• 제목/요약/키워드: mother's child feeding practice

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Benefits of a Dedicated Breastfeeding Facility and Support Program for Exclusive Breastfeeding among Workers in Indonesia

  • Basrowi, Ray W;Sulistomo, Astrid B;Adi, Nuri Purwito;Vandenplas, Yvan
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제18권2호
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    • pp.94-99
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    • 2015
  • Purpose: A mother's working environment is believed to be a major determinant of exclusive breastfeeding (EBF) practice. We aimed to define the influence of a facility dedicated to breastfeeding and a breastfeeding support program at the workplace on breastfeeding practice. Methods: A cross-sectional study was performed in five workplaces. The inclusion criteria were female workers whose last child was between 6 and 36 months old. Observational data were obtained and a questionnaire was filled out. The World Health Organization definition for EBF was used. Results: Data from 186 subjects (74 office workers and 112 factory workers) were collected. Just over half (52%) of the mothers were between 20 and 46 years old, 75.3% had graduated from high school and university, 12.9% had more than two children and 36.0% owned a house. The prevalence of EBF during the last 6 months was 32.3%. A proper dedicated breastfeeding facility was available for 21.5% of the mothers, but only 7.5% had been in contact with a breastfeeding support program. The presence of a dedicated breastfeeding facility increased EBF practice almost threefold, by an odds ratio (OR) of 2.74 and a 95% confidence interval (CI) of 1.34-5.64 (p<0.05). Knowledge of the breastfeeding support program increased EBF practice by almost six times (OR, 5.93; 95% CI, 1.78-19.79) (p<0.05). Conclusion: Our findings suggest that Governments should make it obligatory for employers to offer a breastfeeding support program and a dedicated breastfeeding facility at the workplace as these simple measures significantly increase EBF.

부산시 영세지역 취업여성들의 영유아 양육실태 (Child Rearing Practice of Working Mothers in a Poor Area of Pusan)

  • 황연자;박정한
    • Journal of Preventive Medicine and Public Health
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    • 제22권3호
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    • pp.389-397
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    • 1989
  • 도시 영세지역 취업여성들의 자녀양육에 어떤 문제점이 있는지 알아보기 위해 부산시 연산3동 영세민지역에 거주하는 여성 가운데 6세미만의 어린이가 있는 201명을 (비취업여성 150명, 취업여성 51명) 가정 방문하여 미리 준비된 설문지를 이용하여 1989년 4월 10일부터 1989년 5월 10일까지 어머니들과 직접 면접조사하였다. 취업여성들의-78.5%가 경제적 이유 때문에 취업하고 있었으며 31.4%가 주당 60-69시간을 근무하고 있었고 평균 월 수입이 10-19만원인 여성이 33.4%, 20-29만원이 25.4% 였다. 자녀들의 생후 6개월이내의 영양방법은 비취업여성의 66.0%가 모유를 준데 비해 취업여성에서는 49.0%로 취업여부와 수유방법 사이에 통계적으로 유의한 상관관계를 나타내었다(p<0.05). 모유수유를 하지 않은 이유는 비취업 여성은 58.9%가 젖이 부족해서 인데 비해 취업여성의 63.6%가 직장때문이었다. 자녀연령에 맞추어 접종해야 할 기본예방접종은 비취업여성의 82.0%가 완료된데 비해 취업여성은 70.5%가 완료되었으나 접종 여부와 취업여부와는 통계학적으로 유의한 상관관계는 아니었다. 자녀사고 경험률은 비취업여성이 17.3%인데 비해 취업여성은 23.5% 였으며, 사고의 종류는 비취업여성에서는 칼이나 장난감을 갖고 놀다가 다친 외상이 34.6%, 낙상이 26.9%인데 비해 취업여성은 교통사고, 낙상이 각각 25.0%였는데 교통사고는 14세 이하의 형이나 언니가 돌보는 중에 일어난 것이 많았다. 자녀사고 발생시 어머니가 하고 있었던 일은 비취업여성의 73.1%가 집에 있었는데 비해 취업여성의 경우 어머니가 직장에 있는 동안 사고가 난 경우가 58.3%였다. 취업여성들의 자녀관리방법은 집안의 어른(친척이나 조부모)이 돌보는 경우가 58.7%로 가장 많았고 14세이하의 형이나 언니가 돌보는 경우가 15.7%였으며 자녀관리자 없이 혼자 두는 경우가 3.9% 였다. 비취업여성중 48.0%가 아이를 맡길수만 있으면 취업하겠다고 하였다. 따라서 영세민의 경제적 자립을 도모하고 영유아의 보호와 건강증진을 위해 큰 경제적 부담없이 믿고 맡길 수 있는 탁아소나 유아교육시설이 절실히 요구된다고 하겠다.

