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A Case Study on Changes in Perceptions of Childbirth among Women in Relation to the Korean Childbirth Encouragement Policy (출산장려정책으로 인한 여성의 출산의식 변화에 관한 사례연구)

  • Lee, Myung-Ho
    • Journal of Family Resource Management and Policy Review
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    • v.17 no.4
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    • pp.127-144
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    • 2013
  • The low birth rate in Korea reflects the declining desire to have children in this country due to rising emphasis on personal lifestyle. Since this phenomenon has accelerated, boosting the birth rate has become one of the most important policy tasks in Korea. The purpose of this research was to perform a case study based on women's lived experience to understand how the childbirth encouragement policy promoted by the government in order to boost the birth rate has affected the perception of childbirth among women. The findings are as follows : First, the effect of the childbirth encouragement policy on women's perceptions has been fairly low. Second, the social environment for encouraging childbirth is inadequate. Third, the economic burdens associated with childbirth and child care are still significant. Finally, the impact of the childbirth encouragement policy on changes in the perceptions of childbirth has been minimal. Based on these findings, various motivations for changes in the perceptions of childbirth among women were identified, leading to the following conclusion: Establishing a long-term childbirth encouragement policy is an effective way to boost the childbirth rate.

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Development and Evaluation of Breastfeeding Promotion Program for Mothers with Breast Engorgement following Cesarean Birth (유방울혈이 있는 제왕절개분만 산모를 위한 모유수유 증진 프로그램의 개발 및 평가)

  • Cho, Jeongsug;Ahn, Sukhee
    • Journal of Korean Academy of Nursing
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    • v.44 no.2
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    • pp.170-178
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    • 2014
  • Purpose: This study was to develop a breastfeeding promotion program and to test effects of the program on levels of breast discomfort, breast size, sodium in breast milk, and type of feeding in mothers with breast engorgement following cesarean birth. Methods: A non-synchronized non-equivalent control group pretest-posttest design was used in this study. The participants were 70 postpartum mothers who were admitted to a postpartum care center and experienced breast engorgement following cesarean birth. The planned nursing intervention was the breastfeeding promotion program consisting of breast massage and 1:1 breastfeeding education, counseling, and support focusing on individualized problem solving provided for 10 days. Fifty-three women completed the program (experimental group 26, control group, 27). Measurements were level of breast discomfort, breast size, sodium in breast milk and type of feeding at pre and posttest. Results: Women who participated in the program experienced lower scores for breast discomfort, greater decrease in breast size, lower levels of sodium in breast milk, and practiced breastfeeding more than those in the control group. Conclusion: Results indicate that this breastfeeding promotion program is effective in reducing breast engorgement and improving breastfeeding practices, and is therefore recommended to enhance breastfeeding promotion practice in postpartum care centers.

Association between housing status and demographic factors in later life (노년기 주거상황과 인구학적 요인과의 관련성에 관한 연구)

  • 이인수
    • Journal of the Korean housing association
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    • v.12 no.2
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    • pp.161-169
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    • 2001
  • This study has been performed to analyze association between general housing status and demographic characteristics such as family extension period, total fertility within a family, male birth rates, and birth order among the elderly in Korea. In this study, 183 subjects aged late 60s to 70s were interviewed for their childbearing history under legal marriage and current housing status such as tenure, residence(urban vs rural), and household composition. In this study , average term from the first to the last birth is 11.88 years, and total number of live births is 4.51. The average rate of male firths among live births within a family is 0.532, which is close to data of Korean statistical office in 1995. There were some association of housing status and the fertility; those living in rented units have longer family extension period and rural elderly have higher rate of male children. in addition, there is a significant impact of birth order on tenure. Majority of the first-born subjects were home owners by virtue of bequeath eligibility, and the rate of home owners was 50% higher than the second-born group. Overall in this study, it is recommended that when planning elderly living facilities, service policies be differentiated by both housing & fertility characteristics.

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Successfully treated infective endocarditis caused by methicillin-resistant Staphylococcus Aureus in extremely low birth weight infant

  • Jung, Sehwa;Jeong, Kyung Uk;Lee, Jang Hoon;Jung, Jo Won;Park, Moon Sung
    • Clinical and Experimental Pediatrics
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    • v.59 no.2
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    • pp.96-99
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    • 2016
  • Survival rates of preterm infants have improved in the past few decades, and central venous catheters play an important role in the intensive medical treatment of these neonates. Unfortunately, these indwelling catheters increase the risk of intracardiac thrombosis, and they provide a nidus for microorganisms during the course of septicemia. Herein, we report a case of persistent bacteremia due to methicillin-resistant Staphylococcus aureus in an extremely low birth weight (ELBW) infant, along with vegetation observed on an echocardiogram, the findings which are compatible with a diagnosis of endocarditis. The endocarditis was successfully treated with antibiotic therapy, and the patient recovered without major complications. We suggest a surveillance echocardiogram for ELBW infants within a few days of birth, with regular follow-up studies when clinical signs of sepsis are observed.

