• Title/Summary/Keyword: Postpartum health

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A Survey on Patient's Experience and Perception on Health Care Utilization for Developing of a Korean Medicine Clinical Practice Guideline for Puerperal Wind Disorder (산후풍 한의표준임상진료지침을 위한 환자의 의료 이용 경험 및 인식도 조사)

  • Kwon, Na-Yoen;Kim, Dong-Il;Yoon, Young-Jin;Park, Jang-Kyung
    • The Journal of Korean Obstetrics and Gynecology
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    • v.35 no.2
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    • pp.54-69
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    • 2022
  • Objectives: The purpose of this study is to reflect the patient's perspective in the process of developing Korean medicine clinical practice guideline (CPG) of puerperal wind disorder by survey. Methods: Five hundred fifty patients were surveyed from November 3rd, 2021 to November 8th, 2021 by internet. This study is an exploratory cross-sectional survey study, and descriptive statistics and frequency analysis were conducted on respondents' general characteristics, postpartum symptoms, the history of using treatment institution for puerperal wind disorder, satisfaction of medical institutions and perception of postpartum care. Results: Survey results showed that 92.0% of respondents experienced symptoms after childbirth, and 56.2% of the symptoms were arthralgia, followed by obesity with 41.8%. Among puerperal wind disorder patients, 34.2% had treatment history, and 54.3% received Korean medical treatment. Treatment satisfaction was confirmed to be higher in Korean medical treatment. The necessity of postpartum care was recognized at 95.7% of respondents, and the performance rate of traditional Korean postpartum care was also high. Conclusions: Based on a realistic patient-centered basis, it is a study that can lay the foundation for standardizing Korean medicine treatment and strengthening coverage in the future.

Effect of Barn or Grazing on Biochemical Indices in Prepartum, and Milk Composition in Postpartum of Dairy Cows

  • Lim, Dong-Hyun;Ki, Kwang-Seok;Park, Seong-Min;Kim, Sang-Bum;Park, Ji-Hoo;Jung, Jeong Sung;Vijayakumar, Mayakrishnan;Kim, Dong-Hyeon;Lee, Hyun-Jeong;Choi, Hee-Chul;Kim, Tae-Il
    • Journal of The Korean Society of Grassland and Forage Science
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    • v.39 no.4
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    • pp.272-280
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    • 2019
  • The present study was designed to determine the effect of barn or cycle of grazing on changes of biochemical metabolites in prepartum and changes of milk composition in postpartum of dairy cows. For this purpose, a total of sixteen 25 months old Holstein primiparous dairy cows were allocated in two groups (n=8) with an average body weight of 571.61 ± 35.30 kg (Barn) and 578.10 ± 39.20 kg (Grazing). The study was conducted from June 2018 to October 2018. Results revealed that barn raised dairy cows had a higher increase in their serum albumin and calcium level on day 14 prepartum. However, the level of palmitic acid, saturated fatty acid increased significantly, and the level of fat, oleic acid, γ-linoleic acid, arachidonic acid and unsaturated fatty acids decreased significantly in barn raised dairy cow's milk on day 14 postpartum. There were no significant differences observed with respect to all other biochemical metabolites, fatty acids and minerals between barn raised and cycle grazing dairy cows during prepartum and postpartum. Our study results could serve to a better understanding of barn raised cow with respect to changes of biochemical metabolites in prepartum and changes of milk composition, fatty acids and minerals content in grazing dairy cows in postpartum for estimating their physiological status.

Change on Milk Production of Lactating Women in Kwangwon Province during Lactation (강원도 일부지역 수유부의 기간별 모유분비량의 변화)

  • 이정실
    • Journal of Nutrition and Health
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    • v.29 no.10
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    • pp.1105-1111
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    • 1996
  • Breast milk production and factors related to milk production were examined by test-weighting method in the part of Kangwon Province longitudinally from 0.5 to 5 months of postpartum. Milk production of total mothers averaged 639, 789, 871, 843, 848 and 851g/day at 0.5, 1, 2, 3, 4 and 5 months of postpartum respectively. Mean Milk production of multiparae appeared significantly higher than those of primiparac. The number of feed per day showed decreasing trend from 9.6 to 8.4 during the lactation. Mature milk production had a correlation with transitional milk production and no correlation with infants weight at birth, gestational period and weight gain during pregnancy of mothers. The energy, protein and lipid consumption of total mothers had a positive correlation with breast milk production.

