• Women's Health Nursing
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• v.4 no.1
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• pp.84-102
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• 1998

In this study the levels and influencing characteristics of maternal identity and self confidence for caring the baby were identified during the immediate postpartum period. 114 primiparous women who delivered vaginally normal baby participated in the survey from August 1 to October 31, 1996. SD scale was to measure maternal identity which consisted of 11 items for mother and 6 items for baby. Likert scale was to measure self confidence for caring the baby (38 items). Cronbach's alphas for evaluating internal consistency as follows : .86 for maternal identity and .96 for self confidence scale for caring the baby. The study showed these results : 1. Mean score of maternal identity(82.03 : 52.65 for mother, 29.38 for baby) was considered relatively low. 2. Mean score of self confidence for caring the baby(113.91) was considered relatively low. 3. There were significant influencing characteristics of primiparous to maternal identity : age(total ; F=3.53, p=.0329, for mother ; F=2.60, p=.0719, for baby ; F=3.12, p=.0481), prenatal infant care preparation(total ; t=2.31, p=.0306, for mother ; F=2.62, p=.0160), knowledge about infant care during the hospitalization(for baby ; F=3.94, p=.02222), colostrum feeding(total ; t=1.95, p=.0541, for baby ; t=2.71, p=.0080), frequency of breast feeding during the hospitalization(for baby ; F=3.91, p=.0228)and feeding type after discharge(for baby ; F=3.18, p=.0456). 4. There were significant influencing characteristics of primiparous to self confidence for caring the baby : routine husband support(F=6.09, p=.0031), prenatal infant care preparation(t=2.04, p=.0574), knowledge about infant care during the hospitalization(F=3.15, p=.0467), education of breast feeding during the hospitalization(t=-1.79, p=.0850). 5. Correlation between maternal identity and self confidence for caring the baby was r=.37608(p=.0001). This study implies that special education programs for primipara are needed. For the future, this study suggest that maternal role variables need to be monitored through the home visiting follow up. Also intervention programs related to prenatal care, discharge education, home visiting follow up need to be developed and then evaluated their effectiveness.

• Women's Health Nursing
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• v.9 no.3
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• pp.235-244
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• 2003

Purpose: To examine the difference of physical discomfort and childbirth satisfaction between postpartum women with and without having taken Epidural Analgesia. Method: The subjects were divided into one group of 128 primipara taken Epidural Analgesia and the other of the same 70 women who were not taken it. Data were collected by questionnaires of their own physical discomfort and birth satisfaction at postpartum 1 to 2 days in OBGY hospitals, and data were analyzed using SPSS Program. Result: Women having taken epidural analgesia appealed higher physical discomfort than those without it in the lower limbs exercise discomfort, difficult urination, urinary retention, nausea & vomiting, whereas appeared vice versa in breast pain. Among indicators for childbirth satisfaction, women having taken epidural analgesia preferred the same delivery method later again more than those without it. Conclusion: It is confirmed that the method of epidural analgesia is not an absolute way to control labor pain, rather stir physical discomfort after childbirth and does not fully increase the women's childbirth satisfaction. Therefore, it is proposed that nurses should provide the pregnant women the right knowledge and information, thereby enabling them to select the useful method of childbirth to their own course of childbirth and health-recovering after the delivery.

• The Journal of Korea CHUNA Manual Medicine
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• v.5 no.1
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• pp.11-17
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• 2004

Objective : Women can be affected physically and psychologically by pregnancy and delivery. Because the relaxation of pelvic ligaments has a chance to cause pelvic deviation, we investigated the radiological peivic deviation according to delivery types and experiences. Method : 71 patients were evaluated by X-ray findings. Every patients divided into two group according to delivery types and experiences. After measured innominate measurement. off centering measurement, sacral ala measurement and ilium shadow measurement, X-ray findings in each group were analyzed statistically. Results and Conclusions : It was concluded that the ilium was more deviated into outer side in normal delivery group than caesarean operation group, and more deviated into inner or outer side in multipara group than primipara group.

• Journal of Korean Neurosurgical Society
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• v.45 no.1
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• pp.39-42
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• 2009

We report a supratentorial primitive neuroectodermal tumor (sPNET) in 17-year-old primipara in the second trimester her pregnancy. Magnetic resonance imaging revealed a left frontoparietal mass with solid and cystic component. Gross-total resection was achieved via a left frontoparietal craniotomy. It was decided to suspend the radiotherapy and chemotherapy until the 30 weeks of gestation. But, a sudden uncal herniation was developed due to the reccurrence of the tumor and bleeding into the tumor at the 25 weeks of gestation and the patient died after urgent decompressive surgery. sPNETs is an extremely rare brain tumor in pregnancy and only two cases were reported in the literature to date. There is no universally agreed treatment protocol for sPNETs during pregnancy and a multidisciplinary approach is required in treatment. In the present study, the clinical, histopathological features and therapeutical difficulties of sPNETs diagnosed during pregnancy was discussed with the literature review.

• Korean Parent-Child Health Journal
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• v.16 no.1
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• pp.1-10
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• 2013

Purpose: This study is descriptive research to identify characteristics and childbirth experience of women who selected delivery with midwives. Methods: The research methods included structured questionnaires, open questions and charts and data were collected from March 2009 to May 2010 at one midwifery clinic. The 108 data of primipara and multipara were analyzed using descriptive statistics and grouping in same meaning. Results: The general characteristics of participants were age of 31~35, housewife, college or university graduate, religion 'yes', and economic state 'middle'. The obstetric characteristics of participants were abortion rate of 23.1%, none complication to pregnancy and delivery of 97.2%, and none postpartum complication. This study was analyzed using positive experiences of 3 categories, that is 'comfortable and natural childbirth', 'satisfaction and trust to personal care of midwives', and 'experience of baby-and-family-centered childbirth' and negative experiences of 3 categories, that is 'improvement of healthcare environment', 'insufficient facilities and nursing care', and'burden of cost'. Conclusion: This study is significant, since it investigates in the absence of domestic research on the characteristics of women who delivered at midwifery clinic. Thus, this study provided basic data on the characteristics of women who delivered at midwifery clinic.

• The Journal of Korean Physical Therapy
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• v.4 no.1
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• pp.19-25
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• 1992

The purposes of this study is to survey the clinical findings of congenital muscular torticollis. The subjects were 44 congenital muscular torticollis patients who were treated at physical therapy department of rehabilitation medicine, presbyterian medical center during the period Jan. Dec. 1991 The results were as follows : 1. Patients were evenly divided by gender(22 bodys, 22 girls). Left-sided involvement was found in 27 cases$(61.4\%)$, and right side in 17 cases$(38.6\%)$. 2. Abnormal delivery was 29 cases$(65.9\%)$. Those included resarean section, breech presentation with vaginal delivery and difficulty delivery. 3. Most of torticollis were primipara infant 33 cases$(75\%)$ 4. Associated congenital anomalies were noted in 12 cases, the most common cases were central co-ordination disturbance. 5. Patients was most commonly referred form the department of pediatrics. 6. Sternocleidomastoid fibrotic nodules were noted in 32 cases$(72.7\%)$. 7. Four cases had excision of the sternocleidomastoid fibrotic nodules in infancy and average at which operation was twelve months of life(range from nine months to fourteen months). 8. Facial asymmetry was noted in 13 cases at the begining of treatment, and the asymmetry was corrected after treatment in 10 cases. 9. The average duration of treatment was 3 months when the treatment was started in 3 weeks old. 10. The result was good in 22 cases$(50\%)$, fair in 12 Cases$(27.3\%)$.

• Journal of Veterinary Clinics
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• v.21 no.4
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• pp.355-362
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• 2004

The purpose of this study was to herd management and control of dairy cows by milk components analysis in Gyeongsangnamdo. Milk components analysis were carried out milk yield (MY), milk fat (MF), milk protein (MP), milk urea nitrogen (MUN) and somatic cell count (SCC) but, milk solid (MS), day of non-pregnant condition (DNPC), and days of primipara (DPRI) involved in report. Dairy farms were divided high group, middle group, low group according to the standard records for milk components. Examination records were divided by farm, parity, year, season and month, the number of samples were 28,957. Feeding management practice and the prediction for the risk possibility of productive disease such as reproductive and metabolic disorders by evaluating fat, protein, solids. Determination of MY, MF, MP, MS were Milkoscan 4,000~5,000 Serier (FOSS Electric Co., Copenhagen, Denmark). Correlation coefficient of milk protein (MP) and milk solid (MS) was ascertain r=0.759. SCC was ascertain 372.8$\pm$11.34 (thousand unit) and DNPC was ascertain 155.3$\pm$5.15 (days) in seven parity.

• Women's Health Nursing
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• v.11 no.3
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• pp.202-208
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• 2005

Purpose: This study was conducted to discover the related factors of neonatal suckling in the initiation of breastfeeding in primiparous mothers and to provide basic data for promoting nursing intervention strategies to improve the practice of breastfeeding. Method: The subjects of this study were 71 primiparous mothers who had normal vaginal deliveries at one obstetric hospital in P metropolitan city and one delivery center in J city. The collected data was analyzed using the SPSS program. Result: The average IBFAT(Infant Breastfeeding Assessment Tool) score was 9.6$\pm$2.3. The general characteristics studied that had a significant influence on neonatal suckling in the initiation of breastfeeding were the place of delivery (ex: Hospital, Postnatal Unit), whether oxytocin was used, no usage of analgesic medication, amount of satisfaction after the first breastfeeding weight of the newborns and the Apgar score at one minute. Conclusions: A higher IBFAT score was related to primiparous mothers who had a hospital delivery, received oxytocin, received maternal labour analgesics, neonatal weight, Apgar score at one minute, and satisfaction after the first breastfeeding.

• Women's Health Nursing
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• v.18 no.2
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• pp.75-84
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• 2012

Purpose: This study was done to identify the effects of individual postpartum breast-feeding education on adaptation, attitude and practice of breast-feeding in primiparas. Methods: A quasi-experimental nonequivalent design was used to examine the effects of individual postpartum breast-feeding education among primiparas. The data were analyzed using $x^2$-test, Fisher's exact test and paired t-test. Results: There was a significant difference in breast-feeding adaptation (t=-12.94, p<.001), breast-feeding attitude (t=-2.71, p=.011) and breast-feeding practice ($x^2$=16.47, p<.001) between the group education (experimental group I) and individual education after group education (experimental group II). Conclusion: The results indicate that individual education on breast-feeding compared to group education has more positive effects on increasing breast-feeding adaptation, attitude and practice in primiparas. This result also indicates that many primiparas should be given opportunities of various types of education to improve breast-feeding practice such as individual approaches and postpartum breast-feeding education programs.

• Korean Parent-Child Health Journal
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• v.5 no.1
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• pp.62-74
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• 2002

The purpose of this study was to explore bringing-up process of mothers with first baby in the context of Korean culture. The field survey was performed with four primiparae during four months from September, 2000 and grounded theory approach was used for data analysis. The results indicated that there were 27 primary categories and 12 secondary categories. Unclearness was extracted as an expression of the core category of bringing-up process. The subjects was faced with care of their baby after delivery and experienced formation and deepening of unclearness. After that, they also went through expression and disentanglement of complication caused by unclearness. It is found that the core concept of this study, the unclereness("Magmagham" in Korean) means a confusion, a burden, a helplessness and a hardness. New mothers make an effort to resolve this situation with strong motherhood in their mind. By supports from significant others, they are empowered and some mothers get depressive feelings. The findings of this study are contributed for nurses to understand new mothers in developmental crisis. We suggested that the nursing intervention strategies including learning baby care skills and preparing emotionally a motherhood must be given new mother during pregnancy period.