• Title/Summary/Keyword: Prenatal care

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A Discriminant Analysis Study on Selection of Delivery Place and Delivery Attendants in Korean Rural Remote Area (판별분석 기법을 이용한 농촌지역 산모의 분만장소 및 분만 개조자 선정에 관한 연구)

  • 한경애
    • Journal of Korean Academy of Nursing
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    • v.16 no.2
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    • pp.44-52
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    • 1986
  • Maternal and child health(MCH) status is considered as an important indicator of the level of health and civilization of a community and a country. MCH services for the rural population in the remote ar deserves priority by the government, since more than half(52.9%) of the delivery was occured at home and almost half (45.5%) of the delivery was assited by family members or neighbors. The purpose of the study was to analyse the health fare behavior related to pregnancy and delivery, which can be contributed maternal health care policy mating for the rural people. Specifically, it was intended to analyze the variables which affect the health care behavior in selecting birth places and birth attendants. This study utilized the data which had been already collected for an experimental study on primary health program model in Korean rural communities, funded by the USAID. 184 sample households with women who had delivered a baby during March 1982 to February 1983 were selected. Discriminant Analysis was employed for statistical analysis by utilizing SPSS computer package program. Birth places and birth attendants were considered as dependent variables. Among 12 independent variables in 5 groups considered, 7 independent variables were found statistically significant to affect the selection of birth place. Significant variables by the order of importance are mother's age, order of baby, number of prenatal care, accessibility of emergency medical care, coverage of medical insurance, mother's membership in community organization and husband's educational level. The degree of correct classification of the grouped cases by employing a discriminant . analysis was significantly improved to 78.2% in comparison to Cmax(56%) and Cpro(51%). Policy implications for each significant variable were discussed to improve the maternal and child health. in Korean ruralarea.

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A Study on the Educational Needs and Satisfaction of Primigravida during the Antepartal Period (초임부의 교육 요구와 만족도에 관한 연구)

  • Chun, Young-Ja
    • Women's Health Nursing
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    • v.4 no.2
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    • pp.187-202
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    • 1998
  • 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.

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Cytogenetic and Clinical Analysis for Antenatal Diagnosis in Amniotic Fluid (산전 태아 진단을 위한 양수의 세포유전학적 분석)

  • Oh, Hyun-Sook;Kim, Mi-Kyeong;Kim, Seong-Mi
    • Korean Journal of Clinical Laboratory Science
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    • v.39 no.3
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    • pp.151-155
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    • 2007
  • Diagnosis and prevention of cytogenetics diseases are one of the most important parts in prenatal care. For that reason, it is necessary to examine birth defects. However, there is no reliable statistical data about birth defects in our country. In this study, the ratio of birth defects were determined by cytogenetics analysis and amniocentesis, in addition, the usefulness of amniocentesis was analyzed. The screening test and the triple marker test were conducted for 3,325 pregnant women of between 15 and 22 weeks gestation. Amniocentesis was performed for 170 pregnant women who were positive in the two tests, 184 women of advanced maternal age and 48 women with family history of chromosome aberrations. Among 419 women, 8 pregnant women who were positive in the triple marker test, 1 woman who close to the cut-off value in the triple marker test, 2 women with advanced maternal age and 1 woman who has history of chromosome aberration pregnance that was positive in cytogenetics analysis. The overall incidence of chromosomal aberration was 12 cases including 7 cases of Down's syndrome, 1 case of Patau syndrome, 1 case of Klinefelter syndrome, 1 case of Edward syndrome, 1 case of Robertsonian translocation and 1 case of XYY syndrome. These results show that amniocentesis for pregnant women who need chromosome test in prenatal cytogenetics analysis is very useful.

