• Title/Summary/Keyword: Postpartum Care

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Management of breastfeeding (모유수유모(母乳授乳母)의 관리(管理)에 관한 고찰)

  • Kim, Ro-Sa;Kim, Jin-Hwan;Cho, Jung-Hoon;Lee, Jin-Moo;Lee, Chang-Hoon;Jang, Jun-Bock;Lee, Kyung-Sub
    • Journal of Oriental Medical Thermology
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    • v.8 no.1
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    • pp.48-63
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    • 2010
  • Purpose : Mothers and primary encounter and Korean traditional Gynecology clinician's perspective on breastfeeding, the importance and general knowledge, familiar with the breastfeeding-related issues to help resolve the maternal education and treatment. treatment options for a specific note down the need for Maternity and think that the existing studies and articles about breast diseases with reference to the view of the contemplated. Method : Maternity and breast disease with reference to research and review papers. Results : The first, from the past to encourage nursing mothers to eat a lot of nursing was given recently is changing the perception of adequate calories. and second, the posture of breastfeeding in prevention of mother's fatigue and pain and the baby's milk intake should be considered effective. The third, breast feeding is heavier than normal because of the surrounding muscle tissue in the breast to support the training may be helpful to. At last is emotional stability, and adequate nutritional intake and their milk is not enough awareness and interest in and education about breast-feeding mothers to breastfeed will help you look. Conclusion : Prenatal care program in order to facilitate breastfeeding and breast-feeding from the breast managed Postpartum Care Program consists of a map for the breast-related discomfort in advance to lead to prevention and to increase women's satisfaction seems to be.

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The effects of a maternal nursing competency reinforcement program on nursing students' problem-solving ability, emotional intelligence, self-directed learning ability, and maternal nursing performance in Korea: a randomized controlled trial

  • Kim, Sun-Hee;Lee, Bo Gyeong
    • Women's Health Nursing
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    • v.27 no.3
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    • pp.230-242
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    • 2021
  • Purpose: The purpose of this study was to develop a maternal nursing competency reinforcement program for nursing students and assess the program's effectiveness in Korea. Methods: The maternal nursing competency reinforcement program was developed following the ADDIE model. This study employed an explanatory sequential mixed methods design that applied a non-blinded, randomized controlled trial with nursing students (28 experimental, 33 control) followed by open-ended interviews with a subset (n=7). Data were analyzed by both qualitative and quantitative analysis methods. Results: Repeated measures analysis of variance showed that significant differences according to group and time in maternal nursing performance; assessment of and intervention in postpartum uterine involution and vaginal discharge (F=24.04, p<.001), assessment of and intervention in amniotic membrane rupture (F=36.39, p<.001), assessment of and intervention in delivery process through vaginal examination (F=32.42, p<.001), and nursing care of patients undergoing induced labor (F=48.03, p<.001). Group and time improvements were also noted for problem-solving ability (F=9.73, p<.001) and emotional intelligence (F=4.32, p=.016). There were significant differences between groups in self-directed learning ability (F=13.09, p=.001), but not over time. The three main categories derived from content analysis include "learning with a colleague by simulation promotes self-reflection and learning," "improvement in maternal nursing knowledge and performance by learning various countermeasures," and "learning of emotionally supportive care, but being insufficient." Conclusion: The maternal nursing competency reinforcement program can be effectively utilized to improve maternal nursing performance, problem-solving ability, and emotional intelligence for nursing students.

Psychosocial Impacts of Newborn Bloodspot Screening on Parents: A Scoping Review (신생아 스크리닝이 부모에게 미치는 사회심리적 영향: 주제범위 문헌고찰)

  • Kyoung Eun Yu;Jin Sun Kim
    • Journal of Industrial Convergence
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    • v.22 no.5
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    • pp.137-153
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    • 2024
  • This study synthesized the literature to identify parental psychosocial impact and related factors on newborn bloodspot screening (NBS) process. A scoping review, using the framework proposed by Arksey and O'Malley (2005), was conducted. A literature search was performed of electronic databases (PubMed, CINAHL, RISS, KISS, DBpia) from 2000 to 2023. In total 749 published articles were identified, and 32 articles were included for the final analysis. Almost studies were descriptive studies using survey or interviews and only one intervention study to reduce negative psychosocial impacts was identified. Parents were experiencing negative psychosocial impacts, particularly related to how positive results were initially communicated and had difficulties accessing timely and reliable information. Findings identified that knowledge, quality and satisfaction of education and communication, information sources and providers as related factors of parental psychosocial impacts. Prenatal and postpartum repeated education, providing timely and reliable information, effective communication between health care providers and parents were key to mitigate negative psychosocial impacts. Nurses can play important roles to improve quality on NBS.

