• Title/Summary/Keyword: Obstetrical Nursing

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Factors of Physical and Psychological Symptoms in Women after Miscarriage (자연유산을 경험한 여성의 신체적 증상 및 심리적 증상 관련요인)

  • Chung, Chae-Weon;Jung, Hye-Sun;Yun, Soon-Nyoung;Shin, Jong-Chul;Park, Hyun-Ju;Han, Mi-Yeoun
    • Women's Health Nursing
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    • v.15 no.4
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    • pp.303-311
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    • 2009
  • Purpose: The study aimed to explore the health consequences that women experienced after miscarriage and the factors related to them. Methods: A convenience sample consisting of 102 women who had miscarried within 2 years was used. Women were recruited from hospitals and enterprises in Seoul and Gyeong-Gi Province. Participants completed a self-administered questionnaire containing a physical and psychological symptoms checklist developed for this study. Results: More than 40% of the miscarriages occurred after 9 weeks of pregnancy and 35% of women were found to have had a previous miscarriage prior to this study. Psychological symptoms were more prevalent and prolonged than the physical symptoms, furthermore, the frequencies of the symptoms experienced were not consistent with the duration of symptoms. Employed women and women with early miscarriages complained of more physical symptoms; however, psychological symptoms were not different according to women's characteristics. Employment was a significant factor affecting physical symptoms. Conclusion: Health care professionals need to inform and educate women and the family of the potential health changes during the recovery after the miscarriage. Health consequences due to miscarriages also need to be incorporated in women's reproductive health care. Nursing care should consider factors of maternal age, employment status, and obstetrical conditions upon the apparent social changes.

Relationship Between Maternal Fetal Attachment and State Anxiety of Pregnant Women in the Preterm Labor (조기진통 임부의 태아애착행위와 상태불안에 관한 연구)

  • Hwang, Ran He
    • Women's Health Nursing
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    • v.19 no.3
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    • pp.142-152
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    • 2013
  • Purpose: The Purpose of this study was to investigate relationships between maternal fetal attachment and state anxiety for pregnant women in preterm labor. Methods: The subjects consisted of 56 pregnant women in preterm labor on C hospital. The data were analyzed using SPSS computer program that includes descriptive statistics, mean, standard deviation, t-test, ANOVA, Scheffe? test and Pearson correlation coefficient. Results: Age distribution was 30~39 years of age. Mean score of maternal fetal attachment was 91.50. The group whose planned pregnancy was highest showed higher maternal fetal attachment. The primigravida group showed high maternal fetal attachment. Most frequently practiced attachment item was: "I'm really looking forward to seeing what the baby looks like". The next was was: "I enjoy watching my tummy jiggle as the baby kicks inside". There was no difference in degree of anxiety by general and obstetrical characteristics. There was statistically significant of negative correlation between maternal fetal attachment and state anxiety for pregnant women with preterm labor. Conclusion: Findings provide useful information for further studies in reducing anxiety and intervention programs relating to pregnancy and preterm labor. To increase maternal fetal attachment of pregnant women with preterm labor, it is necessary to standardize prenatal education program.

A Study of the Relationship between Self Concept and Depression of Middle-Aged Women (중년여성의 자아개념과 우울에 관한 연구)

