A prenatal chromosomal microarray (CMA) is generally recommended when a major anomaly is suspected on prenatal ultrasonography. As it can overcome the limitations of conventional karyotyping, it is expected that the number of prenatal CMA test requests will gradually increase. However, given the specificity of prenatal diagnosis, there are practical considerations compared to postnatal testing, such as the validation of prenatal specimens, maternal cell contamination, precautions when reporting variants of uncertain significance, and the need for comprehensive genetic counseling considering secondary findings. The purpose of this article is to provide necessary information to health care providers in consideration of these issues and to provide appropriate genetic counseling to patients.
This study was aimed at (1) investigating expectant mothers' prenatal attachment according to variables (age, gestational weeks, perceived health condition, anticipating the gender of the fetus, marriage duration, and parity), (2) analyzing correlations among their prenatal attachment, spousal support, and parenting efficacy, and (3) examining the role of prenatal attachment as a mediator between spousal support and parenting efficacy. For this purpose, 221 expectant mothers living in Seoul completed a 55-item survey. The collected data were analyzed by t-test, one-way ANOVA, Pearson's correlation coefficients, and regression analyses. The findings of this study were as follows. First, among the variables, gestational weeks, perceived health condition, marriage duration, and parity showed significant differences in the scores for the overall prenatal attachment and subordinate factors. Second, there were positive correlations between the expectant mothers' prenatal attachment and spousal support and between their prenatal attachment and parenting efficacy. Third, the expectant mothers' prenatal attachment proved to mediate between spousal support and parenting efficacy. These findings shed light on the significance of prenatal attachment and spousal support during the pregnancy period; therefore, it is essential to develop education programs for expecting parents to enhance prenatal attachment and spousal support and to conduct follow-up studies to verify the effectiveness of the programs.
The purpose of this study was to assess pregnant women's knowledge of, attitude to, and satisfaction with prenatal ultrasound and to determine the factors that influence their perception. A self-administered questionnaire survey was completed by two hundred eighty five pregnant women who visited the obstetric departments of three hospitals located in Seoul from October 17, 2000 to October 28, 2000. The major results are as follows. 1. Overall, the respondents did not fully understand the purpose of prenatal ultrasound. 92.2% of respondents stated that the main purpose of prenatal ultrasound was to check the fetus' age, growth and development but only 44.5% of respondents were aware of the fact that chromosomal abnormalities cannot be diagnosed only by prenatal ultrasound. The majority of respondents were aware of the diagnostic limitations of ultrasound. 2. While the majority of respondents were aware of the importance of pre-examination information, only 31.8% of respondents received such information from their health care providers. 3. Regarding the examination quality, 80.3% of respondents were satisfied with the competency of the examination. But more than 50% of respondents stated the cost and waiting time were not acceptable. 4. The knowledge of, attitude to, and satisfaction with prenatal ultrasound showed statistically significant differences according to the characteristics of each hospital. 5. From multiple regression analysis, the major components for knowledge of prenatal ultrasound were characteristics of hospitals, religion, income and gestational age. The major components for attitude toward prenatal ultrasound were characteristics of hospitals, religion and gestational age. The major components for satisfaction with prenatal ultrasound were characteristics of hospitals, income and drinking during the pregnancy. In conclusion, the respondents' perception of prenatal ultrasound is considerably low. More effective educational material or programs with prenatal ultrasound information should be provided to pregnant women prior to prenatal ultrasound examination. New strategies such as process reengineering are recommendable to increase the satisfaction with prenatal ultrasound.
This study investigated unmarried college students' knowledge of sex and cognition of prenatal education. It also aimed to provide insights into how college students' awareness of prenatal education may be raised and to make future married couples practice prenatal education. This study used a descriptive correlational research design. Participants were 346 college students in North and South Jeolla Province. Descriptive statistics with the SPSS WIN 12.0 program were used to analyze the collected data. Important findings were as follows: The mean knowledge of sex was .55, which was near moderate level. The mean cognition of prenatal education was 4.08, which was near high level. Knowledge of sex was influenced significantly by sex and major, whereas cognition of prenatal education was influenced significantly by sex. Thus, it was found that when considering how to raise the cognition of prenatal education and sexual knowledge of sex, both gender and major are important factors to consider.
