• 여성건강간호학회지
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• 제24권4호
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• pp.367-378
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• 2018

Purpose: To examine effects of a postnatal care program on self-efficacy, self-management, and glycemic control in women with gestational diabetes mellitus (GDM). Methods: A non-equivalent control group non-synchronized quasi-experimental design was used. Sixty-two women with GDM were enrolled and assigned to either an experimental group (n=30) or a control group (n=32). The experimental group received an intervention which was postnatal care program for women with GDM. The postnatal care program for GDM included an individual education with leaflet and mobile web-based video with three times of telephone counseling. Effects of the intervention were measured with self-efficacy, self-management questionnaire, and a 75 g oral glucose tolerance test (75g OGTT). Statistical significance was examined using independent t-test and $x^2-test$. Results: Although there was no significant difference in 75g OGTT ($x^2=.11$, p=.748) or self-management (t=-1.28, p=.206), there was a statistically significant increase in self-efficacy (t=-2.02, p=.048) in the experimental group compared to that in the control group. Conclusion: A postnatal care program is needed for women with GDM to improve their self-efficacy. Further studies are warranted to improve self-management and glycemic control through tailored education for GDM postpartum women.

• Pediatric Infection and Vaccine
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• 제10권2호
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• pp.186-192
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• 2003

목 적 : 최근 서울, 경기지역의 산후조리원에서 전원된 신생아들에서 설사와 동반된 체중감소, 대사성 산증 증세를 보이는 급성 신생아 장염이 집단 발생하여 최근 서울, 경기지역 9개 병원에서 경험하였던 예들을 분석하여 질병의 원인과 경과, 특징을 알아보고자 하였다. 방 법 : 서울, 경기지역 9개 병원에서 2001년 10월부터 2002년 7월까지 산후조리원에서 전원되었던 신생아 33명을 대상으로 하여 혈액 pH <7.20, 호흡부전, 인공호흡기의 사용, 쇼크, 범발성 혈관내 응고증 중 한가지 이상의 소견이 포함된 18명을 중증군, 나머지 15명은 중등도군으로 나누어 후향적 조사를 실시하였다. 결 과 : 중증군의 연령이 중등도군에 비해 유의하게 높았고(P=0.005), 재태 연령과 출생체중, 입원당시 체중은 차이가 없었으나, 체중감소는 중증군에서 유의수준에 근접하여 더 심하게 나타났다(P=0.0512). 혈액검사에서 중증군이 중등도군에 비해 백혈구 및 혈소판수가 유의하게 더 높았고(P=0.0362, 0.1436), 혈액가스검사에서 중탄산염이 중증군에서 더 낮았다(P=0.032). 바이러스 검사에서는 로타바이러스 검사가 중등도군에서 13례 시행에 5례, 중증군에서 15례 시행에 2례가 양성이었고, 아스트로바이러스 검사가 중등도군에서 3례 시행에 1례, 중증군에서는 3례 시행했으나 모두 음성이었다. 중등도군은 치료 후 모두 회복되었으나 중증군 4례에서는 환아가 사망하였다. 결 론 : 신생아 장염환자들은 조기에 발견 치료하는 것이 중요하며 이를 위해 최근 늘어난 산후조리원의 법제화 및 전문의료인력 배치가 필요하다. 본 연구에서는 중증군 환아들이 중등도군 환아들보다 늦게 치료를 받기 시작해 증상이 심했다고 추정되나 원인균이나 산후조리원 이외 지역의 장염 환아들과 비교에 대한 결론을 내릴 수 없어 향후 신생아에서의 급성장염에 대한 역학조사가 더 필요할 것으로 생각된다.

• Pediatric Infection and Vaccine
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• 제14권1호
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• pp.111-115
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• 2007

본 저자들은 발열과 점액성 혈변을 보인 신생아에서 대변 현미경 검사를 통해 이질아메바를 진단하고 metronidazole 경구 투약 후 증상의 호전과 이질아메바의 제거를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

• 대한간호학회지
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• 제32권6호
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• pp.823-831
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• 2002