  • Kim, Jung-Youb
    • Women's Health Nursing
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    • v.3 no.2
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    • pp.113-128
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    • 1997
  • The purpose of this study was to investigate the relation between self concept and depression of middle-age women. Data were collected by a questionnaire from June 23 to July 3, 1997. The subject for this study were 138 women between 40-60 years of age living in Seoul and Incheon. The instruments used for this study were the self concept scale developed by Rosenberg and Choi, Jung-Hun and the depression scale developed by Rockliff and the investigator. The data were analyzed by descriptive statistics, t-test, ANOVA, Pearson correlation coefficient, stepwise multiple regression using the SPSS program. The results of this study were as follows 1. Mean score of self concept was 3.58, in minimum score 2.86 to maximum score 3.99. 2. Mean score of depression scale was 1.95, in a minimum score 1.50 to maximum score 2.61. 3. The relationship between self concept and depression was statistically significant negative correlation(r=-0.5121, p<0.001). 4. General characteristics variables significantly related to the level of self concept were marital status(t=-3.22, p<0.01), experience of disease in a year(t=2.76, p<0.01), child problem(t=-2.59, p<0.05), marital satisfaction(F=6.80, p<0.05). 5. General characteristics variables significantly related to the level of depression were possession of house(t=-2.42, p<0.01), experience of disease in a year(t=-4.32, p<0.001), child problem(t=3.12, p<0.05), husband problem(t=5.29, p<0.001), marital satisfaction (F=8.36, p<0.001). 6. Obstetrical characteristics variables significantly related to the level of self concept was times of pregnancy(F=3.54, p<0.05). 7. Obstetrical characteristics variables significantly related to the level of depression were age of menarche(F=3.87, p<0.05), times of abortion(F=2.49, p<0.01) number of children(F=3.36, p<0.01). 8. In the stepwise multiple regression analysis, the main influencing variables on depression of middle aged women were self concept($R^2$=.26, p<0.001), husband problem ($R^2$=.37, p<0.001), experience of disease in a year($R^2$=.41, p<0.001) and possession of house($R^2$=.44, p<0.001).

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Obstetrical & Gynecological Health Status and Body Composition of Married Immigrant Women in Busan (결혼이주여성의 생식건강상태와 체성분 조성)

  • Kim, Dong-Hee;Park, Hyoung-Sook;Bae, Kyung-Eui
    • Journal of Life Science
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    • v.20 no.6
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    • pp.894-901
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    • 2010
  • The purpose of this study was to examine obstetrical & gynecological health status and body composition for married female immigrants. The participants were 154 immigrant women living in Busan. Data were collected from July 2008 to July 2009 using a questionnaire and a bioelectrical impedance analysis tool (Inbody 720) for analysis of body composition. Most subjects were in the normal range for body composition, but some of those who answered the questionnaire had experienced some gynecological problems such as dysmenorrhea, or irregular menstruation. There was a significant difference in experiences with in vitro fertilization, pregnancy and abortion according to age and in premensturaion syndrome, as well as differences in regulation of menstruation during the past year, leukorrhea odor, experiences in in vitro fertilization, and delivery and breastfeeding according to nationality. There were significant differences in body mass index and waist-hip ratio according to age, as well as differences in percent body fat, body mass index and waist-hip ratio according to nationality. There were also significant differences in body mass index and waist-hip ratio according to period of stay in Korea. Procreative care protocols concerning married female immigrants' characteristics should be developed.

Clinical Study on Prenatal care, and Dietary Intakes for Pregnant Women and new Mothers (임산부의 산전관리와 산욕기 영양실태에 관한 연구)

