee Jung;Ahn, Sun Hee
    • Journal of Families and Better Life
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    • v.34 no.6
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    • pp.55-67
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    • 2016
  • The purpose of this study was to examine the relationship between Toddlers'negative emotionality and mothers' parenting stress and the moderating roles of a husbands'cooperation, mother-teacher partnership, and other social support. The participants of this study were 248 mothers with toddlers aged 24-35 months. The method of research used was the questionnaire method. The collected data were mainly analyzed by descriptive statistics, t-test, one-way ANOVA, $Scheff{\acute{e}}$ test, Pearson's correlation and multiple regression analysis. The main results of this study were as follows. First, there were differences in mother's parenting stress according to individual characteristics such as mothers employment status, parenting costs, mother's feeling of pregnancy. Second, a moderator effect of a husbands' cooperation was found in the relationship between toddlers'negative emotionality and mothers' parenting stress. Therefore, it was confirmed that husband's cooperation is more of an important factor in nursing children with negative emotions than other support systems.

Solitary Pulmonary Metastasis of Gestational Choriocarcinoma -Three Cases of Different Types- (임신성 융모상피암의 고립성 폐전이 -3가지 유형-)

  • Yoo, Se-Hwa;Yoo, Zin-Mock;Cho, Jae-Yeon;In, Kwang-Ho
    • Tuberculosis and Respiratory Diseases
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    • v.39 no.1
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    • pp.79-82
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    • 1992
  • Gestational choriocarcinoma is a highly malignant tumor which arises from the trophoblast of human pregnancy. This tumor develops early pulmonary metastasis and the most common pattern of pulmonary metastasis is discrete multiple nodules. But occasionally solitary pulmonary metastasis occurs. Authors presented three cases of choriocarcinoma presented with different types of solitary pulmonary metastases with review of literatures. We emphasize the importance of careful obstetric history taking and screening of serum gonadotropin level in differential diagnosis of solitary pulmonary lesion especially among women who are from areas of high prevalence of trophoblastic neoplasia.

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Prenatal diagnosis of the Wolf-Hirschhorn syndrome

  • Lee, Moon-Hee;Park, So-Yeon;Ryu, Hyun-Mee;Hong, Sung-Ran;Lee, Young-Ho;Choi, Soo-Kyung
    • Journal of Genetic Medicine
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    • v.2 no.2
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    • pp.49-51
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    • 1998
  • Wolf-Hirschhorn syndrome (WHS) is caused by a deletion of the short arm on chromosome 4 and is characterized by multiple congenital abnormalities, growth and mental retardation. In this case report, we performed amniocentesis for the chromosome analysis on a 25-year-old pregnant woman at 16 weeks of gestation whom we suspected of Edward's syndrome by the triple test of maternal serum and ultrasonography. The result of analysis revealed a karyotype of the fetus with 46,XY,del(4)(p15) by trypsin Giemsa's banding technique. With the result, we were able to diagnose the fetus as having WHS. As such, after therapeutic termination of the pregnancy, we confirmed WHS through the sampling of tissue by both trypsin Giemsa's banding and fluorescence in situ hybridization (FISH) method. To determine the origin of the WHS, we further tested the karyotypes of the parents. As parental karyotypes were found to be normal, we determined the case of the fetal WHS to be de novo.

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Congenital and perinatal cytomegalovirus infection

  • Kim, Chun Soo
    • Clinical and Experimental Pediatrics
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    • v.53 no.1
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    • pp.14-20
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    • 2010
  • Cytomegalovirus (CMV) is currently the most common agent of congenital infection and the leading infectious cause of brain damage and hearing loss in children. Symptomatic congenital CMV infections usually result from maternal primary infection during early pregnancy. One half of symptomatic infants have cytomegalic inclusion disease (CID), which is characterized by involvement of multiple organs, in particular, the reticuloendothelial and central nervous system (CNS). Moreover, such involvement may or may not include ocular and auditory damage. Approximately 90% of infants with congenital infection are asymptomatic at birth. Preterm infants with perinatal CMV infection can have symptomatic diseases such as pneumonia, hepatitis, and thrombocytopenia. Microcephaly and abnormal neuroradiologic imaging are associated with a poor prognosis. Hearing loss may occur in both symptomatic and asymptomatic infants with congenital infection and may progress through childhood. Congenital infection is defined by the isolation of CMV from infants within the first 3 weeks of life. Ganciclovir therapy can be considered for infants with symptomatic congenital CMV infection involving the CNS. Pregnant women of seronegative state should be counseled on the importance of good hand washing and other control measures to prevent CMV infection. Heat treatment of infected breast milk at $72{^{\circ}C}$ for 5 seconds can eliminate CMV completely.