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Change of Vitamin E Content in Transitional Milk during Lactation (수유기간별 이행유중 비타민 E 함량의 변화)

  • 이정실
    • Journal of Nutrition and Health
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    • v.27 no.10
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    • pp.1018-1024
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    • 1994
  • The longitudinal change of vitamin E($\alpha$-Tocopherol) content and secretion in transitional milk of 32 Korean lactating women and vitamin E intake of infants was studied 7, 10 and 15 days postpartum, Vitamin E content of the milk decreased at 7, 10 and 15 days postpartum with the respective amount of 784, 633 and 539$\mu\textrm{g}$/100ml. The average vitaimin E secretion in the milk of mothers appeared 350$\mu\textrm{g}$/days. The average vitamin E intake in the milk was 3033 and 2424$\mu\textrm{g}$/day in boys and girls respectively and was 174.7% for infants of the recommended lower limit for vitamin E in infant formular of 0.5mg/100㎉. Vitamin E intake per body weight of infants in the milk were 929.731 and 676$\mu\textrm{g}$/kg/day respectively.

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Feeding Mode and Evacuation Pattern of Breast-Feeding and Formula-Feeding (모유 영양과 인공 영양의 수유 양식 및 배변 상황)

  • 임현숙
    • Journal of Nutrition and Health
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    • v.26 no.4
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    • pp.423-432
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    • 1993
  • Feeding mode and evacuation pattern of 9 breast-fed(BF) infants and 22 formula-fed(FF) infants were monitored at 1, 2 and 3 months postpartum in Korea. The daily feeding volume to the BF infants was significantly less than that to the FF infants at 2 and 3 months postpartum. And the daily feeding voloume to the BF infants decreased significantly with age, whereas that to the FF infants increased significantly. These data indicated that the frequency of daily feeding decreased with age in bofy infants' intake per feeding increased whereas the BF infants' did not. As a result, the BF infants could not adjust their intakes. The frequency of daily evactation of the BF infants was higher than that of the FF infants, but the amount of daily evacuation of the BF infants was less than that of the FF infants.

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Risk factors for repeat breeder dairy cows and their impacts on reproductive performance

  • Jeong, Jae-Kwan;Kim, Ill-Hwa
    • Korean Journal of Veterinary Research
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    • v.62 no.2
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    • pp.15.1-15.8
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    • 2022
  • The objective of this study was to identify risk factors for repeat breeder dairy cows and their impact on reproductive performance. The characteristics of 1,504 cows, including their peripartum health, nutrition, production, and reproduction, were collected. Cows with metabolic disorder were significantly more likely (odds ratio [OR], 2.47; p < 0.001) and cows with clinical endometritis tended to be more likely (OR, 1.35; p < 0.1) to become repeat breeders than cows without metabolic disorder and clinical endometritis, respectively. Cows initially inseminated > 80 days after calving were less likely (OR, 0.78; p < 0.05) to become repeat breeders than cows initially inseminated ≤ 80 days after calving. As a result, repeat breeding in dairy cows resulted in a 90 day longer (p < 0.0001) mean interval from calving to pregnancy. In conclusion, postpartum metabolic disorder, clinical endometritis, and a short interval from calving to initial insemination were risk factors for repeat breeder dairy cows, resulting in a severely impaired reproductive performance.