  • Chia, Soon-Hyang;Park, Chai-Soon
    • Journal of Nutrition and Health
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    • v.9 no.4
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    • pp.36-46
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    • 1976
  • This study was projected to provide basic data on prenatal care for future direction in maternity and child care, and also to investigate the diet of women during pregnancy and the period directly afterwards in order to offer to mothers appropriate advice for the improvement of nutritional standards. A clinical study on prenatal care was based on 1054 delivery cases. A nutritional survey was performed on 174 mothers admitted to the department of obstetrics at St. Mary's Hospital during the period of March, 1975 to February, 1976. The results obtained are summarized as follows; I. Clinical study on prenatal care 1) The age distribution showed 59.4% of the mothers were between the ages of 25 to 29 years old. 2) The gestational period was highest between the 37th and 40th gestational weeks. 33.7% of the mothers were primigravidae and 31.8% of them primiparae. 3) 41.3% of the mothers had not received prenatal care or had only received it once before. 4) Induced deliveries were 61.8% and spontantaneous deliveries 38.2%. 61.9% of the mothers had received prenatal care, while those without prenatal care accounted for 61.6% of the total induced deliveries. 5) Low birth weights were 7.7% and 5.0% of the mothers had received prenatal care, while 11.5% had no prenatal care. 6) There were 1.13% of still births, 0.32% of the mothers had prenatal care and the remainder did not have prenatal care. 7) Of those receiving prenatal care, 2.1% showed in the $0{\sim}3$ Apgar score group, 6.3% in the $4{\sim}6$ Apgar score group, and 91.6% in the $7{\sim}10$ Apgar score group. Among the non-prenatally cared for group 5.0% of the newborns were in the $0{\sim}3$ Apgar score group, 9.7% were in $4{\sim}6$ Apgar score group and 85.3% were in the $7{\sim}10$ Apgar score group. 8) Obstetrical complications were developed in 11.86% of the pregnant women when they were hospitalized. Among the group receiving the prenatal care 8.1% of the mothers had obstetrical complications. In the group without prenatal care 17.16% of the mothers had obstetrical complications. The most common obstetrical complication was malpresentation. 9) The first prenatal care was received between the 37th and 40th gestationl weeks. II. Food intake during pregnancy The following are the results from the questionnaires of the mothers concerning diets during pregnancy; 1) Main meals and snacks In 32.2% of the cases, their main meals during the diet amounted to more than was usually eaten at other times. In 67.8% of the cases, their main meals during the diet were the same as that usually eaten. In 22.4% of the cases, snacks during the diet amounted to more than usually eaten at other times. In 77.6% of the cases, snacks during the diet were the same as usually eaten. 2) Itemized list The mothers made a special effort to include certain items in their diets, the following is a breakdown of those items; a. egg, meat, fish 33.3% b. fruit, vegetables 32.2%. c. milk, fruit juice 18.4% d. cake, bread 2.9% e. nothing special 13.2% 3) Milk 44.8% of the mothers had at least one cup of milk everyday. 33.4% of the mothers had at least one cup of milk on occasion. 15.5% of the mothers did not have any milk. 4) Vitamins 39.7% of the mothers had vitamins everyday. 24.7% of the mothers had vitamins occasionally. 35.6% of the mothers did not have any vitamins. 5) Anemic symptoms 9.2% of the mothers very often had anemic symptoms during pregnancy. 39.1% of the mothers often had anemic symptoms during pregnancy. 51.7% of the mothers did not have anemic symptoms at all. 6) Taboos on food 23% of the mothers recognized 'taboos' on food during pregnancy 27% of the mothers displayed on uncertainty about the 'taboos' on food during pregnancy 50% of the mothers displayed indifference toward the taboos. III. Nutritional survey on the new mothers diet. 1) The diets for new mothers can be divided into four categories, such as general diet, low sodium diet, soft diet and liquid diet. 2) Cooked rice and seaweed soup were the main foods for the new mothers as has been the traditional diet for Korean mothers. 3) The average diet contained 1,783g. And the average consumption of the basic food groups per capita per day was 1,265g for cereals and grains, 456g for meats and legumes, 58g for fruits and vegetables, 0g for milk and fish and 4g for fats and oils. 4) In addition to the 1,783g of food in the main diet there was also 142.8g of food taken as snacks. 5) The average daily consumption of calories and nutrients was 2,697 Kcal and 123.4g for proteins, 44.9g for fats, 718.2mg for calcium, 14mg for iron, 2,101.4 I.U. for vitamin A, 0.43mg for thiamine, 1.02mg for riboflavin, 15.88mg for niacin, 5.26mg for ascorbic acid. When these figures are compared with the recommended allowances for new mothers in Korea, the calories and nutrients taken in were satisfactory. But the intake of minerals and vitamins was below the recommended allowance.

