산후조리원(産後調理院) 재원(在院) 산모(産母)의 산후조리(産後調理)에 대한 인식(認識) 조사(調査)

정재중 ( Jung Jae Joong ),송호림 ( Song Ho Lim ),배경연 ( Bae Kyeong Yeon ),이용현 ( Yong Hyun Lee ),임세영 ( Se Young Lim ),유상민 ( Sang Min Yoo ),김동일 ( Dong Il Kim ) 대한한방부인과학회 2005 大韓韓方婦人科學會誌 Vol.18 No.3

Purpose: 1. To analyze the cognition and realities of postpartum care and to aid the spread of oriental medicine in postpartum care. 2. Get a basic guideline of postpartum care home and O.M.D.`s role model of postpartum care. Methods: We studied the cognition and realities of postpartum care with questionnaire from May 2005 to July 2005, in postpartum care home at Gangdong-gu and Seocho-gu. 147 puerperants answered us. Results: Puerperants pay postpartum care for without regard to economic state. 59.2% of 147 puerperants replied that the reason of postpartum care at postpartum care home is for systematic care. Important selection guidelines of postpartum care home are expertness at infant and puerperant management. We can find that 78.2% of 147 puerperants will visit oriental medical clinic for postpartum care and 61.2% of 147 puerperants will take herb-medicine. Conclusion: Puerperants has well-expectation in postpartum care by oriental medicine. There is much room for extension of oriental medical province in postpartum care. So continuous publicity activities about oriental medical postpartum care are required.

산후병을 경험한 여성의 산후조리 실태 및 인식 조사

정미영 ( Mi-youngjeong ),조성희 ( Seong-heech ) 대한한방부인과학회 2018 大韓韓方婦人科學會誌 Vol.31 No.3

Objectives: The objective of this study was to survey the performance of postpartum care and compare the western medicine and Korean medicine according to women’s postpartum disease. The purpose of this study was to provide basic data for the prevention and management of postpartum disease. Methods : The subjects were 228 women who experienced postpartum disease. This research was conducted in G city, at outpatient department of western medicine hospital and Korean medicine hospital. The degree of performance of postpartum care was measured on a 4-point scale divided by each area, and was compared in three groups. Results : Postpartum care includes traditional postpartum care and postpartum care in hospitals. The degree of performance of postpartum care means that the higher the score, the better. The traditional postpartum care performance score was 2.35 and the postpartum care performance score at the hospital was 1.63. The results of this study showed that the performance of traditional postpartum care was higher than that of postpartum care administered in hospitals. The perception of traditional postpartum care methods was ‘n indispensable postpartum care method for health’ (75.9%). The most effective method of postpartum care was ‘consolidate in harmony traditional postpartum care and guidance of the medical team’ (88.2%). Conclusions : The improvement and satisfaction degree of postpartum care were higher in Korean medicine than in western treatments. Therefore, the most efficient method of postpartum care must be integrated in harmony with the direction of the medical staff and traditional methods of postpartum care.

한국의료패널 자료를 이용한 산후조리 실태 분석

한지영,이내영 사단법인 인문사회과학기술융합학회 2017 예술인문사회융합멀티미디어논문지 Vol.7 No.12

This study was to provide baseline information about actual condition of postpartum care for developing Support Policies for postpartum care. The condition of postpartum care was analyzed by 908 cases from the 2008-2013 Korean Health Panel data. A total of 50.2% used postpartum care center or postpartum caretaker. Mean period of postpartum care was 12.91days in postpartumcare center, 17.22days in postpartum caretaker, and 28.66 days in postpartum care center with postpartum caretaker. In type of postpartum care by general characteristics, participants with older age, higher education, income used postpartum care center or postpartum caretaker. In type of postpartum care, participants with vaginal delivery used postpartum care center, followed by expected Cesarean section and emergency Cesarean section. The results show that support policies for postpartum care should be established to increase births and to improve maternal child health. 본 연구는 산후조리 실태를 확인하여 효과적인 산후조리를 통한 산모와 신생아의 건강 및 가족적응 지원정책 개발의 기초자료를 제공하고자 수행되었다. 2008~2013년 한국의료패널 자료에서 추출한 908건을 분석한 결과, 대상자의 50.2%가 산후조리원이나 산후도우미를 이용한다고 응답하였으며 산후조리 기간은 산후조리원은 평균 12.91일, 출산후 도우미는 17.22일, 산후조리원과 출산후 도우미를 모두 이용하는 경우 28.66일이었다. 일반적 특성에 따른 산후조리 형태에서는 연령, 교육수준, 총 가구소득이 높아질수록 산후조리원이나 출산후 도우미를 이용하는 경우가 많았다. 분만관련 특성에 따른 산후조리 형태는 출산형태에서 자연분만, 예약 제왕절개, 응급 제왕절개의 순으로 산후조리원을 이용하는 비율이 높았고, 출산장소에서 산후조리원은 산부인과병원에서 출산한 경우 이용비율이 높았고, 출산후도우미는 종합병원에서 출산한 경우 이용비율이 높았다. 이상의 결과를 볼 때 가정 외에서 산후조리가 주로 이루어지므로, 출산율 증가와 산모와 신생아의 건강을 확보하기 위해 산후조리에 대한 지원 정책적 지원이 필요하다.