This study is attempts to clarify the effect of infant massage for the promotion of primipara's mother-infant interaction Method: The term for collecting data for experimental group ranged from April 25, 2001 to June 5, 2001. The infants for this group were sampled among normal mother-infant from one postpartum care center located in J city. The term for collecting data for control group ranged from June 10, 2001 to August 3, 2001. The infants for this group were sampled among normal mothers infant from 1 general hospital, 1 university hospital and 1 postpartum care center located in J city. The experiment was implemented giving primipara education about massage based on protocol for infant massage provided by Johnson & Johnson Korea and they received 10 days of education, 10 minutes a day (from 10 to 11 a.m) In the post test, we videotaped both the control group and the experimental group visiting their homes 4 weeks after delivery to observe mother-infant play interaction. Data analysis was done using SAS and the homogeneity between general properties owned by both control group and experimental group and mother's perception scale for children was verified through -test. Mother-infant play interaction with both control group and experimental group was analyzed through t-test in the experiment. And analysis of mother-infant interaction points based on general properties was made using ANOVA and t-test. Result: Hypothesis that mother-infant play interaction with primipara who gave her infant a massage will be more active than that of the primipara who didn't was verified (t= -4.27, p=.0001). And the points in each item, points in each item were estimated as follows. Mother behavioral items (t=-4.96, p=.0001), infant behavioral item (t=-0.36, p=.71), mother-infant interaction reciprocity (t=-2.64, p=.01). Conclusion: An infant massage program can contribute to promoting the Mother-Infant Play Interaction positively.

• 대한한방소아과학회지
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• 제24권2호
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• pp.13-21
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• 2010

at Jeonju Wonkwang University Oriental Medicine hospital postpartum care center. Results The majority of women(79.2%) had planned breast-feeding. However, only 32.1% of women currently have fed breast-feeding. 58% of mothers who did partial breast-feeding and breast-feeding currently have planned to breast-feed more than 7 months. The main reason of bottle-fed is concern of insufficient amount of breast milk(72.2%). Also the main reason of breast-feeding is good for baby's health(90%). The average score on the test of the understanding about the methods and advantages of breast-feeding was $13.98{\pm}1.92$ out of total 18.49.1% of women thought that taking herbal medicine would affect baby during breast-feeding. Also 71.7% of women thought that herbal treatments (acupuncture, herbal medicine) would be helpful when the amount of breast milk is insufficient. Conclusions This survey has showed that in spite of full breast-feeding plan, the percentage of actual breast-feeding rate is low. Timely education is needed to increase breast-feeding rate. It is worth to consider herbal treatment to increase breast milk amount. In addition to that it is necessary to create a hospital environment in which mothers can easily begin breast-feeding as soon as possible after delivery. Moreover, beyond the medical field, political and social supports for breast-feeding are needed.

• 대한한방소아과학회지
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• 제15권2호
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• pp.31-41
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• 2001

We studied 100 neonates to enter a Dongguk University Oriental Hospital Postpartum Care Center, during 9 months from February 10. 2001 to November 4. 2001. The conclusion is following. 1. Newborn sex ratio was 1.70. 2. Delivery method : Normal vaginal delivery was 66 and cesarean section was 34. 3. Gestation age : Premature infants less than 37 weeks were 2 term infants from 37 to 41 weeks were 98 and post-term infants 42 or more weeks were zero. 4. Period between birth and admission : First to fifth day was 66 sixth to tenth day was 32 and eleventh or more day was 2. 5. Period of admission : 1 to 7 days were 8. 8 to 14 days were 65. 15 to 21 days were 23. and 22 to 28 days were 4. 6. Weight : Birth weight less than 2500g was 3. 2500 to 3999g was 92. and 4000g or more was 5. 7. Height : Zero week after birth the average height was 48.8cm, one week after birth was 50.0cm, two weeks after birth was 51.8cm, three weeks after birth was 53.2cm, four weeks after birth was 54.5cm. 8. Head circumference : Zero week after birth the average head circumference was 34.6cm, one week after birth was 35.3cm, two weeks after birth was 35.7cm, three weeks after birth was 36.3cm, four weeks after birth was 36.8cm. 9. Chest circumference : Zero week after birth the average chest circumference was 33.2cm, one week after birth was 33.5cm, two weeks after birth was 34.4cm, three weeks after birth was 35.1cm, four weeks after birth was 36.6cm. 10. Feeding : There was not breast feeding, artificial feeding was 8, and mixing feeding was 92. 11. Jaundice : Physiologic jaundice was 10, pathologic jaundice was 1.

