Development and application of a couple-centered antenatal education program in Korea

( Minseon Koh ),( Jisoon Kim ),( Hyeji Yoo ),( Sun A Kim ),( Sukhee Ahn ) 한국여성건강간호학회 (구 여성건강간호학회) 2021 여성건강간호학회지 Vol.27 No.2

Purpose: This study was conducted to develop a couple-centered antenatal education program and to test the program’s feasibility. Methods: With a preliminary-experimental study design, 33 pregnant couples who were expecting their first child participated in this study. The program consisted of four sessions (1 hour/session/week) of education and counseling. Data were collected before and after the intervention from September 2018 to April 2019 at a women’s hospital in Daejeon, Korea, with demographic data forms, the Edinburgh Postnatal Depression Scale, Perceived Stress Scale, Maternal-Fetal Attachment Scale, Korean Newborn Care Confidence Scale, Wijma Delivery Expectancy/Experience Questionnaire, and Dyadic Adjustment Scale-10. Results: The pregnant women and their husbands were on average 32.30±3.10 and 33.21±6.25 years old, respectively. The mean marriage duration was 2.34±1.63 years, the gestational age was 31.30±2.66 weeks, and 78.8% of the couples had a planned pregnancy. After the program, both the pregnant women and their husbands showed significant improvements in attachment to the fetus and confidence in providing infant care. Prenatal depression, prenatal stress, and fear of childbirth in pregnant women significantly decreased after completing the program. However, the dyadic adjustment score did not change significantly either in the pregnant women or their husbands. Conclusion: A couple-centered antenatal education program seems to be effective for couples adjusting to parenthood, but further studies should explore ways to have a positive impact on couples’ relationships.

임신 여성의 적응에 관한 Giorgi의 기술적 현상학 연구

고민선 ( Minseon Koh ),김지순 ( Jisoon Kim ),안숙희 ( Sukhee Ahn ) 한국여성건강간호학회 (구 여성건강간호학회) 2020 여성건강간호학회지 Vol.26 No.4

Purpose: This descriptive phenomenological study aimed to explore the lived experience and meaning of pregnant women’s adaptation. Methods: Ten pregnant women from an ongoing Pregnant Couples’ Cohort Study agreed to participate in this study. The data were collected through telephone in-depth interviews regarding what they experienced and felt about pregnancy adaptation. The qualitative data were analyzed using Giorgi’s method of descriptive phenomenology. Results: Five core situation components were extracted from the raw data, along with 12 themes and 33 focal meanings. The five core situations were 1) first recognizing the pregnancy, 2) pregnancy-related changes, (3) the upcoming birth, 4) the postpartum period, and 5) parenting. The 12 themes were as follows: “anxiety, pressure, and embarrassment due to pregnancy,” “efforts to adapt to physical changes,” “efforts to adapt to the psychological difficulties of pregnancy,” “efforts to adapt to the financial burden and role changes caused by pregnancy,” “connecting with the fetus,” “adapting to a new marital relationship centering on the baby,” “the frustration of childbirth,” “fear of childbirth,” “postpartum care, need help with lactation planning,” “parenting beyond what I imagined,” “dad’s willingness to participate in parenting,” and “career disconnect and consideration of workplace needs.” Conclusion: We identified that pregnant women experience adaptation in physical, psychological, relational, and social aspects. The thematic clusters identified can be used to develop nursing interventions to promote women’s adaptation to pregnancy.

Characteristics and Genetic Segregation of a Rolled Leaf Mutant in Rice

Songyee Lee,Minseon Choi,Joohyun Lee,Hee-Jong Koh 한국육종학회 2011 한국육종학회지 Vol.43 No.4

Leaf structure is one of the important agronomic traits. A rolled leaf mutant was induced from an ethyl methane sulfonate (EMS)-treated japonica rice, ‘Koshihikari’. The rolled leaf mutant showed phenotypes of reduced leaf width and leaf rolling. In addition, several abnormal morphological characteristics were observed, including dwarfism, defected panicle, delayed germination, and lower seed-setting. Microscopic analysis revealed that the number of small veins was decreased and the sizes of adaxial bulliform cells were reduced in the mutant leaves. The genetic study with two F2 populations from the crosses of the rolled leaf mutant with ‘Koshihikari’ and Milyang23 suggested that the mutant phenotype might be controlled by a single dominant gene.