산모 수발과 신생아 돌봄을 위한 산관자의 교육요구 조사

박미경 ( Mi Kyung Park ) 한국모자보건학회 2002 한국모자보건학회지 Vol.6 No.2

Objectives : The purpose of this descriptive study is to examine educational needs of care-givers caring for postpartum mothers in an effort to lay the basic data for a assistance to the development of postpartum care education materials. Methods : The convenience sample was comprised of 103 care-givers caring postpartum mothers hospitalized at 3 obstetric clinics in K -city. The valid responses were obtained and analyzed from December 28, 2001 through January 20, 2002. Results : The educational need about postpartum care was significantly high in care-givers who were younger, unmarried, and in those who had no experience of delivery, thought Sanhujori related to current health condition, recognized lack of a knowledge and recognized lack of a confidence in caring. The educational need about newborn care was significantly high in care-givers who were younger, male, husband, answered healthy, and in those who had no experience of delivery, had no experience of postpartum care, recognized lack of a knowledge and recognized lack of a confidence in caring. The factors of care-givers influencing significantly on postpartum care were lack of caring knowledge(53.6%), being tired with caring(44.7%) and lack of spare time(41.7%). In caring postpartum mothers, care-givers wanted to know the methods in detail that relieving pain of operation wound(3.43), postpartum exercise(3.38), risk signs and symptoms needed to visit clinic(3.37), proper diet for mothers(3.35), proper feeding(3.23). Also, they wanted to know about newborn care that symptoms of baby needed to visit clinic immediately(3.67), safety and emergency care(3.59), signs and symptoms of sick baby(3.46), appearance of normal stool(3.34), coping with vomiting(3.34). There were significant relations positively between following two factors; educational needs of caring mother and educational needs of caring newborn(r=0.591, p=0.000), educational needs of caring mother and a confidence in caring mother(r=0.312, p=0.001), educational needs of caring newborn and a confidence in caring mother(r=0.257, p=0.000), and educational needs of caring newborn and a confidence in caring newborn(r=0.627, p=0.000). Conclusions : Findings from this study showed that the knowledge of postpartum care of care-givers had a significant impact on the confidence in caring mothers and newborns, and care-givers had a high need to know about caring mothers and newborns. Suggestions : This finding suggests that the education for care-givers is needed to care postpartum mothers and babies skillfully and, while planning a discharge for home-based care, the contents of educational program should be met this educational needs of care-givers and mothers.