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Predictors of Postpartum Depression: Prospective Cohort Study (산후우울증 관련요인: 전향적 코호트 연구)

  • Youn, Ji Hyang;Jeong, Ihn Sook
    • Journal of Korean Academy of Nursing
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    • v.43 no.2
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    • pp.225-235
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    • 2013
  • Purpose: This prospective cohort study was done to investigate recall bias to antepartum variables measured at postpartum periods and predictors of postpartum depression. Methods: Participants were 215 women who answered a self-administered questionnaire which included demographics, Postpartum Depression Predictors Inventory-Revised and Korean version of Edinburgh Postpartum Depression Scale at antepartum 36-40 weeks and postpartum 2 weeks and 6 weeks. Data were analyzed using kappa, and hierarchical multiple logistic regression. Results: Agreement between antepartum variables at both antepartum and two postpartum periods was relatively high (${\kappa}$=.55- .95). Postpartum depression rates were 36.3% and 36.7% at two follow-up points. In hierarchical multiple logistic regression analysis, prenatal depression (OR=4.32, 95% CI: 1.41-13.19; OR=5.19, 95% CI: 1.41-19.08), social support (OR=1.40, 95% CI: 1.18-1.66; OR=1.27, 95% CI: 1.06-1.53) and maternity blues (OR=4.75, 95% CI: 1.89-11.98; OR=4.22, 95% CI: 1.60-11.12) were commonly associated with postpartum depression at two follow-up points. Child care stress (OR=1.85, 95% CI: 1.01-3.37) was only associated with postpartum depression at 2 weeks postpartum and pregnancy intendedness (OR=1.57, 95% CI: 1.09-2.27) was only associated with postpartum depression at 6 weeks postpartum. Conclusions: The results indicate a need to apply nursing interventions such as prenatal education and counseling with families from antenatal period.

Subjective Symptoms of Fatigue in Normal Pregnant women (정상 임부가 자각하는 피로)

  • 김신정
    • Journal of Korean Academy of Nursing
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    • v.29 no.2
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    • pp.248-257
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    • 1999
  • The purpose of this study was to identify basic data for the health fare of normal pregnant women. The number of subjects was 779 pregnant women who received prenatal care in two University hospitals. The data, which were collected from June to October, 1998. and used the questionnaire “Symptom Table on Fatigue Perception” designed by the Research Committee of the Industial Fatigue in Hygienic. Association of Japan Industry. The collected data were scored by use of means and standard deviations according to the subjective symptoms of fatigue and each item as an independent variable was analysed by t-test and ANOVA test. The results are as follows : 1) Degree of subjective fatigue showed as an average of 1.81. Fatigue as physical symptoms had the highest score with 2.09. followed by neuro-sensory symptoms, 1.69 and psychological symptoms had the lowest score 1.66. 2) With the respect to the general characteristics of the subjects. there were statiscally significant difference in experience of pregnancy(t=-2.286, p=.023). wanted pregnancy(t=-2.935, p=.004), parity(t=-2.429, p=.015), sleeping time(F=3.478, p=.031). and presence of other child(t=2.347, p=0.19).

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Heritage of Traditional Childbirth and Childcare on Jeju (제주도 전통 산육속(産育俗)의 전승)

  • Lee, Kyeong Hwa;Ahn, Mi Seon
    • Korean Journal of Child Studies
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    • v.25 no.1
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    • pp.93-112
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    • 2004
  • The characteristics of traditional childbirth and childcare custom on Jeju were studied by interviews of 134 elder women over 60. This established the nature of traditional custom of prenatal care, delivery, child rearing, and traditional ceremonies for baby as well as popular beliefs. The survey of current childbirth and childcare practices included 168 parents of kindergarteners. Results showed that traditional childbirth and childcare custom of Jeju is based in self-reliance, effectiveness, labor, and popular beliefs and that the heritage consisting of traditional postpartum foods, bathing of the newborn baby, use of a cradle, shamanistic prescriptions, and acupuncture is prevalent today.