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Self-reported Climacteric Symptoms, Self concept and Depression in Middle-Aged Women (중년여성의 갱년기 증상, 자아개념 및 우울간의 관계)

  • Sung, Mi-Hae
    • Korean Journal of Adult Nursing
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    • v.14 no.1
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    • pp.102-113
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    • 2002
  • Purpose: This study was designed to identify the relationship between self reported climacteric symptoms, self concept and depression in middle aged women. Method: Data were collected through self-reported questionaires which were constructed to include a climacteric symptoms, self-concept and depression of middle-aged women scale. The subjects for this study were 102 women between 40-59 years of age living in P city. The data were analyzed by descriptive statistics, t-test, ANOVA, Pearson Correlation Coefficient. Results: The results obtained from this study were as follows : 1) The relationship between self reported climacteric symptoms and self concept was statistically significant with a negative correlation (r=-0.4862, P0.001). The relationship between self reported climacteric symptoms and depression had a statistically significant positive correlation (r=0.5393, P<0.001). The Relationship between self-concept and depression had a statistically significant negative correlation (r=-0.3769, P<0.001). 2) General characteristic variables significantly related to self reported climacteric symptoms were age (F=3.13, P<0.05) and frequency of pregnancy (F=3.24, P<0.05). General characteristic variables significantly related to frequency of self-concept were age (F=3.13, P<0.05), education level (F=2.97, P<0.05) and occupation (t=1.84, P<0.05). General characteristic variables significantly related to depression were age (F=3.12, P<0.05) and number of children (t=3.59, P<0.05). 3) The obstetrical characteristic variable significantly related to self-reported climacteric symptoms was the frequency of pregnancy (t=3.24, P<0.05). Conclusion: This study shows possible implications for nursing intervention for middle-aged women's health to prevent and relieve climacteric symptoms.

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A Survey Study on Urinary incontinence of Adult Women (일부지역 여성의 스트레스성 요실금 경험에 대한 조사연구)

  • Kim Ae-Kyung
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.5 no.2
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    • pp.257-268
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    • 1998
  • The purpose of this study were to identify the characteristics of urinary incontinence in adult women and to identify it's relating factors, daily living and sexual problem related urinary incontinence. Subjects were 60 community dwelling women in the age of 25-60 years old at 1 cities in Korea. The data were collected from January 1988 to May. 1998. Subject were interviewed with structured questionnaire. Questionaire was composed of item of general characteristics, obstetrical characteristics, measuring tool of severity of urinary incontinence, discomfort due to urinary incontinence. The data were analyzed with SAS program, descriptive statistics, T-test, ANOVA test. The results of study were as followings. 1) Most of incontinence women were mildly incontinent subjects(mean=7.40). 2) The common activity related to the urinary incontinence were coughing, sneezing, laughing aloudly exercising. 63.5% of women reported small volume accidents of only 1 to 2 drops. 3) The incidence of urinary incontinence was significantly higher in woman who had more pariety and older age of last delivery, menopause, itching sense of vagina. 4) 73.3% of the episodic urinary incontinence were not treated because the felt that urinary incontinence was not disease(70.4%) was shamful(18.1%), was incurable inspite of treatement attempt(4.5%). 5) Daily living problem related to urinary incontinence were as follows : Voiding before going out(66.6%), odor of urine(10.0), frequent underwear change.(88.3%). 6) Sexual intercourse problem related to urinary incontinence were as follows : Pain during sexual intercourse(30.0%), sexual life trouble,(8.3%), urine leakage.(11.7%) The results indicate that urinary incontinence is common in adult women. Health care provider should develop and provide adequate nursing intervention for prevention and early treatment of urinary incontinence.