The purpose of this study was to survey the degree of awareness and practice concerning prenatal care among Korean women. In this study, 626women in Seoul, Sungnam City, and Yangju Kun were randomly selected to be given a questionare that was formulated by the researcher. The statistical analysis of the data was obtained by percentage scores and $X^2$ scores on each item by age, educational background, and regional areas. The general out come of the study were as follows. A. The Practice of Prenatal Care 1. Physical Activities: Concerning the hard work, about a half of the women took care of it by themselves, and the others treated it with help. Also it was found that they tried to reduce the amount of travel as much as possible during pregnancy. 2. Dietary Intake: It was revealed that no significant change were observed before and during pregnancy. 3. Drugs: It was revealed that they tried to avoid drugs as much as possible during pregnancy. 4. Emotion: About a half of the women said that the family atmosphere did not change before and during pregnancy. The others said it had improved after pregnancy. In their spare time, most pregnant women rested in bed, read books, and listened to music. 5. Husband's Support: Most of the women expressed that they needed thief-husband's support absolutely, especially with hard work. They moderated the sexual activities when they found that they were pregnant. B. Degree of awareness for Prenatal Care 1. Perception of Prenatal Care: Most women heard about prenatal care at least one time through family, friend, or mass-media. 2. Necessity of Prenatal Care: Most women recognized the necessity of prenatal care, and they thought that the relaxation of body and mind was important during pregnancy. 3. Influence of Prenatal Care: It was revealed that most women recognized the positive influence of prenatal care to the neonate. 4. Practice of Prenatal Care: It shown that the most of pregnant women took serious interest in prenatal care and they tended to be careful during pregnancy. Generally speaking, the difference in educational background seemed to affect most to the pregnant women's awareness and practice of prenatal care: the higher the educational achievement, the more cautious about the prenatal care. The difference in region seemed to affect considerably in most aspects of practice: women in urban areas preceeded the rural women in prenatal care. The age difference seemed to affect least in their prenatal care except the younger generation took more care in avoiding the use of drugs.
Purpose: This study was to examine the relationship between health perception, prenatal care behaviors and health promoting behaviors of unmarried pregnant women. Method: The subjects were 97 unmarried pregnant women. The data was collected through personal interviews using a questionnaire. Adjusted instruments were the health perception scale developed by Ware, prenatal care behavior scale developed by Lee, and health promoting behavior scale developed by Pender. Data was analyzed by descriptive statistics, t-test, ANOVA, and the Pearson correlation coefficient with SPSS program. Result: The mean score of health perception was 3.3, and Resistance-Susceptibility was the highest. The mean score of prenatal care behaviors was 2.9, while that of health promoting behaviors was 2.5. The relationship between health perception and prenatal care behaviors was significant(r=0.268, p=.008). The relationship between prenatal care behaviors and health promoting behaviors was also significant (r=0.633, p=.000). Conclusion: The higher the health perception of unmarried pregnant women, the more they are concerned about good prenatal care behaviors. Unmarried pregnant women did well on health promoting behaviors when they had are high degree of good prenatal care behaviors. Therefore, in order to promote positive health perceptions of unmarried pregnant women, it is necessary to develop and adjust various education and supporting programs.
Park, Jee-hyun;Bae, Jae-ryong;Ha, Jeong-A;Hong, Seung-cheol
Journal of Korean Medical Ki-Gong Academy
/
v.11
no.1
/
pp.284-325
/
2009
This study aims to investigate the educational significance in modern education by analysis on the contents of taboo in the Korean traditional prenatal education. For this study, the concrete matters are prepared for investigation as follows: First, the contents of prenatal education are analyzed with special reference to the Chinese bibliography and the Korean bibliography related to its own traditional prenatal education. Second, the contents of taboo in prenatal education are broadly classified into Chun-ki(天忌), Chi-ki(地忌), and In-ki(人忌), and in turn, In-ki is classified into taboo related to clothing, taboo related to food, Taboo related to housing, and man's taboo, and all of them are interpreted. Third, the characteristics of taboo in the Korean traditional prenatal education and its principle are analyzed, and its significance is researched from the modern educational point of view. This study attempts to classify the contents of taboo into Chun-ki, Chi-ki, In-ki, and man's taboo based upon analysis of the documentary records related to the traditionary prenatal education in China and Korea for the successful investigation. The characteristic such as common discipline, the time limit and prevention are induced on the basis of this investigation, and its modern educational significance as follows: First, prenatal education must be conduced as a part of youth education and preparatory parents education for the married couple. Second, man or husband plays a very important role of practising taboo in prenatal education. Third, taboo in prenatal education is very suggestive in the aspect of human relationship and mental health of the pregnant woman. Fourth, it prevents her obesity and strain. Fifth, the scientific proof and education of taboo related to food must be needed.
