산후질환에 관한 임상보고

구진숙(Jin Suk Koo),이영준(Young Jun Lee),서부일(Bu Il Seo) 대한한의학회 2017 대한한의학회지 Vol.38 No.1

Latent Growth Model of Maternal Depressive Symptoms: Predictors and Effects on Infant's Developmental Outcomes

Kim, He Sook,Park, Kyung Ja Korean Association of Child Studies 2014 Child studies in Asia-Pacific context Vol.4 No.1

The present study investigated the developmental pattern of Korean mothers' depressive symptoms from a week prior to birth through four months postpartum in a nationally represented survey sample in Korea, using a Latent Growth Curve model. Mother-reported four factors-maternal self-efficacy in parenting, father's participation in childcare, a number of hours mothers worked per week, child's emotional temperament-were examined as the predictors of depressive symptoms over time in the context of Korean culture. Effects of maternal depressive trajectories on their infants' developmental outcomes at the first year were also examined. Findings were as follows: First, mothers' reports of depressive symptoms decreased at the first month after birth and then increased again during the first 4 months postpartum. Second, mothers' perceived low spousal involvement in childcare, low parental self-efficacy, and their infants' difficult temperament at four-month old had significantly positive relations to the initial level of maternal depressive symptoms whereas the low spousal involvement in childcare and low maternal self-efficacy factors significantly predicted the changes of trajectories of maternal depressive symptoms. Third, the trajectories, in turn, predicted warm and responsive maternal parenting style at the fourth month. Subsequently, the parenting style had a significant longitudinal impact on the development of children's communication, problem-solving, and personal-social abilities. Based on these findings, awareness, preventive and interventional programs might be built to facilitate Korean mothers suffering severe postpartum depressive symptoms and further promote optimal early development of Korean children.

Latent Growth Model of Maternal Depressive Symptoms: Predictorsand Effects on Infant`s Developmental Outcomes

He Sook Kim,Kyung Ja Park 한국아동학회 2014 Child studies in Asia-Pacific context Vol.4 No.1

The present study investigated the developmental pattern of Korean mothers` depressive symptoms from a week prior to birth through four months postpartum in a nationally represented survey sample in Korea, using a Latent Growth Curve model. Mother-reported four factors- maternal self-efficacy in parenting, father`s participation in childcare, a number of hours mothers worked per week, child`s emotional temperament- were examined as the predictors of depressive symptoms over time in the context of Korean culture. Effects of maternal depressive trajectories on their infants` developmental outcomes at the first year were also examined. Findings were as follows: First, mothers` reports of depressive symptoms decreased at the first month after birth and then increased again during the first 4 months postpartum. Second, mothers` perceived low spousal involvement in childcare, low parental self-efficacy, and their infants` difficult temperament at four-month old had significantly positive relations to the initial level of maternal depressive symptoms whereas the low spousal involvement in childcare and low maternal self-efficacy factors significantly predicted the changes of trajectories of maternal depressive symptoms. Third, the trajectories, in turn, predicted warm and responsive maternal parenting style at the fourth month. Subsequently, the parenting style had a significant longitudinal impact on the development of children`s communication, problem-solving, and personal-social abilities. 8ased on these findings, awareness, preventive and interventional programs might be built to facilitate Korean mothers suffering severe postpartum depressive symptoms and further promote optimal early development of Korean children.

Latent Growth Model of Maternal Depressive Symptoms: Predictors and Effects on Infant’s Developmental Outcomes

김혜숙,박경자 한국아동학회 2014 Child studies in Asia-Pacific context Vol.4 No.1

The present study investigated the developmental pattern of Korean mothers’ depressive symptoms from a week prior to birth through four months postpartum in a nationally represented survey sample in Korea, using a Latent Growth Curve model. Mother-reported fourfactors—maternal self-efficacy in parenting, father’s participation in childcare, a number ofhours mothers worked per week, child’s emotional temperament—were examined as the predictors of depressive symptoms over time in the context of Korean culture. Effects of maternal depressive trajectories on their infants’ developmental outcomes at the first year were also examined. Findings were as follows: First, mothers’ reports of depressive symptomsdecreased at the first month after birth and then increased again during the first 4 months postpartum. Second, mothers’ perceived low spousal involvement in childcare, low parentalself-efficacy, and their infants’ difficult temperament at four-month old had significantly positive relations to the initial level of maternal depressive symptoms whereas the low spousal involvement in childcare and low maternal self-efficacy factors significantly predicted the changes of trajectories of maternal depressive symptoms. Third, the trajectories, in turn,predicted warm and responsive maternal parenting style at the fourth month. Subsequently, the parenting style had a significant longitudinal impact on the development of children’s communication, problem-solving, and personal-social abilities. Based on these findings, awareness, preventive and interventional programs might be built to facilitate Korean mothers suffering severe postpartum depressive symptoms and further promote optimal early development of Korean children.

