Pruritic urticarial papules and plaque of pregnancy presents with difficulty in its management owing to the limited intervention options available during pregnancy and their sub optimal responses. In pregnancy, also often the mother remains reluctant in getting exposed to biological medicines for her concern to the growing fetus. In such conditions, Ayurveda, the traditional health care system from India is often looked as a safe alternative to offer symptom resolution and safe continuation of pregnancy without the discomforts of urticaria. This case report is an illustration in this regard.
Purpose: This study was to investigate the correlation among body weight, body composition, delivery method, parity, weight gain during pregnancy and obesity before pregnancy of patients who received postpartum care in one oriental medicine hospital. Mothods: From September 1, 2009 to August 31, 2008, we included 34 postpartum patients who had body composition analysis when admission and discharge among 47 postpartum patients who were hospitalized and received postpartum care in $\bigcirc\bigcirc$ University $\bigcirc\bigcirc$ Hospital. We used SPSS 14.0 for window to test for statistical significance. Results: After postpartum care, body weight and BMI of mothers was significantly decreased and the weight loss was almost body water. Mothers who had cesarean section had relatively severe edema and mothers who had been overweight before pregnancy had high BMI, body fat and abdominal fat. After delivery, body fat percentage was increased highly and body weight retention lasted long in mothers who had gained over 12.5kg during pregnancy. Conclusion: Living habits including diet has a significant effect on weight change of mothers during early puerperium, therefore it is required to teach mothers about breast-feeding, diet, and exercise to help their weight return to normal.
The purpose of this study was to examine the oral health care aware-ness of pregnant women and their actual oral health care in an effort to provide information on how to assist pregnant women to have the right knowledge on oral health and improve their oral health care. The subjects in this study were pregnant women who used obstetrics and gynecology hospitals or participated in pregnancy/child-rearing programs in the region of P. After a self-administered survey was conducted in July and August 2008, the following findings were given: 1. As for the best case of oral health care, the largest number(77.2%) of the pregnant women investigated brushed all the teeth, gums and tongue when they did toothbrushing. The smallest number of the women(6.8%) spent three minutes or more brushing their teeth. 2. As to dental treatment experience during pregnancy by age, 27.0 percent of the age 26-30 group had ever received dental treatment during pregnancy, which was higher than the rates of the other age groups with the same experience. 3. Regarding the necessity of oral health education geared toward pregnant women, 94.1 percent of the age 26-30 group and 96.3 percent of the group of age 31 and up felt the need for that, which were significantly higher than 72.7 percent of the age 20-25 group who agreed to the necessity of that education. 4. As to connections between oral health status and oral health care, the women who were in good oral health got 6.60 on oral health care. They scored significantly higher than those who were in a moderate state of oral health and who were in bad oral health, as the latter two groups respectively got 5. There was a significant correlation between oral health state and oral health care and between oral health knowledge and oral health care. The better oral health status led to better oral health knowledge, and the better oral health knowledge was followed by better oral health care. 6. As for factors affecting oral health care, oral health knowledge had the largest impact on that, followed by age, oral health status, experience of receiving oral health education for pregnant woman, dental treatment experience during pregnancy, monthly income and stress caused by oral diseases. Given the findings of the study, oral health education should be provided in light of the special physical and mental state of pregnant women. They should be encouraged to receive possible dental treatment during pregnancy if necessary, and they should learn about how to cope with a dental disease in case of develop it.
Purpose: The purpose of this study was to investigate health management state during pregnancy, childbirth, and postpartum of immigrant women. Methods: A descriptive research design was employed. Data were collected from 182 immigrant women who lived in four provinces and D city. Subjects were completed the following questionnaires: demographic, medical service use, pregnancy and childbirth, and health management during the ante-postpartum. Results: The average age of subjects was 28.96 and 83 subjects (45.6%) were coming from Vietnam. 55 Subjects (30.2%) were within the low-income group with less than 4 million won per month. So, 62 subjects were uninsured women because of the expensive costs. Subjects mainly visited a health care center with their husband. On the using a health care center, subjects complained about communication difficulties and transportation problems. 42 Subjects were pregnant but 21.4% of pregnant subjects did not receive ante-natal care. Subjects got information about pregnancy and childbirth through their husbands and husband's family. Conclusion: Nursing intervention to manage the pregnancy, childbirth, and the postpartum of immigrant women need to be developed and should include strategies to take care of themselves after delivery and provide knowledge and information about ante-postpartum.
