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Factors Influencing Perineal Injury in Women Giving Birth in Natural Childbirth Hospitals 顺产医院分娩妇女会阴损伤的影响因素
Pub Date : 2023-07-31 DOI: 10.21896/jksmch.2023.27.3.173
Sun Hee Lee
Purpose: This study aimed to identify the factors affecting the degree of perineal injury in women who gave birth at a natural childbirth hospital.Methods: This descriptive correlational study aimed to confirm the effect of delivery at a natural childbirth hospital on perineal injury in women. We analyzed the medical records of 358 women who gave birth naturally to infants in the cephalic position at >37 weeks gestation in 2018 at an obstetric clinic in Seoul. Data were analyzed using Spearman rank correlation coefficient to identify variables affecting perineal injury, and multiple regression was used to identify the factors affecting perineal injury. IBM SPSS version 28.0 for windows was used for data analysis.Results: There were significant negative correlations between the degree of perineal injury and birth order (r=0.73, p<0.001), number of previous vaginal deliveries (r=-0.70, p<0.001), and age (r=-0.30, p<0.001). However, there were significant positive correlations between the degree of perineal injury and parity (r=0.83, p<0.001), labor duration in stage I (r=0.35, p<0.001), labor duration in stage II (r=0.37, p<0.001), fluid hydration (r=0.28, p<0.001), epidural anesthesia (r=0.27, p<0.001), and oxygen supply (r=0.26, p<0.001). Factors affecting the degree of perineal injury were parity (b=0.10, p=0.007) and birth order (b=-0.09, p=0.014), and the explanatory power of this model was 52.0% (F=130.054, p<0.001).Conclusion: The degree of perineal injury was highest in the primiparous group and decreased as the birth order increased. Therefore, to prevent perineal injury during childbirth, nursing care with minimal intervention such as epidural anesthesia is required for primiparous women.
目的:本研究旨在确定在自然分娩医院分娩的妇女会阴损伤程度的影响因素。方法:本描述性相关研究旨在证实在自然分娩医院分娩对妇女会阴损伤的影响。我们分析了2018年在首尔一家产科诊所自然分娩的358名妊娠>37周的头位婴儿的病历。采用Spearman秩相关系数识别影响会阴损伤的变量,采用多元回归识别影响会阴损伤的因素。采用IBM SPSS 28.0 for windows进行数据分析。结果:会阴损伤程度与分娩顺序(r=0.73, p<0.001)、阴道分娩次数(r=-0.70, p<0.001)、年龄(r=-0.30, p<0.001)呈显著负相关。然而,会阴损伤程度与胎次(r=0.83, p<0.001)、I期产程(r=0.35, p<0.001)、II期产程(r=0.37, p<0.001)、液体水合作用(r=0.28, p<0.001)、硬膜外麻醉(r=0.27, p<0.001)、供氧(r=0.26, p<0.001)呈正相关。影响会阴损伤程度的因素有胎次(b=0.10, p=0.007)和出生顺序(b=-0.09, p=0.014),该模型的解释能力为52.0% (F=130.054, p<0.001)。结论:会阴损伤程度以初产组最高,随分娩顺序的增加而降低。因此,为了防止分娩时的会阴损伤,需要对初产妇进行最小干预的护理,如硬膜外麻醉。
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引用次数: 0
Let’s Rescue Mothers and Babies From Postpartum Care Centers 让我们从产后护理中心拯救母亲和婴儿
Pub Date : 2023-07-31 DOI: 10.21896/jksmch.2023.27.3.137
Anna Choi
Copyrightc2023 by The Korean Society of Maternal and Child Health Previously, when extended families were the norm, Korean women learned about pregnancy, childbirth, breastfeeding, and childcare by observing family members. The term "Samchilil" refers to the traditional postpartum care period in Korea, which typically lasts 3 weeks. During this time, a birth rope known as ‘Geumjul’ was placed in front of a house gate to inform the neighbors about the birth news and restrict entry to protect the newborn with vulnerable immune system from the risk of infection (Encyclopedia of Korean Folk Culture, 2023). Even during the nuclear family era, many women learned about