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A Study of the Assessing the High Risk Mothers and Influencing to Their Newborn Babies (고 위험 임신과 신생아 상태와의 관계에 관한 연구)

  • 이경혜;이자형
    • Journal of Korean Academy of Nursing
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    • v.9 no.2
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    • pp.7-15
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    • 1979
  • This study was undertaken to determine .the identify the relation between the high risk mother and their baby which then allows the nurse to assess and plen for the delivery of optimal health care to the high risk groups. This study was carried out between January through December 1978. This study sample consisted of 300 pregnant women who visited Ewha womens hospital during this time. The method used to for the collection of data was an“Antepartum High-risk pregnancy scoring form. The questionair included 4 categories: 1) reproductives history 2) Associated conditions 3) pre-sent pregnancy and 4) total risk score . The bind are as follows: 1. The frequency of high risk pregnancy women 149(49.7%) was highest. 2. In the investigation sample high risk factors were related to hypertension and toremia. 3. There was a difference in the high risk scores and newborn babys scores (r = 0.610). 4. Relationship between high risk pregnancy women and least of pregnant women was highest prenatal mortality. Implications of positive assessing of high risk factors by MCH nurse and community health nurses.

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A Study on Anxiety of the Hospitalized Pregnant Women for Conducting tabor (병원분만 임산부의 분만전 불안에 관한 조사연구)

  • Park, Young-Sook;Hur, Young
    • Journal of Korean Academy of Nursing
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    • v.16 no.2
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    • pp.29-35
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    • 1986
  • The Purposes of this study are for the assessment of anxiety level and for identification for factors relating to the anxiety of the normal Pregnant women who are impendign or entering labor. The State-Trait Anxiety Inventory is used as the measure of anxiety. The results of the study are as follows: 1. The correlation between state-anxiety and trait-anxiety is 0.459 and the linear regression is y(State-anxiety) : 0.251$\chi$(Trait -anxiety)+29.27. 2. The maternal state-anxiety is not related to the variables of the age, the educational level, the occupation, the prenatal care, parity, show, labor pain and delivery type except for the premature or early rupture of the fetal membranes. 3. The maternal trait-anxiety is not related to the above-mentioned variables.

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First-time fathers' experiences during their transition to parenthood: A study of Korean fathers

  • Noh, Nan Iee
    • Child Health Nursing Research
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    • v.27 no.3
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    • pp.286-296
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    • 2021
  • Purpose: This study was conducted to explore first-time fathers' experiences during their transition to parenthood in South Korea. Methods: Data were collected from September 2019 to February 2020 through in-depth interviews that were conducted individually with 12 participants. First-time fathers with children under 2 months of age were recruited. Verbatim transcripts were analyzed using Colaizzi's phenomenological method. Results: Four theme clusters were identified: Preparing to become a father, challenges of becoming a father, motivation to foster familial bonds, and acknowledgement of fatherhood. Conclusion: These findings suggest that Korean first-time fathers prepared to practice parenthood through prenatal education, taegyo, and feeling bonds with their new baby. They recognized their identity as fathers and experienced self-growth. These results would be beneficial for health professionals in developing perinatal care programs, and the results provide basic data for studies on fathers and families during the transition to parenthood.

Design of Prenatal Educational Care Music Service Application on iOS Device (iOS 디바이스 기반 태교 음악 서비스 어플리케이션 설계)

  • Kim, Hyo-Min;Kim, Tae-Min;An, Shi-Hoon;Han, Won-Hee;Yang, Young-Kyu
    • Proceedings of the Korea Information Processing Society Conference
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    • 2011.11a
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    • pp.1136-1138
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    • 2011
  • 스마트폰을 접할 수 있는 다양한 연령대와 계층이 있지만, 사회적으로 소수에 해당하는 장애인, 임산모, 노약자 등에 대한 서비스를 제공하는 어플리케이션(application)은 그리 많지 않은 것이 현실이다. 본 논문에서는 그중에서 태아를 임신 중에 있는 임산모에게 태교음악과 같은 컨텐츠를 접할 수 있는 다양한 방법 중에서 스마트폰을 이용하여 제공하는 방법에 대해 알아보았고, 태교음악 및 기타 서비스 방법에 대해 설명하였다.