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계획된 간호 중재가 미숙아 어머니의 스트레스, 모성 역할 긴장과 역할 수행에 미치는 영향 (Effect of Planned Nursing Intervention on the Stress, the Maternal Role Strain, and the Maternal Role Performance of Mothers of Premature Infants)

  • 정경화
    • Child Health Nursing Research
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    • 제5권1호
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    • pp.70-83
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    • 1999
  • The birth of a premature infant is distressing for its parents. The parents of a premature infant experience stress according to the infant's physical appearance and behavior, the environment of the neonatal intensive care unit (NICU) , and the alteration in the parental role. Especially, a mother of a premature infant feels distressed even after the discharge of the infant : therefore, she has difficulties in maternal role performance. The main purpose of this study is to identify the effects of the planned infant care information program in order to lower the stress level for mothers of premature infants caused by the birth and hospitalization in NICU of premature infants, to reduce the maternal role strain, and to promote the maternal role performance after the infants' discharge. This study employed two methods of research at the same time : quasi -experimental non-equivalent pre and post test to compare : non-equivalent post test to compare. The total number of subjects was 19 who were assigned to the research program : 12 mothers of premature infants at the NICU at the Ch university hospital and 7 at the NICU at the Y general hospital located in Chounju city. The data were collected for 79 days from August 18 to November 5, 1998. The questionnaire method was applied for the data collection, and the measures used in this study were Parental Stressor Scale : NICU(Miles, 1993), the Maternal Role Strain Measures ( Hobbs, 1968 ; Steffensmeier, 1982) , and Self Confidence Scale (Pharis, 1978). Research procedure is as follows : after preliminary examination, the experimental subjects, the mothers of premature infants at the Nl CU at Ch university hospital were provided with slide films and information developed by the researcher based on existing documents and data. It took two 60-minute sessions a week for two weeks, and the mothers' stress level was measured using the same instrument twice one week and two week after the infants' hospitalization. The stress level of the contrast subjects, the mothers at Y general hospital was measured during the same period. The experimental subjects were provided with booklets on matters that require attention after the infants' discharge and on developmental project, and they were educated to play the maternal role in person for 2-3 hours a week : breast-feeding, burping a baby, and changing diapers. One week after the infants' discharge, the maternal role strain and the maternal role performance were examined in two groups of the subjects. The analysis of collected data was done using descriptive statistics including real numbers, percentages, averages, and standard deviations. Mann-Whitney test ; x² test ; Repeated Measures Analysis of Variance ; ANCOVA Spearman's rho correlation coefficients. The results on this study were as follows. (1) The examination of the same quality showed that there were no differences in the general and obstetrical characters between the two groups. However, in terms of the characters of premature infants. just right after their birth, the infants at the contrast group weighed more than those at the experimental group(U=16.5, p=.02), and the former was in mother's womb longer than the latter(U=15.5, p=.02). (2) The stress level of the mothers provided with the plannned nursing intervention program became lower as time passed compared to the others'(F=16.61, p=.00) Even when the influence of weight at birth and the length of gestation was removed among the premature infants' characters, the mothers' stress levels made a statistical difference 2 weeks after the infants' hospitalization depending on treatment (F=8.00, p=.01) (3) The maternal role strain of the mothers provided with the planned nursing intervention program was lower than the others'(U=2.0, p=.00). Even when the influence of weight at birth and the length of gestation was removed among the premature infants' characters, the maternal role strain levels made a statistical difference 2 weeks after the infants' hospitalization, depending on treatment(F=14.72, p=.00). (4) The maternal role performance level of the mothers provided with the planned nursing program was higher than the others'(U=.0, p=.00). Even when the influence of weight at birth and the length of gestation was removed among the premature infants' characters, the mothers' stress levels made a statistical difference 2 weeks after the infants' hospitalization, depending on treatment(F=8.00, p=.01). (5) The correlation between a mother's stress level 2 weeks after her infant's hospitalization, the maternal role strain and the maternal role performance were compared : the stress and the maternal role strain were statistically irrelevant to each other(r=.33, p=.12) : the stress was found to be in inverse proportion to the maternal role performance(r=-.53, p=.02). The maternal role strain was in inverse proportion to the maternal role performance as well(r=-.50, p=.00). In conclusion, for the mothers provided with the planned nursing intervention program, their stress level was getting lower as time passed during the infants' hospitalization, their maternal role strain reduced when they took care of their infants after their discharge, and their maternal role performance level was high compared to the other mothers. Besides, the lower the stress level of mothers of premature infants was during the infants' hospitalization, the higher the maternal role performance after their discharge was. The lower maternal role strain was, the higher the maternal role performance was as well. These results of the study suggested that the nursing intervention program for the mothers of premature infants developed by the researcher would be effectively applied to nursing practice, and it would be a foundation for the development of this kind of program.