early childcare practices, such as breastfeeding, from their mothers or female relatives while providing postpartum care. Newborns lived primarily with their families during this period. Although the use of cloth diapers transitioned to disposable diapers and formula feeding became more common, most women learned from their mothers how to raise their babies. However, with the industrialization of postpartum care, Korean postpartum care culture has undergone significant changes. With the transformation and upscale development of post partum care centers, even financially secure women now prefer to utilize them as a natural option after childbirth. The majority of the population now believe that postpartum care centers are better than home care. However, several issues arise immediately after birth with babies living in group settings. First, newborns with weak immune systems are still infected, as they reside in group environments at postpartum care centers. Recently, a notable postpartum care center, known for its high prices (tens of millions of won), has experienced mass infection among new borns (Lina, 2023). The incident caused significant shock and Let’s Rescue Mothers and Babies From Postpartum Care Centers
以前,当大家庭成为常态时,韩国妇女通过观察家庭成员来了解怀孕、分娩、母乳喂养和育儿。“三期”指的是韩国传统的产后护理期,通常持续3周。在这段时间里,为了防止免疫系统脆弱的新生儿感染疾病,在房子的大门前放置一根被称为“金柱”的绳子,通知邻居们出生的消息,并限制他们进入(韩国民俗文化百科全书,2023年)。即使在核心家庭时代,许多妇女在提供产后护理时,也从母亲或女性亲戚那里学习了母乳喂养等早期育儿方法。在此期间,新生儿主要与家人生活在一起。尽管布尿布的使用转变为一次性尿布,配方奶粉喂养也变得更加普遍,但大多数女性还是从母亲那里学会了如何抚养孩子。然而,随着产后护理的产业化,韩国的产后护理文化发生了显著的变化。随着产后护理中心的转型和高档化发展,即使经济上有保障的妇女现在也更愿意在分娩后利用它们作为自然选择。现在大多数人认为产后护理中心比家庭护理好。然而,在群体环境中生活的婴儿出生后立即出现了几个问题。首先,免疫系统较弱的新生儿仍然会受到感染,因为他们生活在产后护理中心的集体环境中。最近,以高价(数千万韩元)闻名的一家著名产后护理中心,出现了新生儿集体感染的情况(丽娜,2023年)。这一事件引起了巨大的震动,《让我们从产后护理中心拯救母亲和婴儿》
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引用次数: 0
Current Treatment Guidelines and Antihypertensive Therapy of Mild Chronic Hypertension During Pregnancy 妊娠期轻度慢性高血压的现行治疗指南及降压治疗
Pub Date : 2023-07-31 DOI: 10.21896/jksmch.2023.27.3.140
T. Ahn, J. Hwang
Up to 5% of pregnant females experience chronic hypertension, which is linked to poor pregnancy outcomes, and along with hemorrhage, is considered one of the main causes of maternal morbidity and mortality. The combined occurrence of preeclampsia, cesarean sections, preterm birth, birth weight less than 2,500 g, neonatal unit admission, and perinatal death was higher in females with chronic hypertension. Pregnancy with systolic blood pressure of 140-159 mmHg or diastolic blood pressure of 90-109 mmHg was considered to have mild-to-moderate chronic hypertension. Blood pressure management during pregnancy is a very important issue and is directly related to fetal growth and maternal health. Many studies have reported that antihypertensive therapy during pregnancy halves the incidence of severe hypertension in all types of hypertensive diseases. However, guidelines for optimal blood pressure management goals during pregnancy remain unclear. This is because the benefits to the mother from lowering blood pressure are uncertain, and there is a risk of fetal disorders due to the possibility of reduced uteroplacental blood flow. In light of a recently released CHAP (Chronic Hypertension and Pregnancy) randomized controlled trial, the purpose of this review was to provide a summary of the current recommendations for pregnant females with mild-to-moderate chronic hypertension.