Objectives: This study analyzed raw data from the 8th National Health and Nutrition Examination Survey (2019-2021) to assess the impact of oral health problems and dental care usage patterns of women who have experienced pregnancy and childbirth. Methods: Out of the 2,389 participants with pregnancy and childbirth experience, 1,301 were included in the final analysis. Multiple regression analysis was conducted using to determine the influencing factors on EQ-5D. Results: Factors influencing EQ5D include general characteristics (age, family income (5 quintile), status of basic living subsistence, education level), oral health problems (chewing problems, complaints of chewing discomfort, speaking problems) (p<0.001). Conclusions: The oral health problems and dental care usage patterns of women who experience pregnancy and childbirth have a significant impact on their health-related quality of life. This study provides basic data for women's ongoing oral care.
A Pregnancy is the women's normal physiological and developmental process, in which many psychological changes including sexual problems always occur. But there have been few guidelines on sexual life during pregnancy. So this study was performed to evaluate the sexual life of pregnant women, and to analyze the factors affecting satisfaction of sexual life during pregnancy. Questionnaires were given to pregnant women who visited two general hospitals for antenatal care as well as to attendants at a prenatal Lamaze class. The results were as followings : 1) The average age of the 194 pregnant women was 28.5 years ; 98.4% of them had educated more than 12 years. ; the average monthly income was about 15,000,000 won ; primigravida women were 81.4% of the total cases. 2) As the pregnancy progressed, the frequency of the sexual intercourses was decreased in 48.5% because of the anxiety on the fetal damages. The was no significant differences between frequency of sexual intercourses and the degrees of physical discomfort and spouse intimacy. Man superior position was taken in 88.1% ; the incidence of orgasms before and during pregnancy were 71.1% and 41.1%, respectively ; the incidence of painful sexual intercourse in primigravida women was decreased by pregnancy in 4.6%, and in the case of multigravida women it was increased in 2.1%. 3) The average point of sexual knowledge was 11.5 in total points of 20 ; that of sexual attitude was 29.1 in total points of 40 ; that of sexual satisfaction was 28.5 in perfects points of 40. 4) The factors which significantly related to the satisfaction of sexual life were spouse intimacy, sexual attitude, change of sexual body position during pregnancy, and the orgasms before and during pregnancy. Considering above results, nursing care and nursing intervention including sexual education and counselling programs are needed during pregnancy as well as before pregnancy.
Park, Chung-Soon;Lee, Ji-Youn;Kim, Sun-Ju;Lee, Kyung-Hee;Ju, On-Ju
Journal of Korean society of Dental Hygiene
/
v.6
no.1
/
pp.49-61
/
2006
This study was intended to identify the pregnant women's oral health care behaviors and the necessity of active oral care so as to use in the dental hygiene education at dental clinics as basic materials to inform the importance of oral health during pregnancy and instruct how to improve it. And to suggest a dental service direction for dental hygienists, 150 pregnant women who visited the Ostetrics and Genecology Clinics located in tl,e north part of Cholla province were surveyed with questionnaire on their oral care behaviors, from september to October in 2004. The findings were as below: 1. 43.8% of the pregnant women have ever used the dental care institutes within the recent 3 months during pregnancy period. The purpose of the visits was mostly treatment of dental caries, accounting for 40.0%. Next came the treatment of periodontal diseases, accounting for 33.8%. 2. At dental care service, 84.7% of the pregnant women informed the clinic staff of their pregnancy, 12.0% of the pregnant women were having periodical oral examination. 3. 56.7% of the pregnant women have ever inquired about oral care methods, 24.0% of the pregnant women have ever taken any oral health education, of whom 47.1% had higher schooling over graduate school, with a statistically signifiant difference. 4. 55.3% of the pregnant women made changes in their oral care practice after they got pregnant. Change of oral care practices was more obvious in those who had higher schooling background, of whom specialist women accounted 76.9%. Change of oral care practices after pregnancy was statistically significantly different to the academic background and occupation. 5. Of the changes in oral care practice after pregnancy, 51.8% of the pregnant women answered they got sensitive to change in their oral status, and 39.8% increased the frequency of tooth brushing. 6. In selecting a tooth paste after they got pregnant, 58.0% of the women didn't give any special consideration to the kind of tooth paste, while 10.7% women as low selected such tooth pastes that contain fluoride. 7. Pregnant women's route for gathering oral care information was mostly mass media and Internet which accounted for 50.7%.
