• Health Policy and Management
• /
• v.21 no.4
• /
• pp.585-598
• /
• 2011

This study was conducted to examine the trend of national health insurance service use with relation to pregnancy, childbirth, and the puerperium among pregnant and postpartum women older than 35 over the last decade. A descriptive analysis was conducted, using the data which were drawn from the "nationwide claim database of Korean National Health Insurance Corporation(NHIC)". Data were composed of the total cases related to pregnancy, childbirth, and the puerperium (International Classification of Disease, $10^{th}$revision [ICD-10] codes O00-O99) from 2001 to 2008. During 2001-2008, the number of pregnant and postpartum women older than 35 had continuously increased and the percentage of them also had increased in both hospital and ambulatory care. There are similar trends in their total use of national health insurance service and total expenditure. According to demographic characteristics, there was the biggest increase of the percentage in residents in large cities, self-employed workers, ones in the highest income level. According to ICD-10 codes, there was the biggest increase of the percentage in O10-O16 (oedema, proteinuria and hypertensive disorders in pregnancy, childbirth and the puerperium). According to the major prevalent disease, there was the biggest increase of the percentage in O60 (preterm labor and delivery). Throughout the past decade, the necessity has been emphasized of supporting pregnant and postpartum women older than 35. But in maternal and child health care, they are in an early stage of development. The findings of this study would be helpful in developing the support programs for the aged pregnant and postpartum women.

• Women's Health Nursing
• /
• v.13 no.4
• /
• pp.245-253
• /
• 2007

Purpose: The purpose of this study was to measure the effects of a breastfeeding management program for promotion of breastfeeding. Method: The study design was a non-equivalent control group pre-post test. The study subjects were pregnant women receiving a breastfeeding education class in one hospital in Ilsan. The total number of study subjects was 153 pregnant women, namely 75 mothers in the experimental group and 78 in the control group. Data was collected between June and November, 2006. A breastfeeding management program was provided to the experimental group while admitted for delivery, and in weeks 2, 4, 8, 12, 16, 20, and 24 of the postpartum period. The rates of breastfeeding were measured in weeks 2, 4, 8, 12, 16, 20, and 24 of the postpartum period. Result: There were significant differences in the scores of rate of breastfeeding between the two groups(all cases), which were 93.1 in the experimental group and 85.8 in the control group at week 4; 88.1 vs 71.8 at week 8; 83.4 vs 56.7 at week 12; 71.4 vs 53.9 at week 16; and 65.7 vs 48.4 at week 20 respectively. However, there were not significant differences in the scores of rate of breast-feeding between the two groups, which were 97.7 in the experimental group and 96.0 in the control group in the early postpartum period at week 2, and 59.6 vs 45.3 at week 24. Add to this, the study analyzed only people who had jobs. As a result, the scores of rate of breastfeeding were 94.8 in the experimental group which were significantly higher than 88.5 in the control group at week 4; 93.2 vs 73.3 at week 8; 89.6 vs 57.2 at week 12; and 75.0 vs 46.0 at week 20 respectively. However, there were not significant differences at week 2, week 16 and week 24. Conclusion: The results of this study suggest that a breastfeeding management program during the last trimester of the perinatal period and postpartum period may increase the duration of breastfeeding in postpartum clients who intend to breastfeed. This study supports the literature which found that prenatal education and postpartum support are important to the outcome of breastfeeding.

• The Journal of the Convergence on Culture Technology
• /
• v.4 no.1
• /
• pp.111-117
• /
• 2018

This study was conducted to examine the relationship between perineal demage, a physiological element that mothers experience immediately after delivery, and postpartum depression. The postpartum depression level of women after delivery was $6.67{\pm}4.34$ points at delivery, $7.41{\pm}4.77$ after 2 weeks, and $7.77{\pm}5.27$ after 6 weeks. The degree of mild postpartum depression increased to 26% after delivery, 33% after 2 weeks, and to 41.4 after 6 weeks. At 2 weeks and 6 weeks postpartum, the feeling of discomfort during walking or sitting caused by perineal incision had a direct correlation with postpartum depression. Therefore, in order to prevent postpartum depression, management of discomfort associated with the perineal incision should be given priority.

