• 제목/요약/키워드: Postpartum health

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수유기간에 따른 모유의 성분 함량 변화와 수유부의 섭식 태도 및 영아의 성장 발육에 관한 생태학적 연구 II. 모유의 지질 함량에 관한 연구 (An Ecological Study of Changes in the Components of Human Milk during the Breast Feeding and the Relationships between the Dietary Behavior of Lactating Women and the Growth of Breast-fed Infants -II.A Study on the Lipids Content in Human Milk-)

  • 최문희
    • Journal of Nutrition and Health
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    • 제24권2호
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    • pp.77-86
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    • 1991
  • Changes in total lipid content. total cholesterol content and fatty acid composition of human milk were investigated longitudinaly from 2-5 days to 12 weeks postpartum Milk samples were collected from 19 Korean lactating women at 2-5 days and at 1. 2. 4. 6. and 12 weeks postpartum. The obtained results were as follows : On average the daily energy intake protein intake and fat intake of Korean lactating women was 1812 kcal 72.5g and 29.8g respectively. The composition ratio of energy consis-ting of protein fat and carbohydrate was 16:15:69 The total lipid content increased from 1.39g/이 at 2-5 days to 2.86g/dl at 12 weeks ; while the total cholesterol concentration (mg/g) decreased significantly with time following postpartum. The total unsaturated fatty acids content was higher in colostrum than in mature milk. and the total saturated fatty acids were higher in mature milk. The average DHA content was 0.55% and the P/S ratio of human milk lipids was 0.37.

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수유부와 비수유부의 섭식과 체지방 및 인체계측의 비교 연구 (Postpartum Changes in Maternal Diet, Body Fat and Antropometric Measurements in Lactating vs Nonlactating Women)

  • 이금주
    • Journal of Nutrition and Health
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    • 제26권1호
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    • pp.76-88
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    • 1993
  • Maternal body weight, skinfold thickness and circumference measurements were examined in 23 lactating women and 10 nonlactating women longitudinally from 1 week to 12 weeks postpartum. The dietary intakes of Korean lactating and nonlactating women were measured by 24-hour recall method and effects of maternal energy intake on body weight change were analyzed by Pearson correlation. The mean daily energy intake of breast-feeding(BF, n=12), combination of breast and formula-feeding (CF, n=11), and formula-feeding (FF, n=10) mothers were 1941kcal, 187kcal and 1727kcal, respectively. A significant decrease in weight was observed at all group. Weight losses at 12 weeks of postpartum in BF, CF and FF motheres were 3.18kg, 3.91kg and 5.15kg respectively. Weight losses increased as calorie intake decreased (${\gamma}$2=0.3803, p<0.05). The skinfold thickness and circumferences on all regions were decreased significantly except triceps and upper arm circumferences. However, there were no significant differences between lactating and nonlactating women. Anthropometric measurements decreased at the trunk but not at the limbs. Weight change was significantly correlated with changes of the scores for proximal circumference (${\gamma}$2=0.4999, p<0.05). There results suggest that lactation does not promete weight loss in well-nourished women and that the Korean RDA for energy in lactation may be too high.

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수유 초기 모유 중 타우린 함량과 영아의 섭취량 추정 (Taurine Level in Human Milk and Estimated Intake of Taurine by Breast -Fed Infants during the Early Period of Lactation)

  • 김을상
    • Journal of Nutrition and Health
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    • 제31권3호
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    • pp.363-368
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    • 1998
  • Taurine is only supplied to the infants from the breast-fed or formula milks because the enzyme activities of taurine biosynthesis are limited in early stages of infants . The objectives of present study were to quantitate the contents of tarurine in human milk and to estimate the intake of taurine by breast-fed infants during early period of lactation. Thirty -three lactating women, volunteered and delivered in R hospital in Serou. were recruited. Milk samples were collected every day at B1-B5 day(from 1 to 5 day dafter start of milk secretion), 15th and 30th day postpartum. Taurine contents were determined by HPLC equipped with RF-detector. The intake of taurine by infants was estimated by multiplization with the infant milk intake reported in our laboratory. The content of taurine was 406$\pm$174nmol/ml at B1-B5 day, and then gradually decreased to 359$\pm$125nmol/ml at 15th day and to 304$\pm$94nmol/ml at 30th day postpartum. The estimated intake of taurine was almost same as 24-25mg/day at B1-B5 day, and 15th , 30th days postpartum . This results was due to the increase of the intake of milk by infants.