산후병 및 산후관리에 대한 국내 한의학 임상 연구 동향 분석

김누리,이은희 대한한방부인과학회 2022 大韓韓方婦人科學會誌 Vol.35 No.1

Objectives: This study was performed to analyze the interventions of Oriental Medicine which had been commonly used for postpartum disease and postpartum care. Methods: We searched research on the interventions for postpartum disease and postpartum care in 4 domestic search engines. After that, we conducted eligibility screening based on inclusion and exclusion criteria. Results: 1. We selected total 50 studies. There were 2 randomized controlled trial (RCT), 5 non-RCT, 35 case reports, 8 case series within the 6~8 weeks after childbirth. 2. Of the 35 case reports, several interventions were used : acupuncture (22), moxibustion (11), cupping therapy (7), pharmacopuncture (5), chuna manipulation (4), herbal medicine (34). The most common symptoms were musculoskeletal symptoms (8), followed by postpartum depression (7). Various prescriptions and acupoints of oriental medicine were used depending on the diseases or symptoms. 3. Of the 8 case series, 382 subjects in 5 case series had taken Saenghwa-tang-gagam. And Acupuncture, moxibustion, cupping therapy (5), pharmacopuncture (1) were used as an intervention. 4. The most commonly used acupoint is 腎兪 (BL23) in the pain including postpartum back pain and 三陰交 (SP6), 關元 (CV4) in the postpartum care. 關元 (CV4) is the most commomly used moxibustion point not only the postpartum disease but also the postpartum care. Conclusions: In clinical studies of oriental medicine related to postpartum disease and postpartum care, pain-related clinical studies that belong to or progress to Sanhupung were the most common (30%), and among them, postpartum low back pain studies were the most common (20%). Based on this, we believe that large-scale clinical studies with high quality using oriental interventions including chuna and pharmacopuncture are needed to establish guidelines for the management of pain treatment including postpartum back pain. Objectives: This study was performed to analyze the interventions of Oriental Medicine which had been commonly used for postpartum disease and postpartum care. Methods: We searched research on the interventions for postpartum disease and postpartum care in 4 domestic search engines. After that, we conducted eligibility screening based on inclusion and exclusion criteria. Results: 1. We selected total 50 studies. There were 2 randomized controlled trial (RCT), 5 non-RCT, 35 case reports, 8 case series within the 6~8 weeks after childbirth. 2. Of the 35 case reports, several interventions were used : acupuncture (22), moxibustion (11), cupping therapy (7), pharmacopuncture (5), chuna manipulation (4), herbal medicine (34). The most common symptoms were musculoskeletal symptoms (8), followed by postpartum depression (7). Various prescriptions and acupoints of oriental medicine were used depending on the diseases or symptoms. 3. Of the 8 case series, 382 subjects in 5 case series had taken Saenghwa-tang-gagam. And Acupuncture, moxibustion, cupping therapy (5), pharmacopuncture (1) were used as an intervention. 4. The most commonly used acupoint is 腎兪 (BL23) in the pain including postpartum back pain and 三陰交 (SP6), 關元 (CV4) in the postpartum care. 關元 (CV4) is the most commomly used moxibustion point not only the postpartum disease but also the postpartum care. Conclusions: In clinical studies of oriental medicine related to postpartum disease and postpartum care, pain-related clinical studies that belong to or progress to Sanhupung were the most common (30%), and among them, postpartum low back pain studies were the most common (20%). Based on this, we believe that large-scale clinical studies with high quality using oriental interventions including chuna and pharmacopuncture are needed to establish guidelines for the management of pain treatment including postpartum back pain.

스코핑 고찰 방법을 통한 산욕기 산모 건강관리에 대한 연구동향 분석

이도은(Do-Eun Lee),박한송(Han-Song Park),진준수(Joon-Soo Jin),민백기(Beak-Ki Min),윤인애(In-Ae Youn),서효원(Hyo-Weon Suh),서주희(Joo-Hee Seo) 대한한의학회 2020 대한한의학회지 Vol.41 No.3