Textual Research : Indication and Dosage of Panax Ginseng during Lactation (모유수유 중 인삼의 적응증과 용량에 관한 기존한약서 고찰)

  • Cho, Sun-Young;Lee, Yoon-Jae;Kim, Yun-Kyung;Kang, Yeon-Seok
    • The Journal of Korean Obstetrics and Gynecology
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    • v.23 no.4
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    • pp.57-66
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    • 2010
  • Purpose: To provide basic informations for guidelines of Ginseng usage during lactation. Method: Based on a regulation of scope and preparation of herbal prescriptions by Ministry of health and welfare of Korea, we selected the formulae for postpartum care and disease in 7 Korean Medical Classics. And we searched the number of formulae including Ginseng, dosage and indications of Ginseng in formulae in those books. Results: The range of Ginseng dosage during lactation from medical classics is 1.5-18.75g/day for medical purposes. Indications of Ginseng are lethargy, excessive bleeding, asthma, fever, cold, pain, dizziness, mental disorder, spasm, digestive problem, constipation, diarrhea, urinary incontinence, edema, breast engorgement, lack of breastmilk, breast ulcer, etc. But Ginseng had not been used in the case of stroke, epistaxis, beginning of mastitis, tumor of lower abdomen. Conclusions: Ginseng should be recommended less than 1.5g/d as a nutritional supplement. If breastfeeding woman wants to take Ginseng as a medication or as a tonic, she should consult with a official specialist about proper prescription and dosage instead of risky random medication.

Comparison of Lactation Problems, Knowledge, and Adaptation on Breastfeeding between Users and Non-Users of Lactation Clinic (모유수유클리닉 이용군과 비이용군의 모유수유 문제, 지식 및 적응 비교)

  • Yun, Myoung Hee;Shin, Hye Sook
    • Journal of East-West Nursing Research
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    • v.20 no.2
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    • pp.112-120
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    • 2014
  • Purpose: The purpose of this study was to compare the differences in characteristics, lactation problems, knowledge, and adaptation of breastfeeding between users and non-users of a lactation clinic. Methods: The descriptive study design was utilized using self-report questionnaires. 446 breastfeeding mothers participated in this study. Data were collected from lactation clinics, postpartum care centers, mother's culture centers, public health centers, pediatrics and obstetrics & gynaecology outpatient clinics in Seoul, Gyeonggi province, and Chungcheongnam province from August 20 to September 30, 2011. The questionnaires to measure lactation problems, knowledge and adaptation of breastfeeding were used. Data were analyzed using SPSS ver. 18.0 for Windows. Results: There was statistically significant differences in the breast feeding problems(t=5.71, p<.001) and breastfeeding knowledge(t=2.87, p=.004) between users and non-users of a lactation clinic. Conclusion: The results of this study may provide a foundation to develop nursing intervention for mothers in breastfeeding, and an evidence to expand the role of nurses as breastfeeding specialists.

The Concept Analysis of Motherhood (간호이론개발을 위한 개념 분석 : 어머니됨)

  • Kim, Young-Hee
    • Women's Health Nursing
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    • v.4 no.2
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    • pp.245-257
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    • 1998
  • The characteristics of health behavior related pregnancy and childbirth have reflected on the cultural belief and value in the society. The efforts for women's health promotion through the current illumination of the traditional health care are the prompting assignment to be in nursing. The process of motherhood already progress before the motherhood actually. The functional state as the expectant mother can be the important predicting factor of the postpartum state, the quality of a married life. Motherhood was analyzed by Walker and Avant's method to clarify the concept 'to be a mother' using the various concepts like Koreans' Taekyo, transition to motherhood, maternal identity, maternal role attainment, maternal fetal attachment, and maternal fetal interaction. Upon the concept analysis, naturalness, responsibility, attachment, readiness, controllability were identified as the defining characteristics of motherhood. The antecedents of motherhood were consist of maternal affection, positive self esteem, pregnancy acceptance, fetus recognition and the consequences of motherhood were consist of positive maternal identity, maternal fetal attachment, confidence about the maternal role, the healthy mother and the healthy baby. The empirical referents of motherhood were consists of recognition of motherhood, expectation about motherhood, fetal recognition with ultrasonography and fetal movement, experience of unification between mother and fetus, expression of affection to the fetus, concern about fetal health, concern and practice about Taekyo, adaptation behavior about physical change and discomfort due to pregnancy. Therefore it is necessary to develop the instruction program of motherhood including the defining attributes identified in this study.