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수유부의 아연 분비량을 모유 영양아의 아연 섭취량에 관한 연구 (A Longitudinal Study on Zinc Secretion of Lactating Women and Zinc Intake of Breast-fed Infants)

  • 김을상
    • Journal of Nutrition and Health
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    • 제32권1호
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    • pp.75-82
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    • 1999
  • In order to investigate the longitudinal changes on zinc secretion of lactating women and zinc intake of breast-fed infants, we examined 20 lactating women(10 primipare and 10 multipare) and their infants during the first 90 days postpartum. We measured the consumed volume of human milk by test-weighing method and zinc concentration by atomic absorption spectophotometry after wet digestion. Weight gain of infants was -5.7, 54.1, 46.3, 42.0 and 32.3g/day at 7, 15, 30, 60 and 90 days postpartum, respectively. The secretion volume of human milk was 527, 608, 724, 841 and 798g/day respectively. The consumed volume of human milk of breast-fed infants was 432, 503, 603, 715 and 715g/day. The intake level of breast milk to secretion volume reached 85.0% in average. The zinc concentration of the milk was 4.29, 3.32, 2.52, 1.62 and 1.18mg/l, and the zinc intake of breast-fed infants was 1.80, 1.69, 1.45, 1.15 and 0.70mg/day. Zine intake per body weight of infants averaged 0.32mg/kg/day during the first 90 days postpartum. The average zinc intake of breast-fed infants was 1.36mg/day, which is 27.2% of the recommended daily allowance for 0-4-month-old infants.

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Effect of Rumen Protected Methionine on Lactational Performance of Dairy Cows

  • Izumi, K.;Kikuchi, C.;Okamoto, M.
    • Asian-Australasian Journal of Animal Sciences
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    • 제13권9호
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    • pp.1235-1238
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    • 2000
  • Thirty-six Holstein dairy cows were used to evaluate the effect of a rumen protected methionine supplement (RPMet). The cows were divided into two groups of 18 each (control/experimental). The experimental group was given 15 g/d of RPMet (Mepron $^{(R)}$M85, Degussa) from the 4th to the 26th week postpartum. All cows were fed a similar amount of forage including alfalfa silage, corn silage and timothy silage. Concentrate mixture was offered in proportion to the milk yield of each cow. Sufficiency of major metabolizable AAs was checked. Milk yield and milk composition was monitored for each individual cow. A metabolic profile test (MPT) was carried out at the 7th, 11th and 21st week postpartum. Without supplement, both methionine and leucine fell short of the daily requirement. Supplementation with 15 g/d RPMet was calculated to be within a sufficient margin of safety. Milk yield tended to remain higher in the supplemented group than in the controls during supplementation with RPMet. The differences in weekly milk production at the 17th, 18th, 19th and 22nd weeks postpartum were significantly high in the RPMet group (p<0.05). The average 305-d milk yield and the percentages of milk fat, milk protein and solids-not-fat were not affected by the treatment. No differences were observed in either the somatic cell count in the milk or the reproductive status. Judging from MPT, all the cows were in good health during lactation.

수유 기간에 따른 모유의 총질소, 총지질 및 젖당 함량 변화와 모유 영양아의 에너지 섭취에 관한 연구 (A Longitudinal Study of the Total Nitrogen Total Lipid, and Lactose Contents in Human Milk and Energy Intake of Breast-fed Infants)

  • 문수재
    • Journal of Nutrition and Health
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    • 제25권3호
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    • pp.233-247
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    • 1992
  • The changes in human milk composition from 2-5 days to 12 weeks postpartum were investigated. Milk from 62 mothers was anlyzed for total nitrogen(semimicro kjeldahl) lipid(utilizing a modified Folch) and lactose(enzymatic hydrolysis) Energy was calculated by frac-tional analysis. And the daily milk intakes and major nutrients and energy intakes of 18 exclusi-vely breast-fed infant were determined by the test-weighing procedure and the direct analysis of milk samples at 6 or 7 weeks postpartum. All samples were from well-defined subjects and uniform collection procedures were used. Total nitrogen content decreased significantly from 392 to 211 mg/dl lipid and lactose content increased from 1.94 to 3.06g/dl and 6.90 to 7.50g/dl respectively. And energy content increased 55.6 to 64.5 kcal/dl but was not statistically significant. The amount of milk ingested ranged from 432 to 1266 ml/day and the mean intake was 764 ml/day. Daily mean intakes for protein and energy were 10.0g and 450kcal in 6 or 7 weeks postpartum respectively.

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Dynamics of bacterial communities in vaginas and feces between pre and postpartum of dairy cows

  • Son, Jun-Kyu;Kim, Dong-Hyeon;Lee, Jihwan;Kim, Sang-Bum;Park, Beom-Young;Kim, Myunghoo;Lee, Sungsill;Hur, Tai-Young;Kim, Eun Tae
    • 대한수의학회지
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    • 제61권1호
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    • pp.2.1-2.6
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    • 2021
  • The reproductive tracts have an intimate relationship with reproduction because there are bacterial communities that can affect reproductive health. The differences in the bacterial community of periparturient dairy cows were investigated. Vaginal and fecal samples were collected seven days before and after calving, and DNA was extracted to sequence the V3-V4 regions of the 16S rRNA genes. In the postpartum vaginas, operational taxonomic units, Chao1, Shannon, and Simpson were decreased, and phyla Fusobacteria and Bacteroidetes were increased. In summary, bacterial abundance can affect the periparturient biological differences in dairy cows, suggesting a susceptibility to infection within one week after calving.

