• 여성건강간호학회지
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• 제9권2호
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• pp.179-188
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• 2003

Purpose: The purpose of this study was examine levels of breastfeeding knowledge, attitude and number of breastfeeding problems in early postpartum period and rate of breastfeeding practice at 3 months. Method: The total numbers of the study subjects were 139 mothers at postpartum unit and followed by postpartum 1 week and 3 months. Result: 1. The mean score of knowledge and attitude and problems toward breast feeding scale were 22.83(SD=5.19), 20.99(SD=3.40), and 9.04(SD=3.59) respectively, indicating low to moderate level according to subjects characteristics, breastfeeding knowledge scores were significantly different by age (F=8.00, p<.001), breastfeeding experience (t=3.26, p<.001) and parity(t=2.39, p<.05), but no difference were found in rate of breastfeeding attitude and number of problems. 2. Rate of breastfeeding practice was 46.5% at three months of postpartum and the breastfeeding practice was significantly different by breastfeeding plan period($x^2$=13.33, p<.001) and monthly income ($x^2$= 3.80, p<.05). 3. Further, breastfeeding practice at 3 months was continuously influenced by number of problems of the breast-feeding(OR=.85) and breastfeeding plan period(OR=2.11) at early postpartum period. Conclusion: The findings suggest the necessity of maternal support during postpartum period to provide correct information about rate of breastfeeding knowledge and attitude to teach problem solving skills for any breastfeeding problems in order to increase rate of breastfeeding practice.

• 대한한방부인과학회지
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• 제21권3호
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• pp.132-142
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• 2008

Purpose: This research was designed to study that VEGA DFM 722 is proper index in postpartum women. Methods: The subjects were 81 postpartum women who admitted for postpartum care in Oriental Hospital of Woosuk University from 20, May 2005 to 28, October 2005 and 83 general women who taken Medical Health Examination from 29, January 2005 to 22, July 2006. The women took the test of VEGA DFM 722 and CBC. The SPSS 12.0 for windows was used to analyse the data and the independent samples t-test and paired samples t-test were used to verify the results. Results: The following results were obtained 1. The heights of zone 1, 2, 3 of postpartum women group significantly higher than that of general women group. The height of zone 6 of postpartum women group significantly higher than that of general women group. But, there were no significant differences in the heights of zone 4, 5, 7. 2. The heights of zone 1, 2, 3 of second test significantly lower than that of first test in postpartum women. But, there were no significant differences in the heights of zone 4, 5, 6, 7. Conclusion: The results suggest that postpartum women has upper heat and lower cold compared with general women. And after oriental postpartum care, disparity in upper heat and lower cold was decreased in postpartum women.

• 한국임상수의학회지
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• 제32권2호
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• pp.168-173
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• 2015

본 연구는 젖소에서 산후 자궁염증 및 난소주기 회복 정도를 평가하였으며, 또한 분만 사고 및 산후 기간 질병 발생에 대한 조사를 위하여 실시하였다. 충청 지역 4개 젖소 목장의 사육 젖소 224두를 이용하였다. 자궁의 염증상태를 평가하기 위하여, 분만 후 8주까지 매주 메트리체크 기구를 이용하여 자궁분비물 중 농의 비율에 따른 성상을 점수화(메트리체크 점수; 0-5점) 하였으며, 분만 후 4, 6, 8주에는 백혈구 비율 산정을 위한 자궁세포 검사를 실시 하였다. 분만 후 난소주기 재개 여부 확인을 위하여 4, 6, 8주에 프로게스테론 농도(${\geq}1ng/mL$)를 분석하였다. 분만 후 메트리체크 점수는 1주($3.4{\pm}0.1$)부터 4주($2.0{\pm}0.1$)까지 연속적으로 감소하였으며(p < 0.0001), 이 후 8주까지 비슷한 점수를 유지하였다(p > 0.05). 자궁세포 검사를 이용한 호중구 비율은 분만 후 4주($22.3{\pm}1.8%$)에서 6주($12.1{\pm}1.4%$)까지 감소하였으며(p < 0.0001), 이 후 8주($9.2{\pm}1.4%$)까지 비슷한 비율을 유지하였다(p > 0.05). 난소주기 재개는 분만 후 2주(12.1%)에서 8주(74.3%)까지 연속적으로 증가하였다(p < 0.0001). 난산과 후산정체 발생 비율은 각각 20.5%, 30.4%였다. 분만 후 케토시스, 유열, 4위전위증, 패혈성 자궁염, 자궁내막염, 준임상형 자궁내막염, 자궁축농증 및 난소낭종 발생율은 각각 18.8%, 3.6%, 4.0%, 36.2%, 29.5%, 17.0%, 4.5%, 14.7%였다. 소화기 질병 및 유방염 발생율은 각각 5.4%, 9.6%였다. 도태 및 폐사율은 각각 4.0%, 3.6%였다. 난산, 후산정체, 패혈성 자궁염, 자궁내막염, 난소낭종, 소화기 질병, 유방염 및 도태율은 목장간 차이가 있었다(p < 0.05, p < 0.01). 결론적으로, 분만 후 4주에서 8주까지 자궁염증 상태 및 난소주기 재개 확인은 축군의 번식위생 유지에 도움을 줄 수 있는 임상적인 수단으로 사용될 수 있으며, 조사 지역에서의 젖소에서 난산, 후산정체, 패혈성 자궁염 및 자궁내막염의 발생율이 높았음을 보여 주었다.