• Women's Health Nursing
• /
• v.24 no.1
• /
• pp.49-57
• /
• 2018

Purpose: Postpartum fatigue can impact maternal well-being and has been associated with levels of perceived self-care. This study aimed to examine the relationship among fatigue, depressive mood, self-care agency, and self-care action among postpartum women in Bangladesh. Methods: A descriptive cross sectional survey was done with 124 first-time mothers from two tertiary hospitals in Dhaka, Bangladesh. The Modified Fatigue Symptoms checklist, Denyes' Self Care Instrument, the Edinburgh Postnatal Depression Scale, and items on sociodemographic and delivery-related characteristics, were used in Bengali via translation and back-translation process. Results: High fatigue levels were found in 18.5% (n=23) and 73.4% had possible depression (n=91). There was a significant negative relationship between fatigue and self-care agency (r=-.31, p<.001), and self-care action (r=-.21, p<.05). Fatigue differed by level of self-care agency (t=4.06, p<.001), self-care action (t=2.36, p=.023), newborn's APGAR score (t=-2.93, p=.004), parental preparation class participation (F=15.53, p<.001), and postpartum depressive mood (t=-4.64, p<.001). Conclusion: Findings suggest that high level of self-care efficacy and behaviors can contribute to fatigue management, and highlight the need for practical interventions to better prepare mothers for postpartum self-care, which may, in turn, alleviate postpartum fatigue.

• Journal of Digital Convergence
• /
• v.17 no.7
• /
• pp.187-195
• /
• 2019

The purpose of this study is to identify the relationship between postpartum depression and breast-feeding in puerperium mothers to practice healthy breast-feeding. Puerperium mothers at postnatal care center completed an anonymous survey. Postpartum depression severity was observed at ($x^2=19.556$, p = 0.000). Postpartum depression was found to negatively affect healthy breast-feeding at a rate of Exp (B) = 0.887, p = 0.014. Puerperium mothers' postpartum depression has shown significant effect on breast-feeding practice, thus, when postpartum depression rate decrease, regular breast-feeding practice rate increased. Despite lacking robust statistical evidence, these results indicate that postpartum depression leads to bottle-feeding.

• The Journal of Churna Manual Medicine for Spine and Nerves
• /
• v.6 no.1
• /
• pp.11-17
• /
• 2011

A 28-year-old woman presented with postpartum pelvic pain. The patient complained severe pain and couldn't walk at all a week after natal. Computed tomography and plain radiography of the pelvis didn't reveal abnormal condition except asymmetrical alignment. Chuna treatment isn't usually applicable to the patient after natal. But we tried Chuna treatment to adjust the asymmetrical alignment of pelvis by half degree of strength. The pelvic pain improved considerably after 2 weeks treatment, so we report this case to emphasize the role of Chuna treatment in the management of postpartum pelvic pain.

• Journal of the Korean Society of Radiology
• /
• v.83 no.3
• /
• pp.699-704
• /
• 2022

Acute puerperal uterine inversion is a rare postpartum obstetric complication; however, without rapid diagnosis and appropriate management, it is life-threatening. Substantial bleeding hinders the verification of a partially inverted uterus, possibly delaying the treatment. Herein, we present the report of a 32-year-old female presenting with massive postpartum bleeding managed by uterine artery embolization. The peculiar course of the uterine artery bowing inferiorly along the inverted fundus during embolization could uncover the uterine inversion, which was not diagnosed by physical examination and CT. In conclusion, uterine artery embolization is not only an effective therapeutic strategy for postpartum hemorrhage but also a valuable tool for diagnosing uterine inversion.

