Research in Community and Public Health Nursing

Original Articles

Gestational diabetes and breastfeeding-related pain as major contributors to early breastfeeding cessation: Deulle Min, Eun Ju Kwak, Seung Mi Park; Res Community Public Health Nurs. 2023;34(1):52-60. Published online March 31, 2023; DOI: https://doi.org/10.12799/rcphn.2022.00332

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Abstract PDF: Purpose
This study aimed to determine the effects of gestational diabetes mellitus, breastfeeding-related pain, and infant growth on the cessation of breastfeeding. Methods: This is secondary data analysis. This study included 60 pregnant women from 3 prenatal breastfeeding clinics. Pregnant women aged 20–49 years, with or without a diagnosis of gestational diabetes mellitus were enrolled. The participants were administered four self-reported questionnaires, one at 5 days, 14 days, 3 months, and 6 months postpartum. A linear mixed model and Cox regression analysis were used. Data were collected between May 25, 2020 and June 14, 2021. Results: The rate of breastfeeding cessation was 55.0% (n=33). The