高达5%的孕妇患有慢性高血压,这与妊娠结局不良有关,并伴有出血,被认为是孕产妇发病和死亡的主要原因之一。合并子痫前期、剖宫产、早产、出生体重小于2500 g、新生儿住院和围产期死亡的发生率在慢性高血压女性中较高。妊娠期收缩压140-159 mmHg或舒张压90-109 mmHg被认为患有轻中度慢性高血压。妊娠期血压管理是一个非常重要的问题,直接关系到胎儿的生长和孕产妇的健康。许多研究报告称,妊娠期降压治疗可使所有类型高血压疾病中严重高血压的发病率减半。然而,怀孕期间最佳血压管理目标的指导方针仍不清楚。这是因为降低血压对母亲的好处是不确定的,并且由于子宫胎盘血流减少的可能性,存在胎儿疾病的风险。根据最近发布的一项CHAP(慢性高血压和妊娠)随机对照试验,本综述的目的是总结目前对患有轻中度慢性高血压的妊娠女性的建议。
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引用次数: 0
Changes in the Nutritional Status of Children from North Korean Refugee Families Following Resettlement in South Korea 朝鲜难民家庭儿童在韩国定居后营养状况的变化
Pub Date : 2023-04-30 DOI: 10.21896/jksmch.2023.27.2.102
So-Yeong Kim, H. Gu, Seong-Woo Choi
Purpose: This study evaluated changes in growth and nutritional status using the first basic and the second repeated surveys on children from North Korean refugee families who settled in South Korea.Methods: A total of 337 children were included in the survey. Using a structured questionnaire, the data collected included sex, date of birth, country of birth, date of entry to South Korea, and birth parents’nationality. The prevalence of stunting, underweight, wasting, and obesity were evaluated using the 2017 Korean National Growth Chart for Children and Adolescents.Results: The prevalence of stunting decreased from 7.9% in the first survey to 6.9% in the second survey; that of underweight decreased from 6.0% to 4.7%; and that of wasting decreased from 6.3% to 3.5%; however, these changes were not statistically significant. The prevalence of obesity significantly increased from 8.0% to 13.2% in the first and second surveys, respectively (p=0.037). There was no significant difference in the prevalence of malnutrition according to the length of stay in South Korea or the children’s country of birth. However, the prevalence of obesity was significantly higher in children with longer lengths of stay and in those born in South Korea.Conclusion: Although children from North Korean refugee families have settled in South Korea for a long time, the rate of malnutrition is still high, and the prevalence of obesity continuously increases.
目的:本研究通过对在韩国定居的朝鲜难民家庭的儿童进行第一次基本调查和第二次重复调查,评估其生长和营养状况的变化。方法:对337名儿童进行调查。使用结构化问卷,收集的数据包括性别、出生日期、出生国家、进入韩国的日期和亲生父母的国籍。发育迟缓、体重不足、消瘦和肥胖的患病率使用2017年韩国国家儿童和青少年生长图表进行评估。结果:发育迟缓发生率由第一次调查的7.9%下降到第二次调查的6.9%;体重不足的比例由6.0%降至4.7%;浪费率由6.3%下降到3.5%;然而,这些变化在统计学上并不显著。肥胖患病率在第一次和第二次调查中分别由8.0%上升至13.2%,差异有统计学意义(p=0.037)。根据在韩国停留的时间长短或孩子的出生国,营养不良的发生率没有显著差异。然而,在韩国居住时间较长的儿童和出生在韩国的儿童中,肥胖的患病率明显更高。结论:朝鲜难民家庭的孩子虽然在韩国定居时间较长,但营养不良率仍然很高,肥胖患病率不断上升。
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引用次数: 0
A Job analysis of Hospital Midwives: A DACUM Analysis 医院助产士的工作分析:DACUM分析
Pub Date : 2023-04-30 DOI: 10.21896/jksmch.2023.27.2.119
Yunmi Kim, Sunok Lee, Jummi Park, Sunhee Lee, Miyoung An, Bu-Ok Kim
Purpose: This study aimed to analyze the tasks of midwives who lead natural childbirth in hospitals using the DACUM technique.Methods: Data were collected from 42 hospital midwives between August 23 to October 12, 2022, and the importance, frequency, and professional difficulty of hospital midwives' tasks were assessed. The collected data were analysed using the IBM SPSS Statistics ver. 22.0 program as the average and standard deviation for the importance, difficulty, and frequency of performance the analyzed tasks. The importance, difficulty, and frequency of performance each task were indicated as high, medium, or low,; furthermore, the importance and difficulty were multiplied and analyzed using the coefficient of determination.Result: Midwives’ tasks in natural childbirth in hospitals were classified into 8 duties, 138 tasks, and 49 task elements. Duties were classified into ‘before childbirth,’ ‘during childbirth,’ ‘after childbirth,’ ‘management of high-risk pregnant women,’ ‘goods management,’ ‘administrative work,’ ‘self-development,’ and ‘newborn care.’ The most important and difficult tasks with the highest coefficient of determination were performing neonatal resuscitation if necessary (11.25), transporting and managing emergency patients (10.46), requesting hospitals to transfer patients in case of emergency (10.43), and transferring patients to a tertiary hospital in case of maternal of neonatal emergency (10.30).Conclusion: In this novel study in Korea, the role of a midwife in a hospital for natural childbirth were defined, and task according to duties were analyzed.