• Animal Bioscience
• /
• v.34 no.4
• /
• pp.539-545
• /
• 2021

Objective: Endometritis is a major disease, that causes infertility in cattle, and is usually categorized as clinical or subclinical endometritis (SCE). The nutritional condition during the dry period is important for recovery after the last stage of the lactation period, and for postpartum production and reproduction. This study aimed to clarify the relationship between nutritional and metabolic characteristics in the dry period, and the risk of postpartum SCE. Methods: Multiparous Holstein dairy cows (n = 25, raised in a tied stall) were used. Endometrial cytological analysis was performed around 30 days post-partum, with 5% to 14% polymorphonuclear (PMN) as a cut-off point to define SCE. Serum levels of glucose, non-esterified fatty acids, β-hydroxybutyric acid (BHBA), blood urea nitrogen, total cholesterol, aspartate aminotransferase, γ-glutamyl transpeptidase, calcium, phosphorus, and magnesium were measured in the cows at the dry period to evaluate energy status, protein metabolism, and mineral metabolism. Results: The incidence of SCE in the cows was 60.0% (n = 15/25) and the mean PMN% in postpartum cows diagnosed as SCE was 8.05%±2.6%. Overall, 17 and 8 samples were collected from the cows in the far-off and close-up periods, respectively. The serum concentration of BHBA in the far-off period and serum glucose concentration in the closeup period were correlated with postpartum PMN% (r = 0.62, p<0.01; r = -0.74, p<0.05, respectively). Serum levels of calcium and magnesium in the dry period were associated with the incidence of postpartum SCE (healthy vs SCE cows, p<0.05). Conclusion: Blood levels of glucose, BHBA, calcium, and magnesium in dry periods could be useful parameters for predicting the risk of postpartum SCE. The present study also suggests that management in the close-up period is essential for promoting recovery from calving fatigue.

• Asian-Australasian Journal of Animal Sciences
• /
• v.18 no.7
• /
• pp.949-956
• /
• 2005

The weekly ultrasound scanner (US) observations of reproductive organs in a commercial dairy herd with the popular stanchion style management were conducted for over 26 months. Based on reproductive records, the following were evaluated: 1) the effect of postpartum period commencement of US monitoring on herd reproductive efficacy, and 2) the effectiveness of a US monitoring-based diagnosis and subsequent treatments of reproductive disorders on postpartum reproductive efficiency. The reproductive parameters of cows, which were subjected to US monitoring between Days 30-40 (Day 0 = day of parturition), Days 41-50, Days 51-60, and above Day 61, were compared. The reproductive parameters of cows diagnosed as having reproductive disorders (RD) with US monitoring before or after the first artificial insemination (AI) were also compared. It was found that the day of commencement of US monitoring in cows diagnosed with and without RD significantly affected the period towards the first AI and the open period. In particular, cystic follicles and anoestrus detected either before or after the first AI significantly affected herd reproductive efficiency. The implementation of US monitoring improved reproductive efficiency by reducing the open period and increasing the number of milking cows in the herd. The results of this field trial indicate that the postpartum reproductive management of dairy cows with the use of the US monitoring system is one strategy to improve reproductive efficiency, especially in a high-yielding dairy herd reared stanchion management style.

• The Journal of Korean Obstetrics and Gynecology
• /
• v.20 no.4
• /
• pp.87-100
• /
• 2007

Purpose: As body weight management is significantly important for women and newborn infants during pregnant and postpartum periods, there have been studies about changes of body weight during those periods. However, there are not enough studies about it which is based on the Sasang Constitution. The following is a result of the study which analyzes the changes with Sasang Constitution. Methods: This study investigated those who understand and agree this study#s purposes out of 109 primiparae who did normal delivery, who gave birth to a healthy infant and who are breastfeeding and who were treated by S postpartum care center from March 2005 to November 2005. The result of survey was collected from the questionnaires that included postpartum pattern and QSCC II. Results: There are remarkable changes of body weight and BMI based on the Sasang Constitution in pregnant and postpartum periods and they appear to be in order of Taeumin, Soyangin, Soeumin. In terms of the amount of milk according to the Constitution, there are no key changes between Soeumin and Taeumin, but there is a significance between Soyangin and Soeumin and Soyangin and Taeumin. In terms of the average body weight of infants according to the Constitution, there are no essential changes between Soeumin and Soyangin, but there is a magnitude between Soeumin and Taeumin and Soyangin and Taeumin. Conclusion: The changes of the body weight and BMI based on the Sasang Constitution appear to be the smallest for Soeumin, and the largest for Taeumin. The amount of milk from mothers did not affect on the changes and the weight of newborn infant did affect on the changes.