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JOURNAL OF THE KOREAN SOCIETY OF MATERNAL AND CHILD HEALTH

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수록정보
수록범위 : 1권1호(1997)~26권4호(2022) |수록논문 수 : 579
한국모자보건학회지
26권4호(2022년 10월) 수록논문
최근 권호 논문
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KCI등재

저자 : 김기은 ( Ki-eun Kim ) , 이혜정 ( Hyejung Lee ) , 전나영 ( Na-young Jeon )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 4호 발행 연도 : 2022 페이지 : pp. 205-224 (20 pages)

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Purpose: Discharge readiness for parents of high-risk infants is an important predictor of successful transitions from hospital to home, however its assessments criteria require further refining in Korea. The purpose of this study is to provide a comprehensive overview of the measures available for assessing the discharge readiness for parents of high-risk infant and to evaluate the measurement properties of each instrument.
Methods: A literature search for discharge readiness for parents of high-risk infants was performed using 8 electronic databases (MEDLINE, Embase, CINAHL, PsycINFO, Web of Science, KoreaMED, RISS, KISS), using preferred reporting items as per the systematic reviews guidelines. For the quality evaluations of the articles, the COSMIN checklist including content validity, internal structure, and the remaining measurement properties was used.
Results: Among the 23 studies selected, 8 studies were excluded due to lack of information on their instrument's measurement properties while remaining 15 studies were evaluated for the quality of measurement attributes. Overall information on the properties of the instruments was lacking in all studies.
Conclusion: None of the instruments evaluated all the relevant measurement properties. The results of this review suggest that it is necessary to develop a discharge readiness instrument that considers the necessary and relevant characteristics required for successful hospital to home transition for parents of high-risk infants.

KCI등재

저자 : 이수진 ( Postpartum Hemorrhage ) , 강윤단

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 4호 발행 연도 : 2022 페이지 : pp. 225-233 (9 pages)

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Postpartum hemorrhage (PPH) is a major cause of maternal morbidity and mortality. The most common cause of maternal death in Korea is complications related to the postpartum period (obstetric embolism), accounting for 37.5%, while complications of labor and delivery (uterine atony, PPH, etc.) were the second most common cause, accouning for 21.9%. The effective treatment of PPH often requires multidisciplinary intervention. When managing PPH, multiple interventions (medical, mechanical, invasive, and nonsurgical and surgical procedures), which require different levels of skill and technical expertise, may be used to control bleeding. The healthcare provider needs to begin resuscitative efforts quickly, establish the cause of the hemorrhage, and possibly enroll the assistance of other care providers, such as an obstetrician, anesthetist or radiologist. Avoiding delays in diagnosis and treatment will have a significantly impact on sequelae and chances of survival. This review discusses the causes, identification, management, prevention and prediction of PPH.

KCI등재

저자 : 박찬미 ( Chan Mi Park ) , 김현옥 ( Hyeon Ok Kim )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 4호 발행 연도 : 2022 페이지 : pp. 234-244 (11 pages)

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Purpose: This descriptive correlation research aimed to confirm the effect of parents' parenting attitudes on children's life satisfaction and the multiple mediating effects of self-esteem and depression in the relationship based on secondary data analysis.
Methods: This research used data from the Korean Children and Youth Panel Survey 2018, which included a total of 2,596 4th grade elementary school children. The IBM SPSS Statistics ver. 25.0 statistical program analyzed the collected data, and the Process Macro Model 6 analyzed the hypothesis test.
Results: Children's self-esteem and depression in the relationship between parents' parenting attitude and children's life satisfaction had a simple mediating effect, and a significant sequential mediating effect of self-esteem and depression.
Conclusion: In the relationship between parents' parenting attitude and children's life satisfaction, children's self-esteem and depression were confirmed as simple or sequentially mediated and were important variables for increasing or decreasing children's life satisfaction. Particularly, among the parameters, self-esteem had the greatest mediating effect. A follow-up study is needed to confirm the effect on improving children's life satisfaction by developing a parent education program that considers parental parenting attitudes and children's self-esteem and depression.

KCI등재

저자 : 최보윤 ( Bo Yun Choi ) , 윤희수 ( Heesu Yoon ) , 성원준 ( Won Joon Seong ) , 조금준 ( Geum Joon Cho ) , 나성훈 ( Sunghun Na ) , 정영미 ( Young Mi Jung ) , 고현선 ( Hyun Sun Ko ) , 박중신 ( Joong Shin Park )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 4호 발행 연도 : 2022 페이지 : pp. 245-253 (9 pages)

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Purpose: To analyze the overall knowledge and attitude of healthcare providers regarding coronavirus disease (COVID-19) vaccine recommendations for pregnant women and factors affecting these opinions in Korea.
Methods: We conducted a nationwide survey study of obstetricians and gynecologists registered in the Korean Society of Obstetrics and Gynecology. The knowledge, attitude, and factors affecting COVID-19 vaccination in pregnant women were investigated.
Results: Among 258 participants, 182 (70.5%) answered that they recommended COVID-19 vaccination for pregnant women, while 76 (29.5%) answered that they did not. The administrative district of the physician's healthcare center and knowledge regarding adverse reactions to the COVID-19 vaccine were factors affecting opinions on vaccine recommendation. Physicians working in metropolitan cities were 7.3 times more likely to recommend COVID-19 vaccination to pregnant women than those working in Seoul. Physicians aware of the COVID-19 vaccine safety profiles in pregnant women were 25.36 times more likely to recommend vaccines than those who were not. A significantly higher proportion of the recommended group provided vaccine information to pregnant women compared to the nonrecommended group and also recommended booster shot vaccination. Guidelines from academic societies (70.9%) and from government and public centers (64.8%) were important factors in the recommendation group, while additional study results (57.1%) were important factors in the nonrecommendation group. This information will be useful for future reference regarding vaccine recommendations.
Conclusion: Providing guidelines and recent data regarding COVID-19 vaccination in pregnant populations to healthcare providers will promote obstetricians and gynecologists to recommend vaccination to pregnant patients and will thereby contribute to achieving herd immunity in Korea.