目的:本研究旨在分析在医院使用DACUM技术进行自然分娩的助产士的任务。方法:收集2022年8月23日至10月12日42名医院助产士的数据,评估医院助产士任务的重要性、频率和专业难度。收集的数据使用IBM SPSS Statistics ver进行分析。22.0程序作为所分析任务的重要性、难度和执行频率的平均值和标准差。每个任务的重要性、难度和执行频率分别用高、中、低来表示。并利用决定系数对其重要性和困难度进行相乘分析。结果:医院自然分娩助产士的任务分为8个职责,138个任务,49个任务要素。职责分为“分娩前”、“分娩中”、“分娩后”、“高危孕妇管理”、“物品管理”、“行政工作”、“自我发展”、“新生儿护理”。“决定系数最高的最重要和最困难的任务是在必要时实施新生儿复苏(11.25),运送和管理急诊患者(10.46),在紧急情况下要求医院转移患者(10.43),以及在产妇出现新生儿紧急情况时将患者转移到三级医院(10.30)。结论:在韩国的这项新颖研究中,定义了医院自然分娩助产士的角色,并根据职责分析了任务。
{"title":"A Job analysis of Hospital Midwives: A DACUM Analysis","authors":"Yunmi Kim, Sunok Lee, Jummi Park, Sunhee Lee, Miyoung An, Bu-Ok Kim","doi":"10.21896/jksmch.2023.27.2.119","DOIUrl":"https://doi.org/10.21896/jksmch.2023.27.2.119","url":null,"abstract":"Purpose: This study aimed to analyze the tasks of midwives who lead natural childbirth in hospitals using the DACUM technique.Methods: Data were collected from 42 hospital midwives between August 23 to October 12, 2022, and the importance, frequency, and professional difficulty of hospital midwives' tasks were assessed. The collected data were analysed using the IBM SPSS Statistics ver. 22.0 program as the average and standard deviation for the importance, difficulty, and frequency of performance the analyzed tasks. The importance, difficulty, and frequency of performance each task were indicated as high, medium, or low,; furthermore, the importance and difficulty were multiplied and analyzed using the coefficient of determination.Result: Midwives’ tasks in natural childbirth in hospitals were classified into 8 duties, 138 tasks, and 49 task elements. Duties were classified into ‘before childbirth,’ ‘during childbirth,’ ‘after childbirth,’ ‘management of high-risk pregnant women,’ ‘goods management,’ ‘administrative work,’ ‘self-development,’ and ‘newborn care.’ The most important and difficult tasks with the highest coefficient of determination were performing neonatal resuscitation if necessary (11.25), transporting and managing emergency patients (10.46), requesting hospitals to transfer patients in case of emergency (10.43), and transferring patients to a tertiary hospital in case of maternal of neonatal emergency (10.30).Conclusion: In this novel study in Korea, the role of a midwife in a hospital for natural childbirth were defined, and task according to duties were analyzed.","PeriodicalId":293350,"journal":{"name":"Journal of The Korean Society of Maternal and Child Health","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126154687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Scoping Review of the Effect of the COVID-19 Pandemic on Patients Under Infertility Treatment COVID-19大流行对不孕症患者影响的范围综述
Pub Date : 2023-04-30 DOI: 10.21896/jksmch.2023.27.2.80
Boyoung Jeon, Hoki Kim, Hyesung Jeong