공공산후조리원의 공익적 편익가치 분석

이해춘,안경애,김기덕,최원옥 한국경영컨설팅학회 2019 경영컨설팅연구 Vol.19 No.4

This study uses the DBDC Contingent Valuation method to estimate the economic benefits of public postpartum care centers. Survey groups are consisted of 100 citizens and 228 pregnant women living in Daegu. According to the estimation results, respondents tend to be 1) more experienced in using postpartum care centers, 2) higher income levels, 3) lower levels of suggested bids, and more willing to pay for the use of public postpartum care centers. An interesting fact is that the more respondents who have used postpartum care centers, the higher the willingness to pay. This means that expectations for public postpartum care centers will be higher than existing private postpartum care centers. The WTP of representative respondent are 2.87 million won. The WTP is higher than the average fee of actual private postpartum care. In other words, the respondents can be understood as a big evaluation of the public function of public postpartum care centers. and The benefit value of the public postpartum care center is 1,492 million won per year. 우리나라는 저출산과 고령화 사회로 인한 지속적인 인구감소 추세로 생산가능 인력의 부족과 소비위축 등이 경제발전의 장애 요인으로 작용하고 있다. 이에 정부에서도 다양한 저출산 고령화 대책을 수립하고 있는데, 특히 제 3차 저출산·고령사회 기본계획(2016~2020년)에서는 ‘저출산 극복’을 주요 과제로 설정하고 있다. 본 연구는 대구지역에서 계획하고 있는 공공산후조리원의 경제·사회적 편익가치를 산정하였는데, 구체적으로 지역주민의 공공산후조리원에 대한 지불의사액을 이중양분선택형 조건부가치측정법으로 추정하였다. 추정을 위한 자료는 실태조사를 통해 구득하였다. 추정결과, 평균적 응답자는 1) 산후조리원의 사용 경험이 있을수록, 2) 소득 수준이 높을수록, 그리고 3) 제시한 제시액 수준이 낮을수록, 공공산후조리원 이용에 대한 지불의사가 높아지는 경향을 나타내고 있었다. 즉, 산후조리원의 사용경험이 있는 응답자일수록 지불의사가 높다는 것은 이 지역 시민들이 신규 조성할 공공산후조리원에 대한 기대가 높다는 것을 의미한다. 구체적으로 평균적 응답자의 공공산후조리원에 대한 지불의사액은 2주간 이용료를 기준으로 287만 원 수준으로 추정되었는데 이 금액은 실제 민간산후조리원의 2주간 평균 이용료보다 높은 수준으로 응답자들은 공공산후조리원의 공익적 기능을 높게 평가한다는 의미로 이해할 수 있다. 평균적 응답자의 지불의사액을 근거로 대구지역에 조성하고자 하는 공공산후조리원(20실 기준)의 편익가치를 계산하면 연간 15억여 원에 달하는 것으로 분석되었다.

Does a nurse-led postpartum self-care program for first-time mothers in Bangladesh improve postpartum fatigue, depressive mood, and maternal functioning?: a non-synchronized quasi-experimental study

( Fahima Khatun ),( Tae Wha Lee ),( Hye Jung Lee ),( Jeongok Park ),( Ju Eun Song ),( Sue Kim ) 한국여성건강간호학회 2021 여성건강간호학회지 Vol.27 No.3

Purpose: This study aimed to test the efficacy of a nurse-led postpartum self-care (NLPPSC) intervention at reducing postpartum fatigue (PPF) and depressive mood and promoting maternal functioning among first-time mothers in Bangladesh. Methods: A non-synchronized quasi-experimental design was used. First-time mothers were recruited during postpartum and assigned to the experimental or control group (34 each). The experimental group received the NLPPSC in the hospital, a 1-day intervention that focused on increasing self-efficacy. The control group received usual care. Data on PPF, depressive mood, maternal functioning, self-care behaviors, postpartum self-efficacy, and self-care knowledge were collected at postpartum 2 weeks (attrition 23.5%) and 6 weeks (attrition 16.1%). Data were analyzed using descriptive statistics, bivariate statistics, and linear mixed model analysis. Results: One-third (33.3%) of new mothers experienced depressive mood (Edinburgh Postnatal Depression Scale scores of ≥13 points). The NLPPSC intervention was statistically significant in decreasing PPF (β=-6.17, SE=1.81, t=-3.39, p<.01) and increased maternal functioning at postpartum 6 weeks in the experimental group (β=13.72, t=3.73, p<.01) compared to the control. Knowledge was also statistically significant for increased maternal functioning over time (β=.37, SE=.18, t=2.03, p<.05). However, there were no statistically significant differences in depressive mood over time. Conclusion: The NLPPSC intervention was feasible and effective in improving fatigue and maternal functioning in Bangladeshi mothers by postpartum 6 weeks and thus supports implementing the NLPPSC intervention for new mothers after childbirth.

서울시내 1개 산후 조리원에서 시행한 로타바이러스 선별검사에 대한 분석

박지영,김동환,배승영,최창희,조은영,최정훈,김선미,Park, Ji Young,Kim, Dong Hwan,Bae, Seung Young,Choi, Chang Hee,Cho, Eun Young,Choi, Jeong Hoon,Kim, Sun Mi 대한소아감염학회 2007 Pediatric Infection and Vaccine Vol.14 No.2