궁귀조혈음가미방(芎歸調血飮加味方)을 복용한 여성의 산욕 초기 증상과 어혈 변화에 대한 연구

최석영,김찬우,김남훈,박경선,황덕상,이진무,이창훈,장준복 대한한방부인과학회 2018 大韓韓方婦人科學會誌 Vol.31 No.1

Objectives: The purpose of this study was to investigate the changes of early puerperium symptoms and Blood Stasis Index in women during the first two weeks after childbirth. Methods: 38 women staying at Korean postpartum management facilities were studied. Questionnaires were filled out on the date of arrival and departure. Changes in overall physical conditions including neuropsychiatric, circulatory, digestive, musculoskeletal, and urogenital and breast symptoms as well as Blood Stasis Pattern were studied. Results: 1. Neuropsychiatric symptoms were shown in order of Depressed Feeling, Insomnia, Dizziness, Headache, and Easy to Anger and Nervous on arrival. All symptoms showed improvement after two weeks, without significance. 2. Circulatory symptoms were shown in order of Excessive Sweating, Edema, Fatigue, Hot Flash, Anemic Feeling, Alternating Chills and Fever, Cold Hypersensitivity, Chills, Oppression in the Chest, and Palpitation on arrival. Hot Flash, Excessive Sweating, and Edema showed significant improvement after two weeks. 3. Digestive symptoms were shown in order of Dyspepsia, Dry Mouth, Constipation, and Loss of Appetite. All symptoms showed improvement after two weeks, without significance. 4. Pain of Muscles & Joints showed improvement after two weeks, without significance. Pain of Teeth & Gingiva showed slight worsening after two weeks, without significance. 5. Urogenital and Breast symptoms were shown in order of Wound Pain, Fever and Distending Pain in the Breast, and Lower Abdominal Pain on arrival. All symptoms showed significant improvement after two weeks. 6. Blood Stasis Index showed significant improvement after two weeks. Conclusion: Most symptoms were improved in women staying at Korean postpartum management facilities for two weeks. Hot Flash, Excessive Sweating, Edema, Wound Pain, Lower Abdominal Pain, Fever and Distending Pain in the Breast and Blood Stasis Index showed significant improvement. 목적: 궁귀조혈음가미방을 복용하며 한방산후조리원에서 산후조리를 시행한 여성들의 산욕초기증상과 어혈변증지수의 변화를 알아보고자 하였다. 방법: 2주간 한방산후조리원에서 산후조리를 한 여성 38명을 대상으로 설문지 조사를 하였다. 입실일과 퇴실일에 정신신경계, 순환기계, 소화기계, 근골격계, 비뇨생식기계 및 유방 증상과 함께 어혈 증상의 정도를 표기하도록 하였다. 결과: 1. 출산 후 산후조리원 입실 시 정신신경계 증상으로 우울감(3.03±1.684), 수면장애(2.76±1.567), 어지럼증(2.68±1.817), 두통(2.42±1.750), 신경예민(2.29±1.450) 순으로 불편감을 호소하였고, 입실 당시에 비해 퇴실 시 증상이 모두 감소하였으나 유의한 차이는 없었다. 2. 순환기계 증상으로 입실 시 다한(4.63±1.807), 부종(4.32±2.157), 피로감(3.39±1.868), 상열감(3.05±1.754) 순으로 불편감을 호소하였고, 그 중 상열감, 다한, 부종은 퇴실 시 유의한 호전을 보였다. 3. 소화기계 증상으로 입실 시 소화불량(4.76±1.651), 구건(3.79±1.975), 변비(3.16±1.763), 식욕저하(3.05±1.627) 순으로 불편감을 호소하였고, 퇴실 시 증상이 모두 감소하였으나 유의한 차이는 없었다. 4. 근골격계 증상으로는 입실 시 근육관절통증(3.87±1.920)을 심하게 호소하였으며 퇴실 시 약간 감소되었으나 유의한 차이는 없었고, 치아잇몸통증(2.37±1.441)은 퇴실 시 약간 증가하였으나 유의한 차이는 아니었다. 5. 비뇨생식기계 및 유방 증상으로는 입실 시 봉합부위통증(4.47±1.797), 유방창통(3.71±2.012), 하복통(3.58±1.718), 냉대하(2.47±1.390) 순이었고 퇴실 시 증상이 모두 감소하였으며 ,그 중 봉합부위통증, 하복통, 유방창통은 통계적으로 유의한 감소가 있었다. 6. 어혈변증설문지에 의한 어혈변증지수는 입실 시 32.47±11.535에서 퇴실 시 26.55±10.516로 유의한 호전을 보였다. 결론: 한방산후조리원에서 궁귀조혈음가미방을 복용하며 2주간 산후조리를 시행한 여성의 산욕초기 증상 대부분이 호전을 보였으며 특히 상열감, 다한, 부종, 봉합부위통증, 유방창통과 어혈변증지수에서는 유의미한 감소가 있었다.