Effect of Environmental and Physiological Factors on Bone Mineral Density in Postmenopausal Women (폐경후 여성의 골밀도에 대한 환경, 생리적 요인의 영향)

  • 이보경
    • Journal of Nutrition and Health
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    • v.25 no.7
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    • pp.656-667
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    • 1992
  • This study was designed to investigate the effect of environmental an d physiological factors on bone mineral density(BMD) of the lumbar spine(L2longrightarrowL4) in 41 postmenopausal women. There were a positive relationships between BMD of the lumbar spine and monthly income food expenses pocket money energy expenditure(EXP) per day sociocultural EXP activity intensity time of standing and walking or age at first pregnancy. BMD of the lumbar spine was negatively correlated with age Engel index time of sleeping and sitting number of childbirty and children period of breastfeeding or menopausal period. But there were no significant relationships between BMD and physiological domestic EXP body mass index age at menar-che menstruation cycle or age at menopause. The complex interrelations between BMD and these variables were examined using stepwise multiple regression analysis. From this analysis in subject aged 50~59 years. EXP per body weight physiological EXP age at menopause time of sleeping were positively significant independent predictors of BMD. In subjects aged 60~69 years, . time of walking only and in total subjects. EXP per body weight pocket money were positively significant independent predictors ofBMD. This study suggest that EXP and pocket money are major constituents affection lumbar spine BMD in postmenopausal women.

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Pain Patterns and Factors Affecting of Low Back Pain in Middle-aged Women (중년여성이 경험하는 만성요통의 통증양상 및 영향요인)

  • Ham, Young-Lim;Seo, Bok-Nam;Ahn, Yang-Heui
    • Journal of muscle and joint health
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    • v.14 no.1
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    • pp.33-41
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    • 2007
  • Purpose: The purpose of the study was to identify the pain patterns and factors affecting low back pain in middle-aged women with backache. Method: A descriptive research design was utilized. The participants were middle-aged women who visited to two back pain clinics in Wonju from October, 2006 through February, 2007. A total of 195 low back pain patients agreed to participate in this study, and data from 177 were analyzed. Data were collected using a questionnaire which included a modified short-form Korean pain rating scale, demographic factors, factors related to low back pain and health behavior. Descriptive statistics and multiple regression analysis was utilized in the analysis. Results: The mean score for low back pain was relatively low(M=21.57, SD=11.44). Among pain patterns, scores for dull pain were the highest of all the dimensions. In the regression analysis, significant factors affecting low back pain were found to be age, level of education, religion, BMI, experience of pregnancy, delivery type and exercise. These variables explained 24.8% of variance in low back pain(F=3.79, p<.001). Conclusion: These results suggest that nurses need for assessment and intervention to take into consideration pain patterns as well as factors affecting middle-age women with backache.

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Effects of anxiety and smartphone dependency on sleep quality among pregnant women with preterm labor (조기진통 임부의 불안과 스마트폰 의존도가 수면의 질에 미치는 영향)

  • Lee, Hee Jeong;Kim, Hye Young
    • Women's Health Nursing
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    • v.26 no.2
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    • pp.191-199
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    • 2020
  • Purpose: The purpose of this study was to investigate the effects of anxiety and smartphone dependency on sleep quality in pregnant women with preterm labor. Methods: The participants of this study were 111 pregnant women who were between 20 and 37 weeks of gestation and experienced preterm labor. The data were collected from October 1, 2018 to October 25, 2019. The collected data were analyzed using descriptive statistics (frequency, percentage, and standard deviation), as well as the t-test, Pearson correlation coefficients, and hierarchical multiple regression. Results: Significant negative correlations were found between anxiety and sleep quality and between smartphone dependency and sleep quality. Participants' history of preterm birth, pregnancy method, bowel movements, anxiety, and smartphone dependency significantly affected sleep quality, with an explanatory power of 18%. Conclusion: In order to improve the quality of sleep, which is an important health-related factor for pregnant women experiencing preterm labor, it will be necessary to identify a history of premature birth, pregnancies achieved using artificial reproductive technology, bowel problems, and smartphone dependency in advance and to provide nursing interventions accordingly.

Exploring Factors Influencing Menstrual Symptom: Focus on University Students (월경 증상 영향요인 탐색: 일 대학 대학생을 중심으로)

  • Kim, Nam Hee
    • Journal of Korean Public Health Nursing
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    • v.35 no.1
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    • pp.120-134
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    • 2021
  • Purpose: The reproductive health of women in early adulthood can affect pregnancy, childbirth, and menopause in later life. Menstrual symptoms not only affect daily life, but are also a reflection of a woman's reproductive health. This study was conducted to explore the factors affecting menstrual symptoms among university students. Methods: The general characteristics, life style, menstrual characteristics, stress, and menstrual symptom of 177 female students were assessed through an online survey at one university. An independent sample t-test, one-way variance analysis, correlation analysis, and multiple regression analysis were performed using the SPSS 22.0 program. Results: The menstrual symptom score was 91.68±32.11 points, and the score of 'mood change' was the highest. Stress (��=.38, p<.001), amount of menstruation (��=.20, p=.001), menarche age (��=-.18, p=.003), health problems (��=.16, p=.010), and age (��=.15, p=.016) were found to have a significant effect on menstrual symptom, and the explanatory power of the regression model was 40%. Conclusion: This study investigated the degree and influencing factors of menstrual symptom using the Korean Menstrual Symptom Scale (KMSS) developed for Korean university students. Among the factors influencing menstrual symptom, stress appeared to play a significant role. Stress management, observation of menstrual characteristics, and general health care are necessary to maintain a woman's reproductive health.