목 적 : 로타바이러스는 전 세계적으로 영유아 및 소아 설사의 흔한 원인이며, 신생아의 원내 감염 중 가장 중요한 원인체로 알려져 있다. 본 연구는 출생한 병의원에서 퇴원 후에 즉시 산후 조리원으로 입소한 정상 신생아를 통해 출생한 병의원으로부터 기원한 로타바이러스 원내 감염을 분석하여 로타바이러스 항원 양성률, 연관인자, 증상 발현율, 임상 증상 및 감염 통제 방법에 대해 알고자 시행하였다. 방 법 : 2005년 3월부터 2006년 9월까지 서울위생병원 부설 산후 조리원에 입소한 정상 신생아 957명 중 입소하여 24시간 이내에 시행한 대변 내 로타바이러스 항원검사에서 양성을 보인 신생아 216명을 대상으로 하였다. 로타바이러스 항원검사는 면역 크로마토그래피법을 이용하여 시행하였다. 신생아에 대한 정보는 간호 기록지를 후향적으로 검토하여 입소 신생아의 성별, 출생 체중, 재태 연령 및 월별 로타바이러스 항원 양성률, 출생한 병의원, 분만 방법, 수유 방법, 증상 발현율 및 임상증상 등에 대해 조사하였다. 결 과 : 1) 입소 24시간 이내에 로타바이러스 항원 양성을 보인 신생아는 총 216명(22.6%)으로 남아가 126명(58.3%), 여아가 90명(41.7%)이었고, 출생 체중 및 재태 연령에 따른 차이는 없었다. 2) 입소한 신생아의 월별 로타바이러스 항원 양성률은 10-36%이었고, 출생한 병의원에 따른 로타바이러스 항원 양성률은 3.5-53.6%로 다양한 분포를 보였다. 3) 총 957명 중 정상 질식 분만으로 출생한 신생아는 655명(68.4%)으로 평균 재원기간은 2.4일이었고 제왕절개 분만으로 출생한 신생아는 302명(31.6%)으로 평균 재원기간은 5.7일이었다. 로타바이러스 항원 양성률은 정상 질식 분만군은 17.6%, 제왕 절개 분만군은 33.4%로 정상 질식 분만군에 비해 제왕 절개 분만군에서 로타바이러스 항원 양성률이 유의하게 높았다(P<0.001). 4) 입소 전 수유 방법에 따른 로타바이러스 항원 양성률은 모유 수유군 27명(12.5%), 분유 수유군 101명(46.8%), 혼합 수유군 88명(40.7%)이었고, 대조군에서는 모유 수유군 83명(38.4%), 분유 수유군 47명(21.8%), 혼합 수유군 86명(39.8%)으로 모유 수유군에서 로타바이러스 항원 양성률이 유의하게 낮았다(P<0.001). 5) 로타바이러스 항원 양성자 중 무증상군 및 증상군은 각각 65.3%, 34.7%이었다. 임상 증상으로 가장 많이 나타난 것은 설사로 69명(92.0%)에서 관찰되었고 수유부진 34명(45.3%), 열 30명(40.0%), 구토 19명(25.3%), 체중 증가의 지연 9명(12.0%), 소변양의 감소가 4명(5.3%)에서 나타났다. 대변의 양상은 수양변이 43명(61.3%)으로 가장 많았다. 입원 치료가 필요했던 경우는 24명(11.1%)이었고 중증 질환으로 진행된 경우는 없었다. 결 론 : 산후 조리원에 입소하는 신생아들 중 일부는 이미 출생한 병의원의 신생아실에서 로타바이러스 원내감염이 된 상태에서 입소하는 경우로 산후 조리원에서 신생아의 관리가 제대로 이루어지지 못할 때에는 2차적으로 산후 조리원 내 감염으로 급속히 전파될 수 있다. 따라서 로타바이러스의 감염 전파를 예방하기 위하여 모유 수유를 권장하고, 최근 증가하는 산후 조리원의 상황을 인지하여 항원 양성자를 격리하여 관리하는 것이 도움이 될 것으로 생각된다. 또한 산후 조리원에 대한 규제와 관리, 철저한 위생 교육 및 앞으로 좀 더 많은 연구가 필요하다. Purpose : Rotavirus is one of the most important etiologic agents of nosocomial infections among the neonates. This study was designed to investigate nosocomial rotavirus infection in neonates who were admitted to a postpartum-care center after birth. Methods : From March 2005 to September 2006, 957 healthy neonates were examined for rotavirus antigen in stool by immunochromatographic method and 216 neonates were rotavirus antigen positive within 24 hours after admitted to a postpartum-care center. We reviewed the nursing charts retrospectively such as characteristics, monthly distribution, birth hospitals, delivery methods, feeding types and clinical manifestations. Results : Among 957 neonates, 216 neonates (22.6%) were rotavirus antigen positive and there were no differences in sex, birth weight, gestational age. Monthly positive rate of rotavirus antigen showed diversity from 10% to 36%. According to birth hospitals, positive rate showed diversity from 3.5% to 53.6%. Out of 957 neonates, 655 cases (68.4%) were born of vaginal delivery and mean hospitalized duration was 2.4 days, 302 cases (31.6%) were born of cesarean section and mean hospitalized duration was 5.7 days. 17.6% of vaginal delivery and 33.4% of cesarean section were rotavirus antigen positive. The positive rate was higher in neonates by cesarean section than vaginal delivery (P<0.001). According to feeding types, positive rate of rotavirus antigen was lower in breast-fed group than formula-fed group (P<0.001). Proportion of symptomatic case among rotavirus antigen positive was 34.7%. Most common clinical manifestation was diarrhea (61.3%), following poor feeding (45.3%), fever (40.0%), vomiting (25.3%), delayed weight gain (12.0%), and decreased urine amount (5.3%). Conclusion : Some neonates were already infected before admission to a postpartum-care center. Without meticulous management, nosocomial rotavirus infection would transmit rapidly in a postpartum-care center spreading to the community. Recommendation of breast-feeding, routine rotavirus screeing test with or without symptom, and isolation of all rotavirus antigen positive neonates in a postpartum-care center seem to be necessary. Also attentive hygiene education and further investigations of rotavirus infection in a postpartum-care center would be needed.