출산 후 산모들의 주관적인 신체 평가에 대한 연령과 분만방식에 따른 분석

하수진,황덕상,이진무,장준복,이창훈 대한한방부인과학회 2020 大韓韓方婦人科學會誌 Vol.33 No.2

Objectives: The purpose of this study is to compare postpartum symptoms of 528 women by age groups and delivery method through health questionnaires of postpartum care center. Methods: From January 2018 to December 2018, we statistically compared the 528 women’s postpartal symptoms who divided into 4 age groups using SPSS Statistics 21.0 program. Results: There were no differences in weight changes, gestational age and degree of subjective discomfort by age (p>.05). On the other hand, parity, fetal weight and delivery method were statistically associated with age (p<.05). Especially the rate of cesarean delivery was increased with age. Degree of feeling dyspepsia and edema was higher in cesarean section delivery group (p<.05). Also, as the weight increased by 1 kg during pregnancy, the degree of feeling postnatal edema increased by 0.204 (β=0.204, t=4.204, p<.05). Conclusion: This study showed that age itself will not affect postpartum symptoms alone. Instead it is necessary to consider post-cesarean delivery symptoms for advanced maternal age.

한국인,재미교포,미국인의 산후풍과 산후조리에 대한 인식 조사

배경미 ( Geung Mee Bae ),이인선 ( In Sun Lee ) 대한한방부인과학회 2010 大韓韓方婦人科學會誌 Vol.23 No.2

산후풍에 관한 국내 한의학 임상연구동향 분석

이희정(Hee Jung Lee),서주희(Joo hee Seo) 대한모유수유한의학회 2017 대한모유수유한의학회지 Vol.3 No.1

Objectives: Sanhupung is not completed golden standards of diagnosis therefore doctors dignose through symptoms and signs of patients in clinic same as progress of treatment. The present study explored studies directed at the trends of Korean medicine in the treatment of Sanhupung. Methods: We searched clinical studies about Korean medicine of Sanhupung from the OASIS (Korean Medicine Information System), RISS (Research Information Sevice System), KISS (Korean studies Information Service System), DBpia, www.koreantk.com (January 2000 to September 2017). Results: 38 papers were selected from studies. The number of the thesis published based on the publication trend from 2001 to 2015 has presented 5 in 2001 and 2014, 4 in 2004, 3 in 2003, 2005, 2007, 2008 and 2010, 2 in 2009 and 2014, and 1 in 2015. Analysis of the published Journals of Clinical study with regard to postpartum syndrome indicates that 26 articles, the highest amount, were published in The Journal of Oriental Gynecology. Analysis of the Journals demonstrates that the number of patients who were the subject for the clinical research on the postpartum syndrome were 1 patient in 21 articles, 2 in 3, 3 in 1, 10-49 in 4, 50-100 in 7, and above 100 in 2. Kihyulheoyack, weakened energy symptom, was reported the most with 11 cases from reports identifying the diseases from the case reports. The most used herbal medicine prescription are Gami-sanghwa-tang, Bohun-tang-gami, and Hwanggikyejiomul-tang in 3 cases respectively. For the evaluation index, VAS (12 cases) and EPDS (9 cases) were utilized the most. Having used BMI, DITI, ODI, MMPI, SF-MPQ, BMD, etc. shows that mental evaluation is also considered as well as physical evaluation. Conclusions: To sum up, Korean medicine has been shown as effective on Sanhupung. But it seems necessary in the future to improve the papers in these repects for the development of Korean medicine Sanhupung treatment with a good basis through the more systematic and accurate study method.

일개 한의대 부속 한방병원에 산후풍으로 내원한 환자 104례에 대한 실태 분석

장세란 ( Se Ran Jang ),박영선 ( Young Sun Park ),김동철 ( Dong Chul Kim ) 대한한방부인과학회 2010 大韓韓方婦人科學會誌 Vol.23 No.3