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The Effects of a Maternal Self-Efficacy Promotion Program on Maternal Confidence and Mother-Infant Interaction

  • Kim, Hee-Soon;Oh, Ka-Sil;Yoo, Il-Young;Kim, Dong-Hee;Chae, Sun-Mi;Jin, Ju-Hye;Kenner, Carole;Kim, Mi-Ja
    • Child Health Nursing Research
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    • v.12 no.2
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    • pp.189-195
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    • 2006
  • Purpose: The purpose of this study was to examine the effect of a maternal self-efficacy promotion program for Korean primiparas on maternal confidence and mother-infant interaction. Method: This study was non-equivalent quasi-experimental research with a control group selected by purposive sampling. Based on Bandura’s (1986) self-efficacy theory, the research team developed the maternal self-efficacy promotion program. The program included achievement experiences, verbal persuasion, and vicarious experiences. The program was provided through face-to-face teaching at the time of discharge, counseling sessions over the telephone, and a home visit. Subjects also learned about parenting skills using a videotape developed by the research team. Sixteen primiparas were recruited to the experimental group at one hospital in Kyongi province, and fifteen primiparas who were matched according to socioeconomic status were recruited to the control group at a postpartum care center in the same province. Results: Subjects in the experimental group demonstrated significantly higher maternal confidence and mother-infant interaction than those in the control group. Conclusion: The maternal self-efficacy promotion program appears to be an effective nursing intervention for parenting of first-time mothers in Korea.

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Reproduction of Cross- and Purebred Friesian Cattle in Northern Thailand with Special Reference to Their Milk Production

  • Pongpiachan, P.;Rodtian, P.;Ota, K.
    • Asian-Australasian Journal of Animal Sciences
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    • v.16 no.8
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    • pp.1093-1101
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    • 2003
  • Reproductive data, such as numbers of days to the first estrus and A.I. service postpartum, number of days to conception, number of A.I. services required for conception, interval between the first estrus and first A.I. service and the average interval of A.I. service in Thai native-Friesian crossbred and pure Friesian dairy cows, were compiled in the National Dairy Training and Applied Research Institute in Chiang Mai, Thailand. The data were analyzed statistically and the effect of milk production on these reproductive traits was investigated. The reproductive efficiency of purebred cows was obviously inferior when compared with crossbred animals, in spite of special care being given to the purebred only in order to alleviate the effect of a tropical climate and provide better feeding. However, the regression analysis between reproductive and lactational parameters revealed a definite antagonistic effect of lactation on reproduction, especially in the purebred cows, which had a larger amount of milk production and longer lactation period. If these effects of lactation were eliminated, there would be no evident difference in reproductive efficiency between purebred and crossbred cows in the conditions of this study. Among the reproductive parameters examined, the number of days to the first estrus and interval between the first estrus and first A.I. service were less affected by breed difference and the magnitude of lactation than other reasons.

Application of Problem-Based Learning(PBL) for Students' Practice in Maternity Nursing (모성간호학 실습에서의 문제바탕학습(PBL) 적용과 평가)

  • Kim, Yun-Mi;Park, Young-Sook;Chung, Chae-Weon;Kim, Moon-Jeong
    • Women's Health Nursing
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    • v.12 no.4
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    • pp.326-337
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    • 2006
  • Purpose: This study was done to apply a PBL module for students' practice in maternity nursing. Method: Two PBL module scenarios were made for clinical cases in antepartum, intrapartum, and postpartum nursing care. A total of 70 senior nursing students of S university were enrolled in this module for their scheduled 3 weeks of practice. A structured questionnaire and subjective statements were collected for evaluation. Result: The students' perceptions of PBL were found to be effective in encouraging motivation and interest in studying, absorbing practical knowledge better, and learning through interaction with tutors. They became more confident, active, and positive throughout the PBL experiences while a lack of time for learning was a limitation. Conclusion: PBL is considered a method that can strengthen nursing students' abilities to adjust to clinical situations in maternity areas. It is recommended to expand PBL in nursing practice courses and develop various scenarios and qualified tutors.

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Maternal Transition in Mothers with High Risk Newborns (고위험 신생아 어머니의 모성전환 과정)

  • 신현정
    • Journal of Korean Academy of Nursing
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    • v.34 no.2
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    • pp.243-251
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    • 2004
  • Purpose: The purpose of this study was a comprehensive understanding about maternal transition in mothers with high risk newborns according to the degree of situational meaning. Method: A methodological triangulation that combines qualitative and quantitative methods was used. The situational meaning of a high risk newborn mother was identified using a Family Meaning Attribution Scale. According to the degree of situational meaning, in-depth interviews were conducted at 3 time periods postpartum: between 3-10 days after childbirth, around the time of the newborn's discharge, and between 10-12 weeks after childbirth. Quantitative data was analyzed using descriptive statistics and t-test. Qualitative data was analyzed using Tutty, Rothery, & Grinnell's methodology. Result: The average score of the situational meaning in high the risk newborn mother was 53.57(possible score is between 0-96) and the average score of each item was 1.67. A Maternal transition process in the mother that has a positive situational meaning was conceptualized in three distinctive phases: confusion, accepting, and shaping phases. The Maternal transition process in the mother that has a negative situational meaning was also conceptualized in three distinctive phases: avoiding, conflicting, and accepting phases. Conclusion: It is necessary that the nurses provide high risk newborn mothers with individualized care considering both the situational meaning that is attributed to them and the maternal transition phase that they are faced with.