KCI등재

저자 : 이선옥 ( Sun Ok Lee ) , 나성순 ( Sung Soon Na ) , 김희숙 ( Hee Sook Kim ) , 배경의 ( Kyung Eui Bae ) , 윤미선 ( Mi Sun Youn ) , 오은주 ( Eun Ju Oh )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 4호 발행 연도 : 2022 페이지 : pp. 254-269 (16 pages)

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Purpose: This study aims to describe and identify in-depth the breastfeeding experience of primiparas for more than one year using a phenomenological research method and to raise the understanding of the primiparas' subjective experiences during the breastfeeding process to contribute to the improving and maintaining maternal and child health.
Methods: This research was a phenomenological and qualitative study conducted on 5 primiparas who continued breastfeeding for more than 12 months. Data was collected through individual in-depth interviews from November 1, 2021 to March 20, 2022, and it was analyzed through the sixth stage of phenomenological research analysis presented by Colaizzi.
Results: The study consisted of 10 theme clusters and 26 themes from meaningful statements about the breastfeeding success experiences of primiparas for more than one year. The 10 theme collections were "Planning breastfeeding during pregnancy," "Commitment to breastfeeding through information and education," "Challenges faced during breastfeeding," "Continuous hard work," "Continued conflict over breastfeeding amid confusion," "Connects with experts who lead the way," "Establishes one's own standards and direction," "Peace after hard work," "Solid and firm confidence," and "Deep-rooted beliefs brestfeeding serve as reminders."
Conclusion: It is expected that this study will help to understand the individual difficulties and problems experienced by primiparas during breastfeeding, the importance of breastfeeding education, the role of medical personnel in the early stage of childbirth, social and environmental support, and the importance of an active window for information exchange. By identifying these factors, this study can serve as basic data for nursing practice to promote successful breastfeeding.

KCI등재

저자 : 여수령 ( Soo Rueng Yeo ) , 최소영 ( So Young Choi )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 4호 발행 연도 : 2022 페이지 : pp. 270-282 (13 pages)

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Purpose: This study aimed to identify the effect of fetal attachment and pregnancy on health promoting behavior in primigravida.
Methods: The subjects were 149 primigravidas who enrolled in nationwide online cafe for pregnant and childcare women. The data were collected from February, 2008 to February, 28 in 2022. The collected data were analyzed by IBM SPSS Statistics ver. 24.0.
Results: The primigravidas' health promoting behavior was significantly affected by the fetal attachment (β=0.37, p<0.001), spouse stress (β=0.32, p<0.001), subjective health condition (β=0.28, p<0.001), academic background (β=0.25, p<0.001), primigravidas themselves stress (β=-0.24, p=0.001), and monthly income (β=0.18, p=0.005). These variables explained 41.5% of the variance in health promoting behavior.
Conclusion: It is necessary to seek out how to improve the fetal attachment through interactions with fetus, for enhancing primigravidas' health promoting behavior and to develop a program by educational levels, for forming positive mind about health. Moreover, various efforts and strategies are required to reduce the pregnancy stress and enhance the health of both primigravidas and fetus, by early detecting and alleviating the pregnancy stress.

KCI등재

저자 : 나은덕 ( Eun Duc Na ) , 백민정 ( Min Jung Baek ) , 문지현 ( Ji Hyun Moon ) , 이새미 ( Sae Mi Lee ) , 이한나 ( Hanna Lee ) , 윤진 ( Jin Yoon ) , 정상희 ( Sang Hee Jung ) , 장지현 ( Ji Hyon Jang ) , 이지연 ( Ji Yeon Lee )

발행기관 : 한국모자보건학회 간행물 : 한국모자보건학회지 26권 4호 발행 연도 : 2022 페이지 : pp. 283-288 (6 pages)

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Purpose: To analyze the difference in bony pelvimetry using magnetic resonance imaging (MRI) in women who delivered vaginally and those who underwent cesarean section (CS) due to cephalopelvic disproportion (CPD).
Methods: This retrospective case-control study enrolled Korean women who gave birth to their first child between 37 and 42 weeks of pregnancy and underwent pelvic MRI between January 2014 and June 2020. These women were classified into 3 groups: vaginal delivery (VD), CS due to CPD (CPD-CS), and CS due to reasons other than CPD (Other-CS). In MRI images, true conjugate (TC), obstetric conjugate (OC), mid anterior-posterior (AP) distance (MAD), outlet AP distance (OAD), ischial spine distance (ISD), ischial tuberosity distance (ITD), and pubic angle (PA) were measured.
Results: In total, 392 women were enrolled. There were no significant differences in maternal height and body mass index at birth among the 3 groups. The ISD was statistically different between the VD group (106.2±6.4 mm) and the Other-CS group (110.4±8.8 mm) (p=0.014). After multiple regression analysis, short ISD (adjusted odds ratio [aOR], 0.92; 95% confidence interval [CI], 0.87-0.97; p=0.002), short MAD (aOR, 0.95; 95% CI, 0.89-0.99; p=0.047), and short ITD (aOR, 0.95; 95% CI, 0.91-0.99; p=0.019) were significantly associated with CS due to CPD.
Conclusion: Short ISD, MAD, and ITD, measured using MRI, are important parameters that can predict CS due to CPD. The accumulation of related research could promote the development of an excellent imaging method in terms of cost-effectiveness. Thus, it may be possible to establish a method to reduce obstetric and perinatal complications due to dystonia.

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