A comparative study was conducted to identify the effects of prenatal education on primiparas' self-confidence, satisfaction in maternal role performance and perception of delivery experience. Data were collected from 91 primiparas from August 1 to 30, 2001 using structured questionnaires. The subjects were selected from 2 OB & GY hospitals which operate the same prenatal education programs in M city. One group of subjects was primiparas who did receive prenatal education (n= 44) and another group of subjects was primiparas who did not receive prenatal education (n= 47). This study hypothesized that primiparas in education group would have higher self- confidence, satisfaction in maternal role performance and perception of delivery experience than those of non-education group. Descriptive statistics, $x^2$-test, t-test, and correlation were used for data analyses. The results of this study were as follows: 1. Primiparas in prenatal education group would not have better perception of delivery experience than those of non-education group (t=1.405, p = 0.163). 2. Primiparas in prenatal education group would have higher self-confidence in maternal role performance than those of non-education group (t=7.669, p=0.000). 3. Primiparas in prenatal education group would have higher satisfaction in maternal role performance than those of non- education group (t=4.115, p = 0.000). 4. There was significant correlations between self-confidence and satisfaction (r=0.489, p=0.000). Moreover, there was significant correlation between self-confidence and perception of delivery experience (r = 0.284, p = 0.006). The results of this study indicated that prenatal education needs to be developed and applied to nursing practice to increase self-confidence and satisfaction in maternal role performance. Experimental studies are needed to identify the effect of prenatal education.
This study is to investigate the main factors influencing prenatal attachment. The research method is on the basis of descriptive correlational study, and data collecting period was from 11 to 29, November, 2003. The objects of this study were 100 pregnant women of two OBGY Hospitals in Masan. Using the SPSS/WIN 10.1 program the data were analyzed by t-test, ANOVA, Pearson correlation coefficient, stepwise multiple regression analysis. The result of this study was as follows : The mean score of prenatal attachment was 2.64, the mean score of physical discomforts, 1.61, the mean score of husband-wife attachment, 3.28, the mean score of psychosocial adjustment of pregnancy, 1.82. The degree of prenatal attachment according to general characteristics was significantly difference according to religion. The degree of prenatal attachment according to obstetrical characteristics was significantly difference according to Lamaze class, Taekyo. Significant correlations of prenatal attachment was found in both psychosocial adjustment of pregnancy, Taekyo, husband-wife attachment, Lamaze class, religion. Stepwise multiple regression analysis showed that 52% of the variance in prenatal attachment was significantly accounted by psychosocial adjustment of pregnancy(34%), Taekyo(6%), husband-wife attachment(5%), Lamaze c1ass(5%), and religion(3%). Further findings of this study support the development of creative strategies to enhance positive attachment relationship for pregnant woman.
The Journal of Korean Academic Society of Nursing Education
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v.19
no.4
/
pp.675-683
/
2013
Purpose: Nineteen articles were analyzed to gather opinions and nursing implications about NIPT recently launched. Methods: Nineteen articles were selected from EBSCO (eBook business collection), Google Scholar, and two Korean academic d-bases with key words 'prenatal screening testing', 'prenatal genetic diagnostic testing', NIPT or 'cell free DNA (cfDNA)'. Authors developed a framework for analyzing the 19 articles including opinions and suggestions for future implications. Results: Eleven articles written by the first author affiliated with medicine or genetics, viewed NIPT as promising because of safety, accuracy, early detectability and cost effectiveness. Articles written by journalists or authors affiliated with history and ethics were concerned with the possible risk of ELSI (ethical, legal, social issues), erratic interpretation of test results, and lack of genetic counseling service. Conclusion: With consideration of Korean clinical, and legal circumstances, not only pregnant women and families but also health professionals must prepare for clinical NIPT implications including updating prenatal genetic testing, counseling services, protecting ELSI and amulticultural team approach.
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