A Comparative Study on Birth Outcomes between Korean Women and Immigrant Women (한국여성과 결혼이주여성의 출산결과 비교)

  • Kim, Moon-Jeong
    • Women's Health Nursing
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    • v.17 no.4
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    • pp.407-414
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    • 2011
  • Purpose: The purpose of this study was to compare birth outcomes between Korean women and immigrant women. Methods: Medical records were reviewed retrospectively from 201 immigrant women and 201 Korean women who delivered babies at K women's hospital in U city from January 2006 to December 2009. Maternal outcomes related factors included nationality, age, obstetric history, delivery type, indications of cesarean section, and complications of pregnancy and delivery. Principal neonatal outcomes were birth weight, Apgar scores, and complications of newborns. Results: Immigrant women were younger and had fewer pregnancies, abortions, and surviving children than Korean women. The rate of primary cesarean section and its indication in immigrant women were not significantly different from Korean women. However, immigrant women's newborn were more likely to have low birth weight and meconium staining. Conclusion: The results of this study indicate less equity of immigrant women in women's health care, although immigrant women's babies had lower Apgar score and more meconium staining. Nurses should help immigrant women cope with labor process effectively to prevent adverse health outcomes for their newborns.

Dairy Potential of Pabna Cows and Crossbreds with Sahiwal and Friesian and Within- and Between-Breed Sire Effects

  • Hoque, M.A.;Amin, M.R.;Hussen, M.S.
    • Asian-Australasian Journal of Animal Sciences
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    • v.12 no.2
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    • pp.161-164
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    • 1999
  • Dairy performances of Pabna cows and its crossbreds with Sahiwal (SL) and Friesian (F) in the Baghabarighat dairying area of Bangladesh were evaluated. Four SL and three F sires were used for the crossbreeding. The exotic sire effect of individuals on their daughters were also evaluated in this study. It showed that the genetic group had a significant (p<0.05) effect on birth weight, age at first heat, calving interval, lactation length and lactation yield. The lowest birth weight (17.9 kg), longest age at first heat (39.2 m) and calving interval (16.3 m) shortest lactation length (199 d) and lowest lactation yield (728 L) were found in Pabna cows. The highest birth weight (22.5 kg). shortest age at first heat (25.5 m) and calving interval (13.7 m), longest lactation length (253 d) and highest lactation yield (1936 L) were found in the F crossbreds. Within the same breed, the effect of individual sire was significant (p<0.05) on age at first heat, lactation length and lactation yield. Individual sire effects of SL bulls differed significantly (p<0.05) but F sires had a non-significant (p>0.05) effect on calving interval in their progeny. The fat % and SNF % in milk and number of services required for conception did not differ (p>0.05) among inter-and intra- breed sire groups.

Estimation of Covariance Functions for Growth of Angora Goats

  • Liu, Wenzhong;Zhang, Yuan;Zhou, Zhongxiao
    • Asian-Australasian Journal of Animal Sciences
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    • v.22 no.7
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    • pp.931-936
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    • 2009
  • Body weights of 862 Angora goats between birth and 36 months of age, recorded on a semiyearly basis from 1988 to 2000, were used to estimate genetic, permanent environmental and phenotypic covariance functions. These functions were estimated by fitting a random regression model with 6th order polynomial for direct additive genetic and animal permanent environmental effects and 4th and 5th order polynomial for maternal genetic and permanent environmental effects, respectively. A phenotypic covariance function was estimated by modelling overall animal and maternal effects. The results showed that the most variable coefficient was the intercept for both direct and maternal additive genetic effects. The direct additive genetic (co)variances increased with age and reached a maximum at about 30 months, whereas the maternal additive genetic (co)variances increased rapidly from birth and reached a maximum at weaning, and then decreased with age. Animal permanent environmental (co)variances increased with age from birth to 30 months with lower rate before 12 months and higher rate between 12 and 30 months. Maternal permanent environmental (co)variances changed little before 6 months but then increased slowly and reached a maximum at about 30 months. These results suggested that the contribution of maternal additive genetic and permanent environmental effects to growth variation differed from those of direct additive genetic and animal permanent environmental effects not only in expression time, but also in action magnitude. The phenotypic (co)variance estimates increased with age from birth to 36 months of age.