한국 산모의 산후 우울과 산후 외상 후 스트레스장애 관련성: 종단적 연구

조현진 ( Hyunjin Cho ),고민선 ( Minseon Koh ),유혜지 ( Hyeji Yoo ),안숙희 ( Sukhee Ahn ) 한국여성건강간호학회 2022 여성건강간호학회지 Vol.28 No.1

Purpose: This study aimed to determine the level of postpartum posttraumatic stress disorder (PTSD) and postpartum depression (PPD) in Korean mothers with healthy babies and to explore the factors related to postpartum PTSD. Methods: This study used a longitudinal survey design to explore the levels and association of PPD and PTSD. Two hundred women were recruited during pregnancy and the data were collected via online survey from 166 mothers (84% retained) who gave birth to healthy babies, at two postpartum periods: Fear of childbirth was assessed at the 1st week; and spousal support, PPD, and postpartum PTSD were surveyed at the 4th week postpartum. Descriptive statistics, t-test, one-way analysis of variance, Chi square test, and multiple regression were done. Results: The mean age of mothers was 33.12 (±3.97) years old. Postpartum PTSD was low (8.95±6.49) with 1.8% (n=3) at risk (≥19). PPD was also low (6.68±5.28) and 30.1% (n=50) were identified at risk (≥10). The comorbid rate of PPD with PTSD was 6%. Mothers who did not have a planned pregnancy had higher scores of PPD (t=-2.78, p=.008), whereas spousal support and PPD had negative relationship (r=-.21, p=.006). The overall explanatory power for postpartum PTSD was 55.2%, of which PPD was the only significant variable (β=. 76, t=13.76, p<.001). Conclusion: While only 1.8% was at risk of postpartum PTSD at 4 weeks postpartum, PPD prevalence was 30.1% and PPD was the only influential factor of postpartum PTSD. Assessment and counseling of PPD are required as well as screening for postpartum PTSD. More research is also needed on postpartum PTSD in Korean women.

Factors influencing prenatal and postpartum depression in Korea: a prospective cohort study

( Hyeji Yoo ),( Sukhee Ahn ),( Seyeon Park ),( Jisoon Kim ),( Jiwon Oh ),( Minseon Koh ) 한국여성건강간호학회 2021 여성건강간호학회지 Vol.27 No.4

Purpose: This study explored the prevalence of prenatal and postpartum depression in Korea and its influencing factors from 20 weeks of pregnancy to 12 weeks postpartum. Methods: Using a prospective cohort study design, data on women’s depression and its influencing factors were collected at 20, 28, and 36 weeks of pregnancy and at 2, 6, and 12 weeks postpartum. The participants were 219 women and 181 spouses during pregnancy; and 183 mothers and 130 spouses after childbirth. Depressive symptoms were assessed by the Edinburgh Postnatal Depression Scale and influencing factors were measured by the Postpartum Depression Predictors Inventory-Revised, parity, and spousal depression. Results: The prevalence of maternal depression was 10.5% to 21.5% before birth, and it was 22.4% to 32.8% postpartum. The prevalence slightly decreased during the prenatal period but peaked at 2 weeks postpartum. Antenatal depression was influenced by low socioeconomic status, lower self-esteem, having experienced prenatal depression, having experienced prenatal anxiety, a previous history of depression, lower social support, lower marital satisfaction, and higher life stress. The factors influencing postpartum depression were lower self-esteem, having experienced prenatal depression, having experienced prenatal anxiety, lower social support, lower marital satisfaction, and higher life stress, as well as infant temperament and maternal blues. Parity and spousal depression had no impacts. Conclusion: The prevalence and influencing factors of maternal depression changed over time. Nurses need to screen women accordingly during the perinatal period and should provide education or counseling to prevent depression and promote adjustment to parenthood.

Corrigendum: Factors influencing prenatal and postpartum depression in Korea: a prospective cohort study

( Hyeji Yoo ),( Sukhee Ahn ),( Seyeon Park ),( Jisoon Kim ),( Jiwon Oh ),( Minseon Koh ) 한국여성건강간호학회 2022 여성건강간호학회지 Vol.28 No.1