This study was carried out to identify the difference between educational needs and levels of satisfaction of primigravida during the antepartum period. The goal of the study was to obtain data needed to develope educational programs and to improve the nursing quality for antepartal clients. The subjects were 106 primigravida who attend antenatal clinic at 3 general hospitals in the Seoul area. The data was gathered using a questionnaire which, consist of 71 items, was developed by the researcher from May 4 to June 3, 1998. Results found are as follows : 1. The characteristics of subjects : The majority of subjects were aged 25-29 years(73.6%), college graduates(61.3%), jobless(68.9%), had no religion(38.7%), attended antenatal clinic regularly(91.5%), duration of pregnancy was 38-39 weeks(49.06%), pregnancy was planned(67%), and 42.5% have had some sort of prenatal education. 2. Over all level of educational needs was relatively high(Mn. 3.97) but the level of satisfaction was of average level(Mn. 3.01). Therefore, differences between the level of educational needs and satisfaction was significant(P=.0001). 3. The educational needs by category, the highest need was on birth preparation(Mn. 4.18), self care of the mother and infant care(Mn 4.10), health maintenance and promotion(Mn. 3.79), the lowest was care of discomfort(Mn 3.66). The level of satisfaction was higher on postpartum self care(Mn 3.15), but the lowest was infant care(Mn 2.84). Differences between educational needs and satisfaction by categories was significant(P=.0001). 4. Relationship between educational needs and levels of satisfaction among primigravida of different characteristics were as follows : 1) Educational needs of minor discomforts area were significantly high among age of 25-29(P=.0108), and over 35 years of age, was satisfied on preparation of labor & delivery, postpartum self care (P=.036, .02). 2) With regard to different level of education, middle school graduates had higher educational needs on discomfort care and postpartum self care(P=.0014, .014). College graduates have had higher educational needs on health maintenance(P=.008) and were more satisfied on preparation of birth(P=.0025) 3) With regard to whether pregnancy was planned or not, no difference was found on educational needs. But the levels of satisfaction was significantly higher in the group of planned pregnancy(discomfort care P=.0454, birth preparation P=.0256, postpartum self care P=.0092). 4) with regard to antenatal education, those who have had some sort of antenatal education, educational needs on birth preparation(P=.0345) was significantly high. And also the levels of satisfaction were significantly higher on every category(P=.0004-.0001). 5) No difference was found on educational needs or level of satisfaction by Job, religions, regularity of antenatal care and complication of pregnancy.
The purpose of this correlational study was to offer strategies for nursing intervention to improve compliance with prenatal care. This study was designed to investigate degree of tardiness, correlation between hardiness and compliance with prenatal care. In research, the characteristic of hardiness has 1 teen demonstrated in resolving stressful situaltions and in adapting to overcome physical and psycho-logical tension. pregnancy is normal crisis process. Therefore, it is necessary to investigate degree of hardiness in normal pregnant woman and I think that concept of hardiness is able to become a new, important concept for prenatal care imtervention. The subjects were 388 normal pregnant woman over five months, who were selected from five university hospitals and two health centers in Taegu. Data were obtained using a convenience sample technique. Data collection was done from March 6 to June 18, 1992. The instruments used for this study were the Health Related Hardiness Scale developed by Pollock(1984) and compliance with a prenatal care scale developed by the author on the basis of results of a literature review. Data were analyzed using the SAS program for t - test, ANOVA, Scheffe test, Pearson correlation and stepwise multiple regression. The results are as follows : 1. The scores on the hardiness scale ranged from 35 to 210 with mean of 88.89. 2. The scores on the compliance with prenatal care scale ranged from 28 to 140 with a mean of 111.49. 3. There were significant differences between hardiness and obstetrical characteristic factors, duration of pregnancy, frequency of pregnancy, frequency of abortion(P .05). 4. There were significant differences between compliance with prenatal care and general and obstetircal characteristic factors, education and frequency of pregnancy(P .05). 5. Correlations between hardiness and compliance with prenatal care were all negative and significant(r=-.2276~ -.2930, P .000). Challenge of hardiness components was the low est (r= -.2814). 6. Significant differences between hardiness and compliance with prenatal care by group were as follows : Group 1 was the high est, whereas Group 8 was the lowest(F=5.47, P .0000). 7. Factors influencing compliance with prenatal care were : 1) Challenge was the main variable and accounted for 7.92% of the total variance. 2) Education and frequency of pregnancy accounted for an additional 2.74% of the total variance. From the above findings, this study suggests the following : 1) Considering the lack of empirical support, the theroy of hardiness needs to be evaluated. 2) A valid, reliable and culturally appropriate instrument needs to be developed for Health Related Hardiness Scale. 3) There is a need for further study of hardiness in a broad variety of populations. 4) There is a need for comparative study correlation between hardiness and compliance with prenatal care in woman with normal and abnormal pregnancies
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