Reproductive Efficiency and Characteristics of Cloned Miniature Piglets Produced from Domestic Commercial Gilts

  • You, Jin-Young;Jeon, Yu-Byeol;Hyun, Sang-Hwan;Park, Soo-Bong;Lee, Eun-Song
    • Journal of Embryo Transfer
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    • v.25 no.4
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    • pp.215-219
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    • 2010
  • The objective of this study was to examine the reproductive characteristics of cloned miniature piglets produced from surrogate domestic pigs. Somatic cell nuclear transfer (SCNT) miniature pig embryos were transferred into domestic pigs. As controls, domestic pigs of the same breed with surrogates for SCNT embryos and miniature pigs of the same breed with the somatic cell donor were bred by artificial insemination and natural mating, respectively. Surrogate domestic pigs that farrowed cloned miniature piglets had a significantly longer gestation length (118.1 days) than conventionally bred domestic (115.4 days) and miniature (115.5 days) pigs. Furthermore, the birth weight of cloned miniature piglets produced from domestic pigs (743 g) was significantly greater than that of miniature piglets produced by natural breeding (623 g). Also, cloned miniature piglets had a significantly lower weaning rate (49.7%) than conventionally produced domestic (91.5%) and miniature (100%) piglets. No differences were observed between female and male cloned piglets in gestation length, litter size, birth weight, or weaning rate. Our results demonstrate that gestation length is extended in domestic pigs that are transferred with SCNT miniature pig embryos and that cloned miniature piglets have increased birth weight and high pre-weaning mortality.

Effects of a Hospital Based Follow-Up Program for Mothers with Very Low Birth Weight Infants (극소저출생체중아 어머니를 위한 병원중심의 추후관리프로그램의 효과)

  • Kim, Min Hee;Ji, Eun Sun
    • Journal of Korean Academy of Nursing
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    • v.46 no.1
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    • pp.79-89
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    • 2016
  • Purpose: This paper reports the results of a hospital centered follow-up program on parenting stress, parenting efficacy and coping for mothers with very low birth weight (VLBW) infants. Methods: The follow-up program consisted of home visiting by an expert group and self-help program for 1 year. A non-equivalent control group pre-post quasi-experimental design was used. Participants were 70 mothers with low birth weight infants and were assigned to one of two groups, an experimental groups (n=28), which received the family support program; and a control group (n=27), which received the usual discharge education. Data were analyzed using ${\chi}^2$-test, t-test, and ANCOVA with IBM SPSS statistics 20.0. Results: Mothers' parenting stress (F=5.66, p=.004) was significantly decreased in the experimental group. There were also significant increases in parenting efficacy (F=13.05, p<.001) and coping (F=8.91, p=.002) in the experimental group. Conclusion: The study findings suggest that a follow-up program for mothers with VLBW infants is an effective intervention to decrease mothers' parenting stress and to enhance parenting efficacy and coping.

Weight Variation in Term Newborns Hospitalized during Early Postnatal Period (고위험만삭아의 생후 초기 체중변이)

  • Ahn, Youngmee;Kim, Namhee;Lee, Eunyoung;Kwak, Miyoung
    • Child Health Nursing Research
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    • v.21 no.4
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    • pp.339-346
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    • 2015
  • Purpose: This study was performed to explore the weight variations in high-risk term newborns hospitalized during the early postnatal period. Methods: A retrospective explorative study was performed with 64 term newborns who were hospitalized in the NICU after birth. Data on daily weight, birth information, and clinical features such as phototherapy, placements, nutritional status were reviewed through medical records for 14 days of life. General Linear Model, GLM was applied to analyze the weight variation by clinical features of these high-risk term newborns for 14 days of life. Results: Newborns at 40 weeks of gestation showed little weight loss during the few days after birth then steadily gained weight to 7.6% at the 14th day. Infants born at 37-39 gestation showed little weight gain for 14 days though the weight loss itself was not apparent. As well, return to birthweight was not observed in newborns with phototherapy, infants placed on a warmer or infants having gastrointestinal dysfunction for 14 days of life. Conclusion: Even for term newborns, physiologic weight loss may not be warranted even if newborn is born at less than 40 week of gestation, or with high-risk conditions that warrant admission to NICU.