A Study of Perception of the Newborn, Parental Role Stress and Anxiety of Preterm Birth Mothers (조기출산 어머니의 신생아에 대한 지각, 부모역할 스트레스 및 불안)

  • Choi, Yang-Ja;Cho, Kyoul-Ja
    • Women's Health Nursing
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    • v.6 no.4
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    • pp.493-505
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    • 2000
  • The purpose of this study was to contribute to maternal nursing in the early postpartum stage and neonate nursing. Data were collected through self-report questionaires which were constructed to include perception of the newborn scale, parental role stress scale and anxiety scale. The subjects consisted of 81 mothers of preterm babies at seven hospitals in Seoul and Kyoungki-Do, from July 15 to September 30, 2000. Data were analysed by SPSS/PC using frequency, percentage, mean, standard deviation, ANOVA, t-test and Pearson correlation coefficient. The results were summarized as follows ; 1. The mean of perception of the newborn in the early postpartum stage was 1.35. The mean of parental role stress was 10.78. The mean of anxiety of mother was 39.74. 2. There were significant positive correlation between parental role stress and anxiety of mothers. 3. There were not significant influencing general characteristics to perception of the newborn and parental role stress. General characteristics related to the level of anxiety were economic status, expectation of pregnancy, birthing order, newborn weight. The above findings indicated that the level of parental role stress and anxiety of preterm birth mothers were correlated. Therefore nursing intervention for reducing parental role stress and anxiety should be provided for preterm birth mothers.

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Development of a Breastfeeding Effectiveness Scale (BES) (모유수유의 효과성 측정도구 개발)

  • Yang, Hyun-Joo;Jeong, Min-Young;Seo, Ji-Min
    • Women's Health Nursing
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    • v.22 no.4
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    • pp.264-274
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    • 2016
  • Purpose: The purpose of this study was to develop and evaluate breastfeeding effectiveness scale to measure effectiveness of breastfeeding for mothers in the early postpartum period. Methods: A conceptual framework was constructed from properties of effective breastfeeding (Yang and Seo, 2011), and item construction was derived from literature review and analysis of the data along with interviews with breastfeeding mothers. Content validity was tested by experts. Each item was scored on a five-point Likert scale. The preliminary questionnaire was administered to 248 breastfeeding mothers. Data were analyzed using item analysis, factor analysis, Pearson correlation coefficients, and Cronbach's ${\alpha}$. Results: From the factor analysis, 20 items in seven factors were derived. The factors were identified as mother's satisfaction, suckling, assurance of milk quantity, infant's satisfaction, latching on, infant's feeding desire, and breastfeeding positioning. The seven factors explained 65.1% of total variance, Cronbach's ${\alpha}$ of the total items was .83 and the factors ranged from .44 to .75. Conclusion: Results of this study suggest that breastfeeding effectiveness scale is a reliable and valid instrument to measure breastfeeding effectiveness of mothers in the early postpartum period.

Psychoneuroimmunologic Effect of Aromatherapy massage (향요법마사지의 심리신경면역학적 효과)

  • Lee, Sung-Hee
    • Women's Health Nursing
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    • v.6 no.2
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    • pp.305-315
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    • 2000
  • The purpose of this study was to explore the psychoneuroimmunologic effect of aromatherapy massage and to compare the effect with that of massage. This study is designed as a nonequivalent control group pretest-posttest quasi-experimental study and each twenty postpartum mothers volunteered the experimental group and control group. For experimental group, researcher used massage with 2% Jojova oil mixed with Lavender and Rosemary oil (Bush Boake Allen Inc., USA) for 20 minutes, whereas for control group Jojova oil was used as luburicant for massage. Skin temperature was measured with YSI Tele-thermometer(Simpson electric Co., USA) and the concentration of IgA in salivary was analyzed by immunoturbididimetric assay(Cobas INTEGRA, Roche, Swiss) at pre and post test. Also at this time fatigue were measured by Rhoten Fatigue Scale through self-report. The data were analyzed using SAS and hypothesis was tested with unpaired t-test. The results were as follows : 1) Score of fatigue decreased significantly after use of aromatherapy massage. 2) Skin temperature increased significantly after use of aromatherapy massage. 3) Concentration of salivary IgA increased significantly after use of aromatherapy massage. In conclusion, from the standpoint of psychoneuroimmunologic view, the results suggest that aromatherapy massage have greater effect compared with massage and can be effective nursing intervention to enhance relaxation of mind and body in the postpartum mothers.

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