Purpose: This study aimed to conduct a scoping review to understand how the coronavirus disease 2019 (COVID-19) pandemic has affected patients under infertility treatment.Methods: The 5 steps of the scoping review by Arksey and O’Malley were applied: (1) identifying the research question; (2) identifying relevant studies; (3) study selection; (4) charting the data; and (5) collating, summarizing, and reporting the results. Using 2 databases (PubMed and Cochrane Library), studies on COVID-19 and infertility treatment were searched, and 13 articles were selected for analysis.Results: The studies were conducted in North America (5 articles), Europe (3 articles), Asia (2 articles), and other regions (3 articles). The academic fields of the published journals were primarily reproductive medicine (10 articles), followed by psychiatry and psychology (2 articles), and complementary medicine (1 article). Regarding the research topic, studies on stress and anxiety were the most common (7 articles), followed by pregnancy rates (3 articles), and pregnancy planning or treatment decisions (3 articles). The COVID-19 pandemic had a negative effect on stress and anxiety of patients in 5 out of 7 articles, no changes in pregnancy rates in 3 out of 3 articles, and negative effects on pregnancy planning or treatment decisions in 2 out of 3 articles.Conclusion: The results of this review suggest that evidence-based information on patients with infertility is needed to prevent unnecessary anxiety, stress, and treatment delays in the upcoming postpandemic transition period.
目的:本研究旨在开展范围综述,了解2019年冠状病毒病(COVID-19)大流行对不孕不育患者的影响。方法:采用Arksey和O 'Malley的范围审查的5个步骤:(1)确定研究问题;(2)确定相关研究;(3)研究选择;(四)绘制数据图;(5)整理、总结、报告研究结果。使用2个数据库(PubMed和Cochrane Library)检索有关COVID-19与不孕症治疗的研究,选择13篇文章进行分析。结果:研究在北美(5篇)、欧洲(3篇)、亚洲(2篇)和其他地区(3篇)进行。发表期刊的学术领域以生殖医学为主(10篇),其次是精神病学和心理学(2篇),补充医学(1篇)。关于研究主题,最常见的是关于压力和焦虑的研究(7篇),其次是怀孕率(3篇)和怀孕计划或治疗决策(3篇)。在7篇文章中,有5篇文章对患者的压力和焦虑产生了负面影响;在3篇文章中,有3篇文章对妊娠率没有影响;在3篇文章中,有2篇文章对妊娠计划或治疗决策产生了负面影响。结论:本综述的结果表明,在即将到来的大流行后过渡期,需要关于不孕症患者的循证信息,以防止不必要的焦虑、压力和治疗延误。
{"title":"A Scoping Review of the Effect of the COVID-19 Pandemic on Patients Under Infertility Treatment","authors":"Boyoung Jeon, Hoki Kim, Hyesung Jeong","doi":"10.21896/jksmch.2023.27.2.80","DOIUrl":"https://doi.org/10.21896/jksmch.2023.27.2.80","url":null,"abstract":"Purpose: This study aimed to conduct a scoping review to understand how the coronavirus disease 2019 (COVID-19) pandemic has affected patients under infertility treatment.Methods: The 5 steps of the scoping review by Arksey and O’Malley were applied: (1) identifying the research question; (2) identifying relevant studies; (3) study selection; (4) charting the data; and (5) collating, summarizing, and reporting the results. Using 2 databases (PubMed and Cochrane Library), studies on COVID-19 and infertility treatment were searched, and 13 articles were selected for analysis.Results: The studies were conducted in North America (5 articles), Europe (3 articles), Asia (2 articles), and other regions (3 articles). The academic fields of the published journals were primarily reproductive medicine (10 articles), followed by psychiatry and psychology (2 articles), and complementary medicine (1 article). Regarding the research topic, studies on stress and anxiety were the most common (7 articles), followed by pregnancy rates (3 articles), and pregnancy planning or treatment decisions (3 articles). The COVID-19 pandemic