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Knowledge, Attitude, and Practice of Obstetric Nurses in Relation to Breast Cancer and Breast Self-examination (산과 간호사의 유방암과 유방자가검진에 대한 지식, 태도 및 실천)

  • Kim, Mi-Ok;Park, Young-Mi
    • Women's Health Nursing
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    • v.17 no.1
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    • pp.88-98
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    • 2011
  • Purpose: This study aims to determine obstetrics nurses knowledge, attitude, and practice about breast cancer and breast self-examination (BSE), and to contribute to the early detection of breast cancer during breastfeeding periods. Methods: For the survey, 163 individuals (obstetric nurses) were chosen by convenience sampling and agreed to participate in the study. Their knowledge, attitude, and practice about breast cancer and BSE. Results: Knowledge and attitude averaged $70.45{\pm}10.90$ (of 100) and $3.64{\pm}0.27$ (of 5), respectively. While most nurses (99%) recognized the importance of BSE, only 58.9% experienced BSE. BSE practice level averaged $8.35{\pm}1.96$ (of 12). Only 20.2% had recommended BSE to their clients. Practice level varied significantly for different marital status, breastfeeding experience, and education, while knowledge and attitude remained independent. Nurses who had experienced mammogram or breast ultrasonogram themselves scored higher in knowledge. Attitude was higher for nurses who received recommendation for BSE, performed BSE, received BSE education, or recommended BSE to clients. Practice level was higher for nurses who received BSE education or willing to perform BSE in future. Practice level had a positive correlation with attitude but no correlation to knowledge. Conclusion: Obstetric nurses need continuing education for practicing BSE. Practical BSE education can not only promote preventive behavior of nurses, but it can also improve the breast health management of obstetrical clients.

Identifying Women's Knowledge about Risk Factors of Breast Cancer and Reasons for Having Mammography

  • Guvenc, Inanc;Guvenc, Gulten;Tastan, Sevinc;Akyuz, Aygul
    • Asian Pacific Journal of Cancer Prevention
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    • v.13 no.8
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    • pp.4191-4197
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    • 2012
  • The aim of this study was to identify breast cancer risk factors and reasons for having mammography of the women who applied for mammography, as well as to determine their level of knowledge about risk factors and level of risk perception, and anxiety concerning breast cancer. This cross-sectional descriptive study was conducted from June 15, 2010 through September 10, 2010, in a university hospital in Ankara, Turkey. A questionnaire prepared by the researchers was used to collect the data. The mean age of the women was $52.1{\pm}9.98$ years. Sixteen percent of the women had a family history of breast cancer. The majority of participants had mammograms (75.8%) before and had gained knowledge about breast cancer and its screening (73.7%). The leading source of information about breast cancer was physicians (46.2%). Physician recommendations, having breast-related complaints, and family history of breast cancer were important reasons to obtain mammography. The mean knowledge score about risk factors of breast cancer was $4.15{\pm}2.73$ and the mean anxiety score was $1.65{\pm}1.61$. It was found that some socio-demographic and obstetrical characteristics of women, their family history, and risk perceptions about breast cancer affect their knowledge and anxiety scores about breast cancer. In conclusion, the present study identified a number of factors affecting mammography participation for women. The results of this study can be helpful in promoting screening for breast cancer.

Comparison of Obstetric Outcomes between Married Immigrant and Korean Pregnant Women in University Hospital (일 대학병원 결혼이주여성과 한국여성의 산과적 결과 비교)

  • Lee, Eun-Sook;Moon, Hee
    • Journal of the Korea Convergence Society
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    • v.9 no.3
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    • pp.279-287
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    • 2018
  • This study was to investigate the factors affecting the obstetric outcomes of married immigrant women and to compare the results with the Korean women's and to provide basic data for establishing effective nursing interventions for the married immigrant women. The subjects were 302 married immigrant women and Korean women who were delivered in the university hospital from 2011 to 2015. Data were analyzed using frequency, mean, standard deviation and logistic regression using SPSS WIN 24.0 program. Factors affecting obstetric outcome were premature rupture of membranes, gestational hypertension, amniotic fluid abnormalities, and medical illness in both married immigrant women and Korean women. In addition, age, spouse's age, occupation, hemoglobin level, and placental abnormality were found to have an effect on obstetrical outcome in married immigrant women. Therefore, in order to improve the obstetric outcome of married immigrant women, a prenatal care program considering these influencing factors will be needed.