• Clinical and Experimental Pediatrics
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• 제48권5호
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• pp.469-475
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• 2005

Mother-infant interaction is a crucial component of an infant's cognitive, emotional and behavioral development. Most people are preoccupied with fetal education, the physical conditions of the postpartum mother and baby, and emphasizing an early start in the child's education. However, the effects of a mother's postnatal emotional state on the development of the infant are often overlooked. Postpartum depression is a significant health problem affecting 10-20 percent of new mothers. Recent research findings indicate that the suffering caused by postpartum depression is not limited to these mothers alone; their babies and close family members are vulnerable to short-term and long-term effects as well. This review summarizes the findings of recent research works, in the light of publications within the last seven years.

• Journal of Nutrition and Health
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• 제28권9호
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• pp.872-879
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• 1995

The changes of selenium and zine contents of transitional milk and mature milk at 7 and 60 days postpartum were comparatively studied on 20 Korean lactating women. the selenium and zinc contents of transitional milk and mature milk were analyzed by atomic absorption spectrophotometer after wet-digestion. The mean selenium contents wer 12.2$\mu\textrm{g}$ /ι and 11.5$\mu\textrm{g}$/ι at 7 and 60 days postpartum, respectively. The mean zinc contents decreased significantly from 4.23mg/ι at 7 days to 1.62mg/ι at 60 days postpartum (p<0.05).

• 부모자녀건강학회지
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• 제9권2호
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• pp.101-115
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• 2006

Purpose: The purpose of this paper is to describe the development of health educational program for maternity using principle of user centered design. Method: Research process includes five distinct phases: needs assessment, analysis, design, development/testing/revision, and application release. Results: This program includes an introduction, pregnancy test and fetal assessment, maternal and fetal change during pregnancy, self-care methods during pregnancy, complication of postpartum period, process of labor, complication of pregnancy, self care during the postpartum period, information for parenting skill, father page, FAQ, helping resources and institutions. Conclusion: The program will be distributed to health centers for maternal health education. The second phase of this project was evaluation this program for further development of the program. The end result of this program will be pregnant women with a high degree of usability. Author believe this program have true potential in helping maternal health promotion and successful parenting.

• 여성건강간호학회지
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• 제10권2호
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• pp.109-118
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• 2004

Purpose: The purpose of this study was to develop a specialized education curriculum aimed at helping nurses prepare for running and managing a Maternal-Child Health Center (Postpartum Care Center). Method: This study was conducted by an academy and industry joint research group consisting of professors of Nursing, and nurses actually running a Postpartum Care Center. The group compiled job descriptions of nursing through document research, interviews and observation during site visits, surveys, and seminars. They then performed a feasibility study and developed the final curriculum. Result: The education curriculum is a 32-week(2semester) program compromised of a theory part (12 credits, 180 hours) covering maternal and infant care and business start-up and field practice (3 credits, 45 hours). Courses in the theory part include an antenatal care, overview and details of maternal care, starting a business and its management. Of these courses, the overview of a maternal care course was developed with web-based contents. Field practice is designed to give students opportunities to visit Postpartum Care Centers, observe the care provided, and get hands-on experience. Conclusion: The specialized education curriculum is a 32-week course comprised of 12 credits on theory of antenatal care, overview and details of maternal care, infant care, starting and operating a business and 3 credits of field practice.