had a negative effect on stress and anxiety of patients in 5 out of 7 articles, no changes in pregnancy rates in 3 out of 3 articles, and negative effects on pregnancy planning or treatment decisions in 2 out of 3 articles.Conclusion: The results of this review suggest that evidence-based information on patients with infertility is needed to prevent unnecessary anxiety, stress, and treatment delays in the upcoming postpandemic transition period.","PeriodicalId":293350,"journal":{"name":"Journal of The Korean Society of Maternal and Child Health","volume":"90 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121117430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of e-Health Literacy, Parenting Stress, and Maternal Role Confidence on Children’s Health-Promoting Behaviors in Mothers of Infants and Toddlers 电子健康素养、父母压力、母亲角色自信对婴幼儿母亲健康促进行为的影响
Pub Date : 2023-04-30 DOI: 10.21896/jksmch.2023.27.2.92
So-Hee Park, J. Kim
Purpose: This study aimed to evaluate the effects of e-health literacy, parenting stress, maternal role confidence on children’s health-promoting behaviors in mothers of infants and toddlers.Methods: The participants were 175 mothers of infants and toddlers. Data were collected from August 30 to September 24, 2022. The effects of e-health literacy, parenting stress, and maternal role confidence on children’s health-promoting behaviors in mothers of infants and toddlers were analyzed using multiple regression using IBM SPSS Statistics ver. 27.0.Results: Children’s health-promoting behaviors showed a significant positive relationship with e-health literacy and maternal role confidence, and negative relationship with children’s age and parenting stress. The factors affecting children’s health-promoting behaviors were e-health literacy, maternal role confidence, and children’s age, which explained 30.7% of the total variance in children’s health-promoting behaviors.Conclusion: This study suggests including e-health literacy and maternal role confidence for improving children’s health-promoting behaviors in mothers of infants and toddlers.
目的:本研究旨在探讨电子健康素养、父母压力、母亲角色自信对婴幼儿母亲健康促进行为的影响。方法:调查对象为175名婴幼儿母亲。数据收集于2022年8月30日至9月24日。采用IBM SPSS统计软件,采用多元回归分析了电子健康素养、父母压力和母亲角色自信对婴幼儿母亲儿童健康促进行为的影响。27.0.结果:儿童健康促进行为与电子健康素养、母亲角色自信呈显著正相关,与儿童年龄、父母压力呈显著负相关。影响儿童健康促进行为的因素为电子健康素养、母亲角色自信和儿童年龄,这三个因素解释了儿童健康促进行为总方差的30.7%。结论:本研究建议将电子健康素养和母亲角色自信纳入改善婴幼儿母亲的健康促进行为。
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引用次数: 0
Iron Deficiency Anemia in Pregnancy 妊娠期缺铁性贫血
Pub Date : 2023-04-30 DOI: 10.21896/jksmch.2023.27.2.45
Seung W. Yang, Y. Seo
Iron deficiency anemia (IDA) is the most common hematologic abnormality, which is a reduction in the concentration of erythrocytes or hemoglobin in the blood in pregnancy because Iron requirements increase during pregnancy. Since a failure to maintain sufficient levels of iron may result in adverse maternal-fetal consequences, active counseling and support from medical staff are necessary. Regarding the points to note during treatment, this document is to provide a brief overview of the IDA and medical management during pregnancy.