• 부모자녀건강학회지
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• 제3권2호
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• pp.67-80
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• 2000

This study was described as midwife's role and obstacle of midwife's role expansion. Midwife as primary medical personal who practices for a mother and infant health care and promotion of mother infant interaction. As the trend of increasing natural childbirth, midwifery has to provide childbearing care those who want delivery in a midwifery center. This study conducted to survey for 44 midwives who work at the midwifery center. The results of the study as fellows. 1. Most of the midwives role was care of pregnancy, delivery, postpartum women and babies. Another role was conducted educational classes childbirth, breast feeding, contraception and sexual education. 2. Some midwives role perform breech, vaccum delivery, episiotomy and suture, pitocin induction and augmentation, ultrasonogram, giving medication, anesthesia, collecting specimen from Pap smear and vaginal discharge. Midwife perform these roles without medical law support. 3. Most of the obstacles of the midwife role was the medical law limitation. Midwives want revise medical law to perform simple treatment for childbearing women and babies. 4. Half of the midwives refer cases to medical doctor in case of complication of women and newborns. 5. Current frequency of home birth rate is slightly higher than before and me cases like to have delivery under water. Finally, midwife and midwifery have to prepare to meet childbearing woman, baby and family's need. For activation and expansion of midwife's role, every midwife has to be aware of medical law accurately and they must know what practice they can do and what practice they can not do.

• 대한한방부인과학회지
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• 제23권2호
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• pp.106-115
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• 2010

Purpose: The purposes of this study were in understanding maternal and neonatal risk factors for postpartum depression using Edinburgh Postnatal Depression Scale(EPDS). Methods: Among 788 women, who had delivery include cesarean section in the department of obstetrics and gynecology at OO medical center from May 28th 2008 to October 6st 2009, 72 women filled out EPDS questionnaire sheets. Additional aspects included for the analysis are maternal factors including age, number of children, parity, delivery method, and hemoglobin; and neonatal factors such as weight, sex, gestational age, apgar score, and neonatal intensive care unit admission. Comparison was performed between the women with EPDS score equal or less than 8 and the women with EPDS score equal to or higher than 9 using statistical methods of student t-test for linear variables and chi-square test for non-linear variables. SPSS version 13.0 for windows was used for analysis. Results: Thirty women(41.7%) were included in the postpartum depression risk group (EPDS score ${\geqq}9$). Statistically significant difference(P<0.05) was found in gestational ages of the risk group($36.57{\pm}29.6$ weeks) and the non-risk group ($38.10{\pm}1.97$ weeks). Identified statistically significant risk factors(P<0.05) include cesarean section (OR=3.304 [1.121-9.744]), low birth weight infant(OR =6.500 [1.606-26.314]), preterm delivery(OR=2.857[1.071-7.621]), low apgar score (1minute) after delivery (OR=14.909 [1.750-127.025]). There was no statistically significant difference in maternal age, number of children, parity, hemoglobin, neonatal sex, apgar score (5minutes), NICU admission. Conclusions: Through the results showed, gestational age, delivery method, neonatal weight, apgar score(1minute) were identified as risk factors for postpartum depression. To prevent or minimize postpartum depression, oriental medical intervention is recommended for pregnant women through early detection.

• 여성건강간호학회지
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• 제17권1호
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• pp.52-63
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• 2011

Purpose: The purpose of this study was to investigate the effects of education and practice of the maternal role and becoming a mother using the concepts of self-confidence in caring, maternal attachment, and maternal identity. Methods: A non-equivalent control group non-synchronized design was used. Data was collected with the use of self-administered questionnaires from November 2007 to April, 2008. A total of 54 women at a Sanhujoriwon (postpartum care center) participated in the study. The experimental group consisted of 26 women (Nov-Dec), whereas the control group had 28 women (Feb-Apr). Education and practice on the maternal role was given individually and consisted of explanations, demonstrations and practice on breast feeding (day1 to 3), maternal attachment (day 8 to 9), bathing (day 10 to 11) and infant healthcare (day 13 to 14). The experimental group received education and practice on the maternal role while the control group received routine education only. Results: Data collection was done using pre and post questionnaires at admission and fourteen days later. The experimental group showed significant increases in self-confidence in caring (t=-3.31, p=.002) and maternal identity (t=-2.16, p=.036) compared to the control group. Conclusion: Education and practice on the maternal role and being a mother was an effective intervention in increasing self-confidence in caring and maternal identity.

• 한국건축시공학회:학술대회논문집
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• 한국건축시공학회 2018년도 추계 학술논문 발표대회
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• pp.96-97
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• 2018

Facilities used by senior citizens, infants, and disabled people have characteristics that make it difficult to escape on their own or require a lot of evacuation time. Therefore, to ensure safety in case of fire, clear measures for securing safety of facilities, fire response methods, and training are required in accordance with the regulations. In case of postnatal care center facilities, newborn babies and mothers reside 24 hours a day, and as they are located in high-rise and multi-use facilities, measures for fire safety are necessary, but the domestic manual lacks. Accordingly, a field survey for security of the manual revealed that the establishment of awareness and facilities on temporary waiting areas and smoke control, which are easy for evacuation and fire safety, was a problem.