• Title/Summary/Keyword: swaddling

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Implementation of the Feed and Swaddle Technique as a Non-Pharmacological Strategy to Conduct Brain Magnetic Resonance Imaging in Very Low Birth Weight Infants

  • Yoo, Yeong Myong;Park, Ji Eun;Park, Moon Sung;Lee, Jang Hoon
    • Neonatal Medicine
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    • v.28 no.3
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    • pp.108-115
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    • 2021
  • Purpose: Magnetic resonance imaging (MRI) is a useful tool for evaluating brain injury and maturation in preterm infants and often requires sedation to acquire images of sufficient quality. Infant sedation is often associated with adverse events, despite extreme precautions. In this study, the swaddling technique was investigated as an alternative non-pharmacological strategy to obtain brain MRIs of sufficient quality. Methods: We applied the feed and swaddle technique during routine brain MRI as a quality improvement project and compared its morbidity with that of sedation in a historic age-matched group. Seventy-nine very low birth weight infants in the neonatal intensive care unit of Ajou University Hospital (Suwon, Korea) were enrolled. Thirty-two (40.5%) infants were in the feed and swaddling group, and 47 (59.5%) were in the sedation group. Results: The morbidity associated with the cardiopulmonary system (swaddling group vs. sedation group: 53.13% [n=17] vs. 63.83% [n=30], P=0.723) and central nervous system (40.63% [n=13] vs. 29.79% [n=14], P=0.217) were not significantly different between groups. The MRI failure rate was not significantly different (swaddling group vs. sedation group: 12.5% [n=4] vs. 4.3% [n=2], P=0.174). The MRI scanning time was longer in the swaddling group than in the sedation group (76.5±20.3 minutes vs. 61.5±13.6 minutes, P=0.001). Cardiopulmonary adverse events were significantly less common in the swaddling group than in the sedation group (3.13% [n=1] vs. 34.04% [n=16], P=0.002). Conclusion: The success rate of MRI was comparable between the swaddling technique and sedation. Furthermore, despite the drawback of prolonged scan time, cardiopulmonary adverse events are fewer with swaddling than with sedative agents. Therefore, swaddling can be an alternative to sedation or anesthesia when performing neonatal MRI scans.

Ethnographies of Clothing in Incheon Province( I )- Focus on passage ritual clothes - (민속조사를 통해 본 인천지 역의 의생활( I ) - 통과의례복식 중심 -)

  • Chang In-Woo
    • Journal of the Korea Fashion and Costume Design Association
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    • v.7 no.2
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    • pp.51-60
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    • 2005
  • This ethnography is on the passage ritual clothes in Incheon province. This ethnography invatigates in two villages of people who has same family name -Family 'Cheung' (from Young-il) in Yeonsoo-dong and Family 'Lee'(from Cheun-joo) in dongyang-dong- in August to December 2003. The object of examination is 80's and 70's old women who have lived and had lived up to recent in two villages. (grand mother Sung, Cho, Cheung and yoon) The clothes of passage ritual are Baenaeoht is the first clothes of the newborn baby(swaddling), A wedding ceremony clothe is the clothing for the coming-of-age ceremony, Honryebouk is the clothing for wedding, Sangbouk in the clothing for mourning, shroud is the clothing for the dead, sacrificial robes. The result of ethnogrphy is the passage ritual clothes in Incheon Province similar with other Provinces in aspect of the name and the form and wearing of the clothes. there are remarkable differences in making method from making by oneself to purchase(swaddling$\cdot$shroud), westernize(clothes for wedding and mourning), simplification (sacrificial) between ritual for their parents and their husband and children.