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임부의 구강건강관리지식에 대한 조사 연구 -영유아기 구강관리 내용 중심 고찰 - (Study on the knowledge regarding caries prevention among pregnant women)

  • 진보형;허성윤;신명미
    • 치위생과학회지
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    • 제2권1호
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    • pp.21-24
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    • 2002
  • 임신기 구강관리와 영아의 구강관리에 대한 지식은 구강병을 예방하기 위하여 가장 기본이 되는 것이며, 구강관리는 습관화 되는 과정이라는 점을 감안할 때 이 시기의 관리가 무엇보다도 중요하다고 할 수 있다. 그러므로 연구자들은 임부들의 영아구강관리에 대한 지식을 살펴보고, 영유아기 우식증에 대한 인식정도를 파악하며, 임부들의 구강관리지식에 대한 잘못된 내용 포함정도를 살펴보기 위해 서울시 보건소와 유관업체에서 주관하는 임산부 건강교실에 참가한 임부 330명을 무작위 표본추출하여 개별면접방식으로 진행한 연구를 통해 다음과 같은 결론을 얻었다. 1. 임부들이 구강병을 중대한 문제로 생각하고 있는 비율은 82% 이었고, 잇솔질의 중요성을 인식하고 있는 비율은 94% 이었다. 2. 영유아기 우식증을 인지하고 있는 비율은 42% 이었고, 임신경험별로 통계적으로 유의한 차이가 인정되었다(p<0.05). 3. 영유아기 우식증 원인 중 잘못된 수유습관을 인지하고 있는 비율은 58% 이었고, 잘못된 모유습관에 의한 우식발생 가능성에 대한 인지율은 43% 이었으며, 임신경험별로 통계적으로 유의한 차이가 인정되었다(p<0.05). 4. 임신 중 태아는 모체의 치아로부터 칼슘을 빼앗아 간다고 인지하는 비율이 82% 이었다. 5. 임신 중 치과치료를 금하는 것이 안전하다고 인지하는 비율은 71% 이었다. 영아구강관리 및 임신기 구강관리에 대한 정확한 지식을 습득하고 있는 비율이 상대적으로 낮았고, 임신기 구강건강증진을 위한 프로그램의 개발과 정확한 구강관리 정보를 체계적으로 제공해 줄 수 있는 기회의 마련이 시급하다고 검토되었다.

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