• Child Health Nursing Research
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• 제21권1호
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• pp.1-10
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• 2015

목적 본 연구의 목적은 미숙아의 퇴원 시점에 미숙아 어머니의 산후우울 정도를 확인하고 미숙아와 어머니의 인구사회학적, 임상적 특성과 산후우울과의 관련성을 조사하는 것이다. 방법 본 연구는 자가 보고식 설문조사 방법과 의무기록 조사 방법을 사용하여 자료를 수집하였으며 연구 대상자는 서울시 2개 대학병원과 시립병원, 강릉시 1개 종합병원에서 미숙아로 출생하여 신생아중환자실에 입원한 환아 중에서 퇴원이 예정된 환아와 그 어머니 80명이다. 결과 미숙아 어머니의 산후우울 점수의 평균은 $9.75{\pm}5.06$점이었고 산후 우울의 위험이 있다고 판단되는 12점 이상군은 전체의 30.0%였다. 산후우울과 관련된 변수는 어머니의 교육 수준(F =3.493, p =.035)과 가정 내 월 소득(F=5.828, p =.004), 다태아 여부(t=2.141, p =.037), 융모양막염(t=2.349, p =.021), 양수과소증(t=-2.226, p =.029), 기관지폐이형성증(t=2.085, p =.040), 배기질출혈(t=2.259, p =.027) 여부, 개정판 NBRS 점수(t=-2.772, p =.007)였다. 그리고 산후우울과 미숙아의 입원 시 주요 건강문제의 개수의 합(r=.252, p =.024)과 개정판 NBRS 점수(r=.316, p =.004)와는 유의한 정적 상관관계를 보였다. 결론 미숙아 어머니들의 산후우울의 위험에 대한 관심이 요구되며 미숙아의 객관적 건강 상태뿐 아니라 사회경제적 수준 등 산후우울에 영향을 미칠 수 있는 다양한 변인을 고려하여 미숙아 어머니의 산후우울 정도를 감소시키기 위한 중재 전략이 마련되어야 할 것이다.

• 한국화재소방학회논문지
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• 제33권6호
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• pp.152-158
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• 2019

본 연구에서는 한국보건사회연구원과 국민건강보험공단의 한국의료패널 2008-2016년 연간 데이터(Version 1.5)를 이용해 임신, 출산, 산후기 여성의 구급 이송 서비스 이용 특성을 분석하였다. 분석 결과를 요약하면, 첫째, 임신, 출산 및 산후기 여성의 119 구급차, 민간 구급차 등 구급 이송 서비스 이용률은 12.0%로 전체 구급 이송 서비스 이용률 18.9%보다 상대적으로 낮았다. 둘째, 임신, 출산 및 산후기 여성의 응급에서 분만이 38.7%로 가장 큰 비중을 차지하였으며, 진통 및 분만의 합병증이 20.0%, 유산된 임신이 17.3% 등의 순으로 나타났다. 셋째, 임신, 출산 및 산후기 여성의 구급 이송 서비스 이용 특성 중 연 평균 가구소득, 응급실 도착 소요시간, 응급실 도착 지연 인식 등에서 구급 이송 서비스의 이용자 집단과 비이용자 집단 사이에 통계적으로 유의한 차이가 나타났다. 따라서 저출산과 고령 산모로 인하여 분만 취약지가 늘어날수록 임신, 출산, 산후기 여성을 위한 사회안전망으로서 구급 이송 서비스의 양적 확대와 질적 제고는 더욱 시급한 과제가 될 것이다.

• 가정간호학회지
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• 제22권2호
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• pp.187-195
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• 2015

Purpose: This study aimed to evaluate the effects of Maternal Care Program(MCP)-carried out by trained home care nurses on self-efficacy and postpartum depression in mothers with preterm babies. Methods: This study was a quasi-experimental study comparing the effects of an MCP on self-efficacy and postpartum depression before Participants were 34 mothers who were referred to the home care nursing center of the C University Hospital in Seoul from April 8 2014 to January 12 2015. Results: The average self-efficacy score was 97.24 points before and 123.26 points after receiving the program, showing a significant increase of 26.03 points (p<.001). Postpartum depression scores were 8.65 points before the program and 5.56 points after, showing a significant decrease of 3.09 points (p<.001). Conclusions: The normal development of preterm babies was confirmed-through regular physical examinations in the MCP. Professional services were provided by-education and consultation on problems related to child-rearing and health to deal with psychological and social problems as well as physical care to mothers by trained home care nurses.