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A Study on Usage and Satisfaction of Newborn Clothing - Focused on Baenaet Jeogori - (신생아복의 사용 실태 및 만족도 연구 - 배냇저고리를 중심으로 -)

  • Kwon, Sang-Hee;Roh, Eui Kyung
    • Fashion & Textile Research Journal
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    • v.20 no.3
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    • pp.312-322
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    • 2018
  • This study investigates customers' possession, usage, and satisfaction of newborn clothing, and analyzes their satisfaction with textiles of baenaet jeogori (the most basic Korean item of newborn clothing). The survey was conducted on 102 mothers with infants under 24 months old. The baenaet jeogori was the most commonly possessed item, followed by swaddling blanket, shirt and pants set, bodysuit, one-piece, and baenaet gown. About 52.6% of respondents used the swaddling blanket all day, 52% of respondents possessed 4-6 baenaet jeogories, and most respondents used the baenaet jeogori 4 weeks or more. Two most important selection criteria of the baenaet jeogori were textiles and season suitability which are closely related to functionality. Respondents were satisfied with the baenaet jeogori; however, there are a few problems with difficulty in putting and taking off as well as textiles. Most baenaet jeogories chosen by respondents were made of cotton and 68.8% of them were made of eco-friendly textiles. Respondents were dissatisfied with textiles when they are unsuitable for the season. Eco-friendly textiles were chosen for baby health and eco-friendliness, and respondents were satisfied with a baenaet jeogori made of eco-friendly textiles in general. The results show customers' high interest in textiles and the popularization of newborn clothing made of eco-friendly textiles. There was little interest in eco-friendly or safety certification marks despite the significant interest in the functionality and safety of textiles. Therefore, correct information on those certification marks is required.

Risk Factors for Sudden Infant Death Syndrome and Sleeping Practices in Korea

  • Ahn, Young Mee;Yang, Kyung-moo;Ha, Hong Il;Cho, Jung Ae
    • Child Health Nursing Research
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    • v.26 no.1
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    • pp.82-89
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    • 2020
  • Sudden infant death syndrome (SIDS) in Korea remains a poorly-understood subject for both professionals and the public. Recent reports have emphasized ethnic differences in SIDS rates, suggesting that making adjustments in child-rearing practices may contribute substantially to SIDS reduction. Two of the three major risk factors for SIDS-vulnerability of the infant and exogenous factors-need to be understood in particular depth due to their broad scope and sociocultural grounding. This paper presents substantial issues regarding preterm birth and male gender on infants' vulnerability to SIDS in Korea. Practices of caring for healthy infants are addressed in the context of sleeping practices, including sleeping position, bedding arrangements, sleeping on the floor, the back-to-sleep position, high indoor temperatures and ondol floor heating, and swaddling. Professional and social awareness about how to reduce SIDS should be raised by promoting a better understanding of risk factors in the context of ethnic and cultural variations in child-rearing practices.

Types and Transition of Korean Traditional Baby-Carrier (한국 전통 포대기의 유형과 변천)

  • Han, Jaehwi;Lee, Eunjin
    • Journal of Fashion Business
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    • v.24 no.1
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    • pp.60-74
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    • 2020
  • A Podaegi is a square cloth used to carry a baby. Podaegi was an essential necessity for raising baby. However currently Koreans prefer baby-carriers, baby hip-seats, and equipments other than Podaegi. Recently, Podaegi is becoming popular around the world. Therefore, it is necessary to study Podaegi to inform Korea's traditional parenting culture product. In this research, 230 images of Podaegi were collected from paintings, photographs, postcards, films and artifacts from the late 18th century to 2000. The period of study was divided into three phases from the late Joseon Dynasty to before the opening of the port, from the opening of the port to before the liberation, and from the liberation to 2000. Types of Podaegi were categorized according to its shape and how to use. Transition process of Podaegi was examined. Podaegis were categorized into band type, blanket type, combination type, cheone type, modern type, and so on. From the late Joseon Dynasty to before the pre-openings, band type was used. From the opening of the port to liberation, all types of Podaegi appeared. Since the liberation, the use of band and blanket type has gradually decreased. Modern types have been the most popular since the 1960s. Materials of Podaegi became varied and Podaegi became a fashion-item. Later, modern Podaegi became the representative form of Korean traditional Podaegi.