缺铁性贫血(IDA)是最常见的血液学异常,它是由于怀孕期间铁的需要量增加而导致血液中红细胞或血红蛋白浓度降低。由于不能维持足够的铁含量可能会导致不利的母婴后果,医务人员的积极咨询和支持是必要的。关于治疗期间的注意事项,本文件简要概述了妊娠期间的IDA和医疗管理。
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引用次数: 0
Employment Experiences of Female Mongolian Migrant Workers in Korea 蒙古女农民工在韩国的就业经历
Pub Date : 2023-04-30 DOI: 10.21896/jksmch.2023.27.2.60
Saruultuya Tungalag1, E. Choi, H. Cho, Shin-pyo Kang, Minkyung Lee
Purpose: The purpose of this study was to understand the employment experiences of female Mongolian migrant workers in Korea and identify their meanings.Methods: Data were collected through individual in-depth interviews with eight such women using the phenomenological Colaizzi qualitative research approach.Results: Six categories were drawn from the research: “Facing a dilemma when hitting the wall,” “Foreigners’ lives disrespected,” “Physically filled with wounds,” “Lonely, laborious, and sad,“ “Growing stronger and knowledgeable,” and “Happiness found in the workplace.”Conclusion: The results of this study revealed the substantial meaning of the employment experience of female Mongolian migrant workers in Korea. The results of the study could provide basic data for offering such women various kinds of programs to support them psychologically and in their adjustment to their jobs. These programs would enhance their ability to adapt to both working and in Korea.
目的:本研究的目的是了解蒙古女农民工在韩国的就业经历,并识别其意义。方法:采用现象学Colaizzi定性研究方法,对8名女性进行深度访谈。结果:研究得出了六个类别:“碰壁时面临两难”、“外国人的生活不受尊重”、“身体上充满创伤”、“孤独、辛苦、悲伤”、“变得更强大、更有知识”和“在工作场所找到幸福”。结论:本研究结果揭示了蒙古女性农民工在韩国就业经历的实质意义。研究结果可以为这些妇女提供各种心理支持和适应工作的方案提供基础数据。这些课程将提高他们在韩国工作和生活的适应能力。
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引用次数: 0
Factors Affecting Married Women’s Intention to Have a Second Child: Focusing on Reproductive Health Factors 影响已婚妇女生育二孩意愿的因素:以生殖健康因素为重点
Pub Date : 2023-04-30 DOI: 10.21896/jksmch.2023.27.2.110
Shin-hwee Oh, So-Young Lee
Purpose: This study analyzed factors that influence married women's intentions to have a second child from the perspective of reproductive health in Korea.Methods: The analysis included 332 married women whose first child birth was within the last 3 years from the 2021 National Family and Fertility Survey data. First, the general characteristics of married women was presented through frequency analysis. The differences in the characteristics of married women regarding their intention to have a second child were also analyzed using a chi-square test and independent samples t-test. Second, we analyzed the reproductive health characteristics of married women according to age using a chi-square test. Finally, logistic regression analysis was performed to investigate the effect of married women's reproductive health factors on their intention to have a second child.Results: With various variables controlled, age, infertility, and negative pregnancy experiences had a negative effect on the intention to have a second child, whereas child values and trust in the government had a positive effect. In addition, differences in the reproductive health of married women were found according to age, and the proportions of infertility, negative pregnancy experiences, and preterm birth or low birth weight of the first child were high in elderly married women.Conclusion: To alleviate the low fertility rate in terms of additional childbirth, it is necessary to combine and strengthen not only medical treatment related to women's reproductive health but also psychoemotional counseling as a non-medical treatment, with support from the government.
目的:本研究从生殖健康的角度分析韩国已婚妇女生育二孩意愿的影响因素。方法:分析了来自2021年全国家庭和生育调查数据的332名已婚妇女,她们在最近3年内生了第一胎。首先,通过频率分析得出已婚女性的总体特征。采用卡方检验和独立样本t检验分析已婚妇女生育二孩意愿特征的差异。其次,采用卡方检验对已婚妇女按年龄进行生殖健康特征分析。最后,采用logistic回归分析探讨已婚妇女生殖健康因素对二孩生育意愿的影响。结果:在控制各变量的情况下,年龄、不孕、不良妊娠经历对二孩意愿有负向影响,而儿童价值观和对政府的信任有正向影响。此外,已婚妇女的生殖健康状况因年龄而异,在老年已婚妇女中,不孕症、不良妊娠经历、早产或第一胎出生体重不足的比例很高。结论:要缓解超生低生育率问题,不仅需要结合和加强与妇女生殖健康相关的医疗,还需要在政府的支持下结合和加强作为非医学治疗的心理情绪咨询。
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引用次数: 0
期刊
Journal of The Korean Society of Maternal and Child Health
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