한국 산후조리 문화의 변화에 관한 연구

김연정(Kim Yeoun-jung),정미라(Chung Mi-ra) 가천대학교 아시아문화연구소 2012 아시아문화연구 Vol.26 No.-

본 연구는 출산연도가 서로 다른 250명의 여성을 대상으로 그들이 실천했던 산후조리의 내용과 수행 형태 등을 분석하여 한국 산후조리의 모습을 파악하기 위하여 이루어졌다. 본 연구는 산후조리와 관련된 설문지를 통한 조사연구로 진행되었다. 설문 문항은 산과적 특성, 산후조리 형태, 신체적 정서적 회복을 위한 실천내용 등에 관한 25문항으로 구성되었다. 그 결과 산후조리의 형태 및 신체적, 정서적 회복을 위한 수행내용에 있어서 세대 간 전승되고 있는 것과 변화를 보이는 것들이 있었다. 예를 들면 무거운 것을 들지 않는 등의 몸 보호를 위한 주의사항은 1세대에서 3세대까지 모든 대상자들이 잘 수행했던 내용이었다. 또한 찬 자극 피하기는 1세대 보다 3세대가 더 잘 수행하고 있는 것으로 나타났다. 아울러 정서적 회복을 위한 사항으로는 산모자신이 스스로 마음을 다스리는 방법을 사용하고 있었으며 3세대는 가족이나 외부의 도움을 받아 정서적 회복을 하려는 새로운 움직임도 보였다. 산후조리는 그 사회의 사회적, 문화적 영향을 크게 받는다. 따라서 산후조리에 관한 연구는 각 세대의 사회, 문화적 측면에서의 특성을 이해하는 것이 중요하다. Purpose: The purpose of this study is to shed light on the conditions of postpartum care between generations. Method: This study analyzed the conditions of postpartum care by carrying out a survey targeting 250 women with different birth year who experienced postpartum care. The survey consists of 25 questions including the background of birth, the form of postpartum care, the contents of physical and emotional recovery (including food), and the like. Result and Conclusion: In this study, the form of postpartum care(period, place, assistant) and the contents of physical and emotional recovery show differences between generations. One of the examples of physical recovery, not to life heavy things, is transmitted from generation to generation. Avoiding chilly wind and cold stuff is well conformed by the third generation better than the first generation. Although all of each generation make an effort to relax by themselves, the third generation shows an attempt to receive help from family or others compared with another generations. Postpartum care is under the great influence of social and cultural factors. It therefore might seem that understanding for the characteristics of each generation would be necessary to study postpartum care.