A Study on the differential value 'Podaegi' in Korean Tradition

  • SEO, Jung Hwa;KIM, Ki-Pyeong
    • Journal of Koreanology Reviews
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    • v.1 no.2
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    • pp.19-26
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    • 2022
  • Recently, Podaegi, a traditional Korean childcare product, are spreading abroad like a trend. Sites specializing in the sale of ' Podaegi have been created in the UK, France, and the US, and their popularity is increasing. In addition, China's preference for safe products and demand for global products and premium baby products are rapidly increasing. Nevertheless, the proportion of baby products in Korea is still very small. Therefore, this study seeks to find the differentiated value and direction of development of Podaegi by finding a form and method similar to Podaegi and overseas. The research method was reviewed based on literature research and actual cases. As a result, Podaegi has high practicality and emotional value, and attachment parenting is possible. When the stages of attachment parenting were compared and analyzed, it was confirmed that attachment parenting is possible for a wider age group than others, and that Korean traditional Podaegi has developed differently from Western ones, and that Korean Podaegi is very advantageous for attachment parenting. Therefore, in the future, Korea's Podaegi needs to meet overseas import standards, propose designs that fit the current situation, and promote and develop differentiated values abroad.

Literature Review Nursing Intervention for Developmental Support on Preterm Infants (미숙아의 발달지지를 위한 간호중재에 관한 문헌연구)

  • Kim, Tae-Im;Sim, Mi-Kyung
    • Korean Parent-Child Health Journal
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    • v.4 no.1
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    • pp.35-55
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    • 2001
  • Recently attention has been focused on the effects of early intervention, or its lack, on both normal and preterm infants. Particularly numerous studies suggest that premature infants are not necessarily understimulated but instead are subjected to inappropriate stimulation. Developmental support and sensory stimulation have become clinical opportunities in which nursing practice can impact on the neurobehavioral outcome of premature infants. Developmental care has been widely accepted and implemented in neonatal intensive care units across the country. Increasingly, attention and concern in caring for low-birth-weight infants and premature infants has led clinicians in the field to explore the effects of a complex of interventions designed to create and maintain a developmentally supportive environment; to provide age-appropriate sensory input; and to protect the infant from inappropriate, excessive and stressful stimulation. The components of developmental care include modifications of the macro-environment to reduce NICU light and sound levels, care clustering, nonnutritive sucking, and containment strategies, such as flexed positioning or swaddling. Sensory stimulation of the premature infants is presented to standardize the modification of a developmental intervention based on physiologic and behavioral cues. The most appropriate type of stimuli are those that are sensitive to infant cues. Evaluation of infant physiological and behavioral responds to specific intervention stimuli may help to identify more appropriate interventions based on infants' cues. A critical question confronting the clinician is that of determining when the evidence supporting a change in practice is sufficient to justify making that change. There are acknowledged limitations in the current studies. Many of the studies examined had small sample sizes; used nonprobability sampling; and used a phase lag design, which introduces the possibility of threats to internal validity and limits the generalizability of the results. Although many issues regarding the effects of developmental interventions remain unresolved, the available research base documents significant benefits of developmental care for LBW infants in consistent outcomes, without significant adverse effects. Particularly, although the individual studies vary somewhat in the definition of specific outcomes measured, instrumentation used, time and method of data collection, and preparaion of the care providers, in all studies, infants receiving the full protocol of individualized developmentally supportive care had improvements in some aspect of four areas of infant functioning: level of respiratory or oxygen support, the establishment of oral feeding; length of hospital stay, and infant behavioral regulation. In summary, based on the available literature, individualized developmental intervention should be incorporated into standard practice in neonatal intensive care. And this implementation needs to be coupled with ongoing research to evaluate the impact of an individualized developmental care programs on the short- and long-tenn health outcomes of LBW infants.

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