여성건강간호학 실습교육의 현황과 과제 (Current Status of Women's Health Nursing Practicum and Direction)

  • 김증임;강희선;박소미;안숙희
    • 여성건강간호학회지
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    • 제20권2호
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    • pp.173-183
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    • 2014
  • Purpose: This study was done to examine current status of women's health nursing practicum and identify necessary core nursing skills in this practicum area. Moreover, one syllabus and evaluation sheets for women's health nursing clinical practicum at one university were reviewed. Methods: A survey design was used with 81 educators who were teaching maternity or women's health nursing and its practicum. Results: Most clinical sites for practicum were university hospitals (43.0%), women's hospitals (32.7%), or general hospitals (17.3%); but the majority (77.8%) of educators expressed difficulty in finding appropriate practicum places. Common teaching and learning methods were clinical guides for practicum (44.6%), e-learning content (30.2%), and simulation (23.6%). Core nursing skills for this practicum included assessment of stages of labor, preparation of uterine-fetal monitoring devices and interpretation of results, monitoring uterus and fetal activity, and performing Leopold's maneuver. For postpartum care, the following were included; postpartum fundal massage, assessment of breast engorgement, fundus height, and episiotomy sites, inserting urinary catheter, and teaching the use of patient-controlled analgesia. Conclusion: To improve the quality of clinical practicum, development of a clear course syllabus, standardized clinical guidebook, and core nursing skills is required and should be shared with all relevant nurse educators.

산욕 초기 정상 신생아와 고위험 신생아에 대한 어머니의 지각 차이에 관한 연구 (Mothers' Perception of their Normal and High-risk Newborn During the Early Postpartum Period)

  • 김신정;정금희
    • Child Health Nursing Research
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    • 제1권1호
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    • pp.5-15
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    • 1995
  • The quality of mother-infant interaction during early postpartum period has a significant influence on the child growth and development in many aspects. The mother's initial perception of the newborns might have the lasting influence on the development of the mother-infant attachment and mother-infant relationship. Therefore the proper mother-infant interaction should be developed after infant birth. However, it is acknowledged that the high risk infants influence on the mothers' perception because of their abnormalities or disorders of physical condition and the restricted maternal contacts and interactions. The object of this study is to identify the difference of mother's perception of their normal and high-risk newborn during the early postpartum period. The ultimate goal is to contribute to use this basic data to develop nursing intervention toward the promotion of healthy mother-infant relationship and the helping of growth and development of children. The data were collected for this study from Sep. 21, 1990 to Oct. 1. 1991 at E University Hospital. The sample was 83 of mothers who had normal newborns and 73 mothers who had high risk newborns .The instrument was Neonatal Perception Inventory(NPI) designed by the Broussard for the measurement of mothers' perception of newborns about Average Baby and Your Baby. The data were analysed by using an SPSS Program and include percentage mean, SD, t-test, ANOVA. The results of this study are as follows : 1. The normal newborn mothers' perception is more positive than the high-risk newborn mothers(t=7.94, p=0.000). 2. Mothers' perception of the newborns is not related significantly to mothers' general characteristics. In conclusion, in order to promote positive, healthy mother-infant relationship, the nurse need to support, give information, and educate high-risk newborn mothers through early nursing assessment.

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저출생체중아 어머니와 정상신생아 어머니의 간호교육요구도 조사 (The Educational Needs of the Mothers of LBW infant and Normal Neonate)

  • 조결자;정연;이군자
    • Child Health Nursing Research
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    • 제3권1호
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    • pp.5-18
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    • 1997
  • This study was designed to compare the educational needs of the mothers of LBW infant and normal neonate for development of the educational program. The subjects for this study were 37 mothers of LBW and 60 mothers of normal neonate at 3 general hospitals in Seoul and Inchon. The data were collected during the period from July to November, 1996. The Educational Need for Infant Care was measuerd by questionnaire that has developed by researchers. The data were analized by descriptive statistics, non-paired t-test, ANOVA, ANCOVA using SPSS PC/sup +/. The results were as fellow : 1) The educational needs of the mothers of LBW infant were higher than the mothers of normal neonate(F=14.50, P=.000). 2) There were significant associations between the educational needs of the mothers of LBW infant and delivery history(nullipara. or multipara. ) and caregiver of postpartum(t:-2.08, P=.045 ; F=3.94, P=.0282). 3) There were significant associations between the educational needs of the mothers of normal neonate and numbers of children and caregiver of postpartum(F=5.53, P=.0064 ; F=3.22, P=.0480) .4) The educational need by content was signs, symptomes and management of disorders (i. g. cyanosis, seizure, fever, vomiting etc.) were higher than general care of baby(i. g. feeding, diaper change etc.) at two groups. In conclusion, when the nurses teaching the method of infant care to mother, there sholud be in consideration of delivery history and caregiver of postpartum. Also, its educational contents must be Included of signs, symptomes and management of disorders.

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