• 제목/요약/키워드: postpartum women

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Benefits of Cervical Cancer Screening by Liquid-Based Cytology as Part of Routine Antenatal Assessment

  • Parkpinyo, Nichamon;Inthasorn, Perapong;Laiwejpithaya, Somsak;Punnarat, Tippawan
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권9호
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    • pp.4457-4461
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    • 2016
  • Purpose: To determine the prevalence of abnormal cervical cytology, as diagnosed using a liquid-based cytology technique, in pregnant women attending the Antenatal Care (ANC) clinic at Siriraj Hospital. Materials and Methods: This cross-sectional study included 655 first-visit pregnant women who attended ANC clinic at Siriraj Hospital during June to November 2015 study period. After receiving routine antenatal care, cervical cytology screening was performed with the Siriraj liquid-based cytology technique. All specimens were reviewed by a certified cytopathologist using Bethesda System 2001 criteria. Patients with abnormal PAP results characterized as epithelial cell abnormalities were referred to a gynecologic oncologist for further management according to ASCCP Guidelines 2012. Results: Mean age of participants was $28.9{\pm}6.2$ years. Prevalence of abnormal cervical cytology was 3.4% (95% CI: 2.0-4.7). Among this group, there were ASC-US, ASC-H, LSIL, HSIL for 12(1.8%), 2(0.3%), 7(1.1%) and 1(0.2%), respectively. In 633 specimens of the normal group, infection was identified in 158 specimens (24.1%) which were caused by Candida spp. and Trichomonas vaginalis. Regarding patient perception about the importance of cervical cancer screening, although most women perceived screening to be important, 54% of participants had never been screened for cervical cancer. Rate of loss to follow-up in the postpartum period was as high as 41.8%. Conclusions: Prevalence of abnormal cervical cytology in pregnant women attending the ANC clinic at Siriraj Hospital was 3.4%. Inclusion of cervical cancer screening as part of antenatal assessment can help to identify precancerous lesions or cervical cancers in patients who might otherwise not be screened, thereby facilitating early treatment and improved patient outcomes.

출산 후 여성의 융합적인 성역할 경험에 관한 현상학적 연구 (Phenomenological Study about the Converging Experience of Women's Gender Role after Childbirth)

  • 이수지;기채린;신기수
    • 한국융합학회논문지
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    • 제9권9호
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    • pp.421-430
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    • 2018
  • 본 논문은 출산 후 여성이 경험하는 성역할과 모성 역할에 대한 의미를 이해하기 위해 개인이 경험한 의미에 초점을 둔 현상학적 방법을 사용한 질적 연구이다. 본 연구 참여자는 서울과 경기도에 거주하고 있으며 출산 후 8주에서 1년 이내의 여성 17명이다. 참가자의 평균연령은 38.1세로 5명의 초산부와 12명의 경산부이었다. 참가자의 여성과 모성의 성역할에 대한 융합적인 경험에 대한 의미를 분석한 결과, 신체의 변화와 고통, 그저 힘이 듦, 기대와 현실의 차이, 남편과 사회로부터의 고립감, 모성이자 여성인 어머니를 생각함, 몸과 마음의 아픔이 승화됨, 여성과 모성의 융합과 해리의 7개의 범주가 도출되었다. 본 연구 결과는 출산 후 여성의 성역할 경험에 대한 일련의 과정을 구성함으로 출산 후 여성의 역할에 대하여 폭넓은 이해를 가질 수 있는 정보를 제공한다는 점에서 의의가 있다. 향후에는 생애주기별 여성의 성역할 경험에 대한 심도 깊은 연구가 필요하며 이를 토대로 여성의 다양한 성역할 규명이 융합적으로 이루어져야 할 것이다.

초산모 영아의 월령별 모유수유양상 및 모유수유건강행위실천에 관한 연구 (Breast-feeding & Breast-feeding Health Behavior among first-time mothers)

  • 박은옥;이건세;장인순;전경자
    • 여성건강간호학회지
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    • 제7권3호
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    • pp.382-392
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    • 2001
  • The purpose of this study is to investigate breast-feeding and breast-feeding health behavior among korean first-time mothers and to provide basic data for promoting breast- feeding. Data were collected by interview or self report from 444 first-time mothers who visited health clinic center in the area of metropolitan, medium or small city, countryside. and whose infants were under 12 months old from January 2001 to February 2001. The results show that breast-feeding was 31.5% in a week after childbirth, 25.8% in 4 weeks after childbirth, 22.7% in 2 months, 17.8% in 3 months, 14.3% in 6 months, 2.5% in 12 months after childbirth. Breast-feeding rate was very low in Korea and the duration of breast-feeding was very short. Breast-feeding health behavior did not show significant differences by general characteristics of the subjects except area. The subjects in the health clinic center with MCN project did better breast feeding health behavior than the subject in the health clinic center without MCN project. To raise breast-feeding rate, several strategy could be suggested. Systemic education about importance and advantages of breast-feeding and desirable breast-feeding method should be provided to pregnant women and postpartum women. Childbirth leave in the work should be prolonged, and supportive facility such as nursery room should be installed for working mothers. Hospitals should follow the guideline of 'Baby Friendly Hospital Initiative' which was provided by UNISEF and WHO, including rooming-in after delivery.

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당뇨병을 가진 임부의 자가 간호와 자기효능감에 대한 출산 전후 비교 (Comparison of self-care and self-efficacy before and after childbirth in Pregnant women with Gestational Diabetes Mellitus)

  • 홍지연;이미준;김성신;이자연
    • 융합정보논문지
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    • 제11권10호
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    • pp.293-301
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    • 2021
  • 본 연구는 당뇨병을 가진 24주 이상의 임부를 대상으로 출산 전과 후의 자가 간호와 자기효능감 정도에 차이가 있는지를 확인하기 위해 실시하였다. 24주 이상의 임부 40명을 대상으로 2018년 5월 24일부터 2020년 5월 23일까지 2년에 걸쳐 출산 전과 출산 후로 나누어 조사하였으며, 수집된 자료는 SPSS 27.0 프로그램을 이용하여 Paired t-test를 이용하여 분석하였다. 연구 참여자의 나이는 35세 미만이 27명(67.5%), 35세 이상이 13명(32.5%)이었다. 자가 간호와 자기효능감 점수는 산전에 비해 산후가 낮아졌고 통계적으로 유의하였다(p< .000). 따라서 출산 후에 자가 간호와 자기효능감을 높이기 위한 간호중재 교육프로그램이 필요하다.

전통적 출산법에 대한 문헌적 고찰 (Study of the oriental medical literature for traditional childbirth)

  • 윤성민;강한주;정우석;장명준
    • 대한의료기공학회지
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    • 제11권1호
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    • pp.117-143
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    • 2009
  • The community of women into society in various fields is expanding, and married late, and accordingly, the first child birth is increasing age. Accordingly, dystocia has also increased. Listed in the literature that the traditional method of birth seemed to oriental medical interpretation of one of the ancient wisdom of the predecessors to explore. The result of this study is summarized as follows. 1. Child birth custom divide into childbirth preparation, childbirth and postpartum care. Postpartum care divide into preparation of the birthplace, food for pregnant woman and birth preparation of the necessary things. 2. Preparation of the birthplace of the court case and that qeen is three months, one month before that in the case of concubines were installed. The difference in manners, and actual number but the configuration of the same item was prepared. In the private, birthplace is installed husband's home or parent's home. 3. Rice and seaweed is food for pregnant woman. San Miguel (产 米), sangwak (山 藿) specifically called was selected by Keep elaborate. 4. 1 month before birth to baby clothing is usually prepared. For the safe of a paturient woman and a baby, magical prescription was practiced in so-guk-so(昭格署) in early chosun dynasty. After so-guk-so(昭格署) abolished magical practice was stopped. Then Wore old clothes based on dong-ui-bo-gam(東醫寶鑑) 5. Im-san-ye-zi-bub(臨产豫智法) specifically to instruct the royal birth is the birth of guidelines. Im-san-ye-zi-bub(臨产豫智法) cosist of birth place, abdominal pain Precautions, food, care after childbirth, remove the plecenta posion, method of cut navel, bath, protection. Through various court records of the situation, according to the guidelines are properly applied based on dong-ui-bo-gam(東醫寶鑑).

일개 한의대 부속 한방병원에 산후풍으로 내원한 환자 104례에 대한 실태 분석 (The Clinical Analysis of 104 Sanhupung Patients that visited at an Oriental Medicine Hospital.)

  • 장세란;박영선;김동철
    • 대한한방부인과학회지
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    • 제23권3호
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    • pp.192-204
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    • 2010
  • Purpose: Sanhupung's pathological conditions is different from non-postpartum's disease. So it is important to analyze Sanhupung's construction, onset factors and Oriental theraphy. Methods: We studied 104 Sanhupung women visiting $\bigcirc\bigcirc$ hospital form January 2008 to December 2009. We analyzed the general characteristics, kinds of symptoms and Oriental theraphy's present condition. Also We compared patients' age, the number of live births and delivery month to the National Statistical Office's results. Results: 1. Patients over the age of 30, who have one child and who gave birth in September(14.42%) and in Summer(43.26%) occupied the highest percentage. But delivery method was not correlated with Sanhupung. 2. Musculo-skeletal symptoms(42.13%) were the most common symptoms. Wrist, waist, knees(59.59%) were the most common pain areas and the other pain symptoms (40.21%) appeared a significant portion of cases respectively. 3. In the 21~30days after delivery, the most patients visited. The number of patients admitted within 30 days after delivery or within 90 days was small comparing with Sanhupung onset. Patients treated within 10 days(47.12%) and treated only herb medicine(54.90%) were the most common. And the patients responded satisfacion or over were 88.46%. Conclusion: Patients' age, the number of born babies, delivery time were correlated with Sanhupung symptoms, but the method of delivery was not associated. And musculo-skeletal symptoms were the most common symptoms. Sanhupung patient's treatment period and methods were limited.

20대 한국 여성의 체위 분석과 도식화 연구 (A Research of Body Size Analysis and Graphing in 20yrs Korean Women)

  • 김동일;박현정
    • 대한한방부인과학회지
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    • 제21권1호
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    • pp.179-198
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    • 2008
  • Purpose: Obesity is already a major clinical problem in Korea, so obesity prevention and treatment practices are gradually interested in Korean Medicine doctors. Moreover subjective body shape image entered as a important medical topic recently. To make a graph system for clinical tool which based on the Korean national standard physical scale. Methods: Physical data of the girth of upper arm, abdomen, hip, buttock, flank, calf, and body weight were statistically analyzed, which collected through the fifth national standard physical scale research. And then reviewed those statistical validation. Results: Relationship of the each body scale data and those graphs were fit and right statistically. Conclusion: These new achieved graph system of Korean standard body scales could be adopt as a useful clinical tool for body image related patients such as obesity, PCOD and postpartum patient.

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채식 수유부의 모유중 수유기간별 칼슘, 인, 마그네슘 함량에 관한 연구 (A Longitudinal Study on Calcium, phosphorous and Magnesium Contents in the Breast Milk of Lacto-ove-vegetarian)

  • 이연주
    • Journal of Nutrition and Health
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    • 제26권8호
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    • pp.974-981
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    • 1993
  • The longitudinal changes on contents of calcium, phosphorous and magnesium of breast milk of 23 Korean lacto-ovo-vegetarians(primiparae=11, multiparae=12) at 0.5, 1, 2 and 3 months postpartum have been studied. The mean ash content of breast milk per 100ml was 0.21g in total lactating women(n=23), and it decreased significantly during lactation(p<0.05). The mean calcium, phosphorous and magnesium contents of breast milk per 100ml were 26.83mg, 14.01mg and 2.72mg, respectively. Body calcium and phosphorous contents decreased significantly during lactation(p<0.05), but magnesium content tended to increase during lactation. There were no significant differences in ash, calcium, phosphorous and magnesium contents between primiparae and multiparae. The ratio of calcium to phosphorus was about 1.95:1 in breast milk and 0.62 : 1 in maternal dietary intake. In calcium and phosphorous, no correlation was found between maternal dietary intake and the concentration in breast milk. This study suggests that the contents of calcium, phosphorous and magnesium in lacto-ovo-vegetarian breast milk are not different from the concentrations of those in non-vegetarian.

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산전후 우울 변화 - 성장혼합모형을 이용한 단기종단연구 (A Short-Term Longitudinal Investigation of Pre- and Postnatal Depressive Symptoms of Korean Women)

  • 신나리
    • 대한가정학회지
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    • 제49권9호
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    • pp.59-72
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    • 2011
  • This study examined whether there are underlying latent classes of growth trajectories of maternal depression in the Korean population. Data from the first phase of the Panel Study of Korean Children (PSKC) of the Institute of Child Care and Education (KICCE) were used for this study. The final sample of participants included 1,471 mothers, who completed three interviews: at birth, at one month, and at four months. A two-class model consisting of depression (12.3%) and non-depression (87.7%) was considered the best-fitting solution using Mplus 3.13. The changes in postnatal depression in the Korean population within four weeks after childbirth, which is the period of "postpartum onset", seem to be important. Logistic regression analysis showed that duration of breast-feeding and planned pregnancy effects were significantly associated with trajectory class membership.

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

  • 이경화;안미선
    • 아동학회지
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    • 제25권1호
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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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