• 제목/요약/키워드: Vaginal delivery

검색결과 151건 처리시간 0.027초

기포를 이용한 차별화된 화장품 제형 개발 (Development of Novel Cosmetic Formulations using Foams)

  • 조완구
    • 대한화장품학회지
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    • 제38권1호
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    • pp.1-13
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    • 2012
  • 본 총설에서는 기포의 화장품 이용에 대해서 논의하고자 하였다. 기포의 생성은 기포형성제와 기포 생성 장치 등을 이용하며 생성된 기포는 다양한 특성을 나타낸다. 기포는 기체의 용매에 대한 분산 형태로 발생된다. 기포의 안정성과 유변학적인 성질 등을 평가하는 것은 기포를 제형으로 이용하기 위한 출발점이다. 기포의 의약품과 화장품에 대한 이용은 점차 증가 추세에 있다. 의약품의 경우 기포 제형은 직장(rectal), 질(vaginal) 및 피부(dermal)용으로 대별될 수 있으며 화장품 영역의 경우 기포 제형은 모발 및 메이크업 영역에서는 헤어 무스, 파운데이션 등에서 이용되고 있으며 기초화장품에서는 자외선 차단 화장품에 이용되고 있다. 최근 유효성분의 안정화 및 유효성분의 피부 전달 측면에서 많은 연구와 특허가 출원되고 있어 향후 기능성화장품의 새로운 제형으로 활용이 기대된다.

조산 방지 및 자궁수축 관리의 한의학적 치료 (Prevention of Preterm Birth and Management of Uterine Contraction with Traditional Korean Medicine)

  • 김은섭;장은하;김남형;장새별
    • 대한한방부인과학회지
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    • 제29권4호
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    • pp.24-33
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    • 2016
  • Objectives: The aim of this study was to demonstrate the benefit of Traditional Korean Medicine as an adjuvant therapy in management of early uterine contractions and the prevention of Preterm Birth (PTB). Methods: It is a case report of a 38 year-old-woman hospitalized for irregular uterine contractions and cervical change at 33+3/7weeks of gestation. After 7 trials of IVF and artificial insemination, conception was successful via IVF with help of traditional Korean medicines. 2 TKMs were prescribed: Gami-danggui-san, and Antae-eum. 120 ml of Gami-danggui-san was given twice a day morning and evening along with same amount of Antae-eum once a day from 31 August 2013 to 28 November 2013. Tocolytics (Ritodrine) was administered as a first aid for maintenance of pregnancy. Information regarding progress until the delivery was collected during the patient’s visit. Results: As of 34+2/7 weeks of gestation, intermittent uterine contractions appeared (5-12 min) on cardiotocography and vaginal bleeding was also smeared at 34+3/7 weeks. However, enhanced tocolytics and continuous administration of herbal medicine sustained the pregnancy to term. At 37+2/7 weeks, no sign of labor with restored cervical length was confirmed. The woman gave a term birth to a healthy infant via vaginal delivery at 39+3/7 gestational weeks. Conclusions: Our report implies the potential of herbal medicine as a adjuvant therapy for preterm labor treatment. Further studies are needed to assess the safety and efficacy of TKM herbal medicine as a therapeutic alternative for curing preterm birth.

질식분만 산모와 간호사의 간호요구도 비교 연구 (A Study of Comparing with Nursing Needs between Parturient Women and Nurses during the Perinatal Period)

  • 주숙남;윤미선
    • 여성건강간호학회지
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    • 제14권2호
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    • pp.131-142
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    • 2008
  • Purpose: The purpose of this study was to compare the nursing needs of parturient women with those of nurses during the perinatal period. Method: The subjects of this study were in two groups, one of which was composed of 244 postpartum women (vaginal delivery) while the other was composed of 144 nurses. The data was collected using a self-report Questionnaire between July and November of 2007, and was analyzed using the SPSS Win 12.0 program. Result: Statistically significant differences were found in nursing needs, specifically in the aspects of physical care, safety of delivery and newborn care between the nurse group and the parturient women group during the perinatal period. Furthermore, the nursing needs of parturient women were higher than those of nurses with regard to environmental needs, safety of delivery, newborn care, and especially among items such as routine examinations and the maintenance of hygiene during labor, as well as a desire for "kind and faithful" care. In addition, it was found that the nursing needs of parturient women in Women's hospitals were higher than those in University hospitals. Conclusion: This study showed that parturient women desire to be educated regarding Perinatal care for themselves and for their newborn.

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Risk Factors Associated with Germinal Matrix-Intraventricular Hemorrhage in Preterm Neonates

  • Kim, Kwang-Ryeol;Jung, Sang-Won;Kim, Dong-Won
    • Journal of Korean Neurosurgical Society
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    • 제56권4호
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    • pp.334-337
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    • 2014
  • Objective : The purpose of this study is to identify the risk factors associated with the development of germinal matrix-intraventricular hemorrhage (GM-IVH) and the relationship of the severity of disease and prematurity. Methods : A total of 168 premature neonates whose birth weight ${\leq}1500g$ or gestational age ${\leq}34$ weeks were examined by cranial ultrasound (CUS) for detection of GM-IVH among the babies admitted between January 2011 and December 2012 in our medical center neonatal intensive care unit. The babies were divided into two groups : GM-IVH and non-IVH. Clinical presentations, precipitating factors of the patients and maternal factors were analyzed. Results : In univariate analysis, gestational age, birth weight, delivery method, presence of premature rupture of membrane (PROM) and level of sodium and glucose were statistically meaningful factors (p<0.05). But only two factors, gestational age and presence of patent ductus arteriosus (PDA) were statistically meaningful in multivariate logistic regression (p<0.05). Delivery method [normal vaginal delivery (NVD) to Caeserean section] was borderline significant (p<0.10). Conclusion : Presence of PDA and gestational age were the important risk factors associated with development of GM-IVH.

선천성 사경 환자에 대한 임상적 고찰 (A Clinical Study of Congenital Muscular Torticollis)

  • 권춘숙
    • The Journal of Korean Physical Therapy
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    • 제4권1호
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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$(27.3\%)$.

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초산모의 조기 모유수유 상태에 영향을 미치는 요인 (Factors Related to Neonatal Suckling in the Initiati of Breastfeeding in Primiparous Mothers)

  • 양현주;이영은;이선옥
    • 여성건강간호학회지
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    • 제11권3호
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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.

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유도분만 시행 여부에 따른 임산부의 분만진행과정, 분만결과, 분만만족도 (Pregnant Women's Labor Progress, Childbirth Outcome, and Childbirth Satisfaction according to the Presence or Absence of Labor Induction)

  • 정윤아;정재원
    • 여성건강간호학회지
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    • 제24권1호
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    • pp.58-70
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    • 2018
  • Purpose: To provide accurate information on induced labor and find strategies to enhance women's childbirth satisfaction. Methods: Participants were pregnant women expected to have normal vaginal delivery. A total of 113 women with induced labor and 61 women with spontaneous labor were surveyed. Data were collected using a questionnaire and electronic medical records. Results: The following variables related to labor progress showed significant differences between the induced labor group and the spontaneous labor group: length of the first stage of labor in primigravidas, use of analgesic, incidence of uterine hyperstimulation, incidence of fetal distress, and medical treatment for the expectant mother. Delivery type and the incidence of postpartum complications showed significant difference between the two groups. Induced labor women's childbirth satisfaction was mainly affected by the process of labor whereas spontaneous labor women's childbirth satisfaction was affected by the outcome of childbirth. Conclusion: Medical staff should have accurate information on the risk of induced labor and the benefits of a natural delivery. Moreover, medical staff should provide necessary information and environment for women to participate in the decision-making process.

The Breast Feeding Adaptation Scale-Short Form: Development and Testing of Its Psychometric Properties and Measurement Invariance

  • Kim, Sun-Hee
    • Child Health Nursing Research
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    • 제25권3호
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    • pp.333-343
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    • 2019
  • Purpose: This study sought to develop the Breastfeeding Adaptation Scale-Short Form (BFAS-SF) for use at 4 weeks postpartum, to test its validity and reliability, and to examine its measurement invariance. The latent mean score of the BFAS-SF across multiple groups was also compared. Methods: This methodological research study was conducted to develop a short form of the BFAS and to test its psychometric properties and measurement invariance. Data were collected twice for measurement invariance testing. The sample included 431 and 272 breastfeeding mothers at 2 weeks and 4 weeks postpartum, respectively. Results: Confirmatory factor analysis supported six dimensions of the BFAS-SF at 4 weeks postpartum. Multi-group confirmatory factor analysis revealed evidence for invariance of the BFAS-SF according to employment status, parity, delivery mode, and the postpartum period. There were statistically significant latent mean differences. Mothers who were unemployed and who had a vaginal delivery showed significantly higher scores for breastfeeding confidence, sufficient breast milk, and baby's satisfaction with breastfeeding. Conclusion: The BFAS-SF is valid, reliable, and an appropriate instrument for assessing mothers' breastfeeding adaptation. It can be used to compare mean scores according to employment status and delivery mode.

삼음교(SP6) 지압(15분/30분)이 분만 통증, 분만 소요시간, Hemoglobin에 미치는 영향 (Effects on Labor Pain, Length of Delivery Time, and Hemoglobin of Primipara Women treated by San-Yin-Jiao(SP-6) Acupressure 15 minutes and 30 minutes)

  • 장순복;박용원;조재성;이병철
    • Journal of Acupuncture Research
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    • 제21권1호
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    • pp.99-110
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    • 2004
  • Objective: The purpose of this study was to examine the different effects on labor pain, length of delivery time, and hemoglobin for primipara women treated by San-Yin-Jiao(SP-6) acupressure of 15 minutes or 30 minutes. Methods: The design of this study was a randomized clinical trial with two experimental groups and one control group, the participants included primiparas who underwent vaginal delivery. Data were collected using a structured questionnaire consisting of general characteristics with a subjective labor pain scale with VA.S, and length of delivery time and hemoglobin were collected in the medical record. Data was analyzed using descriptive statistics, x2- test, t-test, and ANCOVA. Results: There was statistically significant lower labor pain in the group of 30 minutes SP6 acupressure than the control group(t=7.733, p=.007), and there was statistically significant short length of delivery time in the group of 15 minutes SP6 acupressure than the control group(t=-2.230, p=.030). Conclusions: Even though we could not found a consistent effect with the SP6 acupressure, It was found that there was effect on shortening length of delivery time by 15 minutes of SP6 acupressure or lessening labor pain by 30 minutes of SP6 acupressure without risk of blood loss. It is necessary to replicate the study with a larger number of participants to find a consistent result.

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쌍태임신에 관한 임상적 고찰;I. 주산기 사망 (Clinical Study in Twin-Pregnancy;I. Perinatal Mortality)

  • 박찬규;곽현모
    • Clinical and Experimental Reproductive Medicine
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    • 제8권1호
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    • pp.23-34
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    • 1981
  • In order to study twin pregnancies, a retrospective survey was carried out in Yonsei University, Severance Hospital. Twin deliveries during 1967-1976 numbered altogether 264, and their relative frequency was 1.30%. Clinical palpation in addition to auscultation and roentgenologic technique had been used in the twin diagnosis. The diagnosis was made prior to delivery in 93.18% of the cases. The deliveries took place in the 37.26th (S.D. 3.95) gestational weeks on an average. The mean weights of the infants were-A (first baby) 2416.03g. (S.D. 802.61), and B (second baby) 2299.81g. (S.D. 190.31). The most common manner of twin delivery was spontaneous vaginal delivery. Cesarean section was done in 14.39%, of which the most common indication was hypotonic uterine dysfunction (34.21 %). Low one minute Apgar scores occured more often in B twins than among A twins. Breech delivery gave low one minute Apgar scores more often than did spontaneous vertex delivery in both twins. Full term twins and infants weighing more than 2500g. had fewer low one minute Apgar scores than the preterm infants and those with low birth weight. Perinatal mortality (PNM) in the total series was 14.77% (A 12.50% and B17.05%). The most common cause of perinatal mortality was prematurity in 44.87%. The worst outcome was recorded for the age groups 15-19 and ${\geqq}$40, in which perinatal mortality were 50.00%, respectively. The perinatal mortality of both A and B infants was lowest in the group diagnosed early during antenatal care before delivery. On the basis of our findings, we wish to emphasize particularly the importance of the early diagnosis of twins.

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