• Title/Summary/Keyword: Postpartum Care

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Transferred newborn from oriental hospital postpartum care center; symptoms and high risk factor (한방병원 산후조리센터에서 전원된 신생아에 대한 연구)

  • Chang, Gyu-Tae;Kim, Jang-Hyun;Oh, Ju-Young
    • The Journal of Pediatrics of Korean Medicine
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    • v.17 no.2
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    • pp.37-53
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    • 2003
  • Objective : To find risk factor and symptoms for transferred newborn from postpartum care center Method : We performed a follow-up study using medical record. Subjects comprised 188 neonates(include 4 twins) and 184 women in childbed who were hospitalized in oriental postpartum care center from January, 1, 2002 to December, 31, 2002. Result: Transferred newborn was total 24, N.V.D. 17, C.S. 7, male and female were 12 separately. The symptom of transfer was fever(16), diarrhea(4), jaundice(3), convulsion(1) Transferred number and rate was male 12(10.7%), female 12(15.8%). In delivery method, total normal vaginal delivery(N.V.D.) was 136 and transferred 17(12.5%), total cesarean section(C.S.) was 52 and transferred 7(13.5%). Transferred rank was N.V.D. female(17.9%). C.S. male(15.6%), C.S. female(10%), N.V.D.(8.6%). Of the 188 neonates. immature infants were 2 and transferred 1(50%), term infants were 184, transferred 23(12.5%), post-term infants were 2 and transferred none(0%). In age of women in childbed, transferred ratio was 15.4%(over 35), 15.2%(25-29), 10.5%(30-34). In fever,. C.S. infants were more transferred than N.V.D. and male infant had a tendency to transfer in later period of hospitalization and female in early period. It seems that transfer was related to abortion. In diarrhea, all was N.V.D. and their diagnosis was rotavirus. The average age of women in childbed was yonger(28.5). In jaundice, all was 1st, and average birth weight was lighter(3153g). The average age of women in childbed was older(30). In convulsion, birth weight was lighter(3153g), and age of women in childbed was older(30). Conclusion : There's any relation with sex and delivery method, birth weight and mother's age in transfer. But we cannot find any statistically significance. Further prospective studies are needed to find risk factors in transfer.

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A Study on the Relationship between the Obstetric Variables and Granulocyte/Lymphocyte Ratio in Some Postpartum Women (일부 산모의 산과적 지표와 과립구/림프구 비와의 관계)

  • Cho, Seung-Hee;Kim, Gun-Hee;Shim, Gye-Seon;Seo, Yun-Jung;Cho, Han-Baek;Choi, Chang-Min;Kim, Song-Baek
    • The Journal of Korean Obstetrics and Gynecology
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    • v.26 no.4
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    • pp.82-93
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    • 2013
  • Purpose: The aim of this study was to investigate the relation between peripheral blood leukocyte differential - Granulocyte rate, Lymphocyte rate and its calculated Granulocyte/Lymphocyte ratio - and the obstetric variables. Methods: From 270 cases of women who were in the postpartum care center attached to Won-Kwang Korean Medical Hospital, 36 cases met exclusion criteria. On the obstetric variables of 234 cases, peripheral blood leukocyte differential - Granulocyte rate, Lymphocyte rate and its calculated Granulocyte/Lymphocyte ratio - was analyzed. In the postpartum care center, the obstetric variables were asked of 234 cases of women, and who measured leukocyte differential. Results: Mean granulocyte rate and lymphocyte rate of peripheral blood leukocyte differential showed statistically significant difference from those in healthy people and was high. There was statistically significant difference in granulocyte/lymphocyte ratio according to mood of delivery, parity and period passed from childbirth. But whether postpartum women with anemia or not, maternal age and gender of neonate were not associated with granulocyte/lymphocyte ratio, and which was not significantly correlated with gestational age and neonatal birth weight. Conclusions: These findings suggest that activation of the sympathetic nervous system in postpartum women is higher than in healthy people. And granulocyte/lymphocyte ratio was influenced by mood of delivery, parity and period passed from childbirth. In future, more studies or surveys, with less bias, for the relation between peripheral blood leukocyte differential and the obstetric variables are required.

A Study on the Subjectivity of Comprehensive Nursing Service in Early Postpartum Mothers: Q Methodology (산욕초기 산모의 간호간병통합서비스 인식에 관한 주관성 연구 : Q 방법론)

  • Jang, Og-Ju;Lee, Ju-young;Hyun, Hye-jin
    • The Journal of the Korea Contents Association
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    • v.20 no.11
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    • pp.676-685
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    • 2020
  • This study attempted to examine the subjectivity of early postpartum mothers' perceptions of comprehensive nursing care services targeting at early postpartum mothers hospitalized at general wards, and applied Q methodology to find types of subjectivity and characteristics of the types. P-sample 21 subjects were asked to read Q sample 25 statements about comprehensive nursing care services and indicate their level of agreement to those statements on a 9-point scale. The data were collected during the period from March 16 to March 31, 2020, and the collected data were analyzed using PC-QUANL program. The results of the study showed differences in the respondents' perceptions, which led to the classification into three types. "Type 1" is "those calling for continuous emotional management for early postpartum mothers." "Type 2" is "those seeing the role of a family in the recovery period as important." The respondents of this type considered a bond of sympathy should be formed in the family in relation to the new tasks of the mother's recovery and the child's birth. "Type 3" is "those calling for differentiated operation guidelines according to the motivation for hospitalization." The respondents of this type recognized that the operation guidelines limiting the residing of guardians need to be improved for early postpartum mothers.

A Study of Obstetric Clinical Nurses’Business Adaptability (산과영역 간호원의 업무적응에 대한 연구)

  • 홍경애
    • Journal of Korean Academy of Nursing
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    • v.9 no.2
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    • pp.39-47
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    • 1979
  • The study was undertaken in an effort to observe whether the level of performance difficulty may vary with the backgrounds of the nurses who are engaged in maternity care service. The business adaptability was measured by the degree of difficulty which was scored by the results of questionaire test. The test was performed during the period of September 11 to October 5, 1976. A total of 128 professional nurses have responded to this questionaire survey in relation to the maternity care such as 1) antenatal care, 2) labor and delivery care and 3) postpartum care. The results of the study are summarized as follows: 1. The adaptability scores to the maternity care were founded to be significantly affected by the duration of the total clinical career, maternity care career and nurses’age. 2. It could be observed that the adaptability scores to the maternity care were not substantialy affected by nurses’educational background, marital status and nurses’working area.

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Study on the Influence of Child Birth Promotion Policy Due to postpartum care and Maternity Leave to Economical Activities in the Era of Convergence (융복합시대 산후조리와 육아휴직으로 인한 출산장려정책이 경제활동에 미치는 영향에 관한 연구)

  • Jang, Myung-Sook;Yang, Hae-Sool
    • Journal of Digital Convergence
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    • v.13 no.10
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    • pp.245-254
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    • 2015
  • This research aims to look into correlation between Korea's childbirth promotion policy caused from women's maternity leave and economic activity. For the purpose, 300 surveys were distributed to mothers using postnatal care centers located in Seoul. Listed postnatal care centers such as Babe Glory, Shinsegae, Happy, Miznomall and out of 260, 222 surveys were selected for the research. Several advanced studies regarding child birth promotion policy backed up by current government and related domestic and overseas documents were used as reference. Decisive factors including social insurance, tax, cost for child birth and rearing service, social culture were derived as trait elements for child birth promotion. Mentioned factors along with economic activity by childbearing women were used when setting up the research model and hypothesis. Relation with material leave was employed as parameter for this study of which purpose lies in empirical analysis and investigation.

A Study on the Relation between Qi Deficiency Condition and CBC, HRV in Some Postpartum Women (일부 산모의 기허(氣虛)상태와 CBC 및 HRV의 관계 연구)

  • Park, Jung-Kyoung;Park, Young-Eun;Song, Yun-Hui;Lee, Eun-Hee;Kim, Tae-Hee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.21 no.1
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    • pp.231-241
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    • 2008
  • Purpose: This study estimated HRV and CBC of Qi deficiency-risky group and non-risky group at the seventh day after parturition, and found out their correlation with autonomic nervous system and immunity for the purpose of expressing diagnosis of Oriental Medicine objectively. Methods: The subjects of this study were 33 postpartum women who admitted for postpartum care in Oriental Hospital of Woosuk University from 17th July 2007 to 15th August 2007. We made inquiries based on Qi-Hyul-Su chart of Terasawa Katsutoshi and tested their HRV and CBC. Results: 1. The average age of Qi deficiency-risky group was higher than non-risky group and showed statistical nonsignificances. 2. Normalized LF was higher in Qi deficiency-risky group than non-risky group and Normalized HF was higher in Qi deficiency-non-risky group than risky group, both showed statistical significances. 3. WBC is higher in Qi deficiency-risky group than non-risky group showed statistical significances. WBC and Qi deficiency score had positive correlation. 4. LYM was higher in Qi deficiency-non-risky group than risky group and Grn was higher in Qi deficiency-risky group than non-risky group, both showed statistical significances. Conclusion: We found out that in Qi deficiency-risky group of postpartum women, immunity is lower than in non-risky group.

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A Study on the Self-related Postpartum Body Evaluation by Maternal Age and Delivery Method (출산 후 산모들의 주관적인 신체 평가에 대한 연령과 분만방식에 따른 분석)

  • Ha, Su-Jin;Hwang, Deok-Sang;Lee, Jin-Moo;Jang, Jun-Bock;Lee, Chang-Hoon
    • The Journal of Korean Obstetrics and Gynecology
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    • v.33 no.2
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    • pp.63-76
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    • 2020
  • Objectives: The purpose of this study is to compare postpartum symptoms of 528 women by age groups and delivery method through health questionnaires of postpartum care center. Methods: From January 2018 to December 2018, we statistically compared the 528 women's postpartal symptoms who divided into 4 age groups using SPSS Statistics 21.0 program. Results: There were no differences in weight changes, gestational age and degree of subjective discomfort by age (p>.05). On the other hand, parity, fetal weight and delivery method were statistically associated with age (p<.05). Especially the rate of cesarean delivery was increased with age. Degree of feeling dyspepsia and edema was higher in cesarean section delivery group (p<.05). Also, as the weight increased by 1 kg during pregnancy, the degree of feeling postnatal edema increased by 0.204 (β=0.204, t=4.204, p<.05). Conclusion: This study showed that age itself will not affect postpartum symptoms alone. Instead it is necessary to consider post-cesarean delivery symptoms for advanced maternal age.

The Relationship of Stress and Infant Perception of Mothers in Postpartum Period (산욕기 어머니의 스트레스와 영아지각과의 관계)

  • Lee, Young-Eun;Kang, Yang-Hee;Park, Hae-Sun;Kang, In-Sun
    • Korean Parent-Child Health Journal
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    • v.9 no.2
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    • pp.91-100
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    • 2006
  • Purpose: This study was done to investigate into the relationship between mother's stress in postpartum period and perception of infant in order to provide basic data for developing nursing intervention program. Methods: The data were collected from September 1, 2004 to October 15, from one women's hospital and three facilities for taking care of women's health after delivery located in B metropolitan city, and analyzed by SPSS/12.0 program frequency, percentage rate, mean, standard deviation, average, the maximum value, the minimum value and Person's correlation coefficient. Results: 1. The degree of stress of subjects was $75.6{\pm}38.3$(0-376) in average, and $.8{\pm}\;.4$(0-4) of average point, and the degree of perception of infant was $-5.8{\pm}5.6$(15-75) in average and $-\;.4{\pm}.4$(1-5) of average point. The relationship of degrees between the stress of subject and conception of infants that showed weak reverse relation(r= .210, p= .030). That is, the more the stress of subject was high, the more the perception of infant is relatively indefinite. Conclusion: As a result, The stress of mother in postpartum period was a level to be in need of management and the perception of infant was slightly negative. thus, the introduction of nursing assistance program is necessary to relive the stress of mother in postpartum period to promote the affirmative perception of infant.

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Chuna Manual Therapy for Postpartum Low Back Pain: Systematic Review (출산 후 요통에 대한 추나요법의 효과: 체계적 문헌고찰)

  • Cho, Ju-chan;Park, In-hwa;Hwang, Man-Suk;Heo, In
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.16 no.2
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    • pp.1-8
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    • 2021
  • Objectives This study aimed to evaluate the effect of chuna manual therapy (CMT) for postpartum low back pain using a systematic review. Methods We performed a literature search using 12 electronic databases up to the end of September 2021. We included randomized controlled trials (RCTs) that evaluated the effect of CMT in the treatment of postpartum low back pain. The risk of bias was evaluated using the Cochrane risk-of-bias tool. Results Four randomized controlled trials were reported statistically significant effect in pain VAS, ODI and JOA of chuna manual therapy compared with moxibution, electro acupuncture, hyperthermia or usual care. As a result of assessing the risk of bias tool, most of the contents of the evaluation items were not identified, so it was evaluated as an uncertain risk. Conclusions CMT may be effective in treating postpartum low back pain. However, evidence was limited due to the small sample size, lack of well-designed RCTs and regional bias. Further well-designed studies are required to obtain stronger evidence.

Relations of Postpartum Depression with Socio-Demographic and Clinical Characteristics of Preterm Infants and Mothers (미숙아와 어머니의 인구사회학적, 임상적 특성과 산후우울과의 관련성)

  • Bang, Kyung-Sook;Kang, Hyun-Ju;Kwon, Mi-Kyung
    • Child Health Nursing Research
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    • v.21 no.1
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    • pp.1-10
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    • 2015
  • Purpose: This study was conducted to explore relationships of postpartum depression with socio-demographic and clinical characteristics of preterm infants and mothers. Methods: Participants were the mothers of 80 premature infants admitted to neonatal intensive care units. Postpartum depression was measured using the Edinburg Postnatal Depression Scale (EPDS). Clinical characteristics were examined through the medical records. The physiological state for the infants was evaluated using the revised Neurobiologic Risk Score (NBRS). Data were analyzed using the t-test, ANOVA, and Pearson correlation coefficients. Results: Average for EPDS was $9.75{\pm}5.06$, and 30% of the participants were at high risk for postpartum depression. There were significant differences in postpartum depression according to mother's education level (F=3.493, p=.035), economic state (F=5.828, p=.004), multiple pregnancy (t=2.141, p=.037), chorioamnionitis (t=2.349, p=.021), oligohydramnios (t=-2.226, p=.029), broncho-pulmonary dysplasia (t=2.085, p=.040), germinal matrix hemorrhage (t=2.259, p=.027), and revised NBRS (t=-2.772, p=.007). There was a significant positive correlation between postpartum depression and number of health problem of infants (r=.252, p=.024) and revised NBRS (r=.316, p=.004). Conclusion: As 30% of the mothers with preterm infants were at high risk for postpartum depression, they require attention. When providing interventions, socioeconomic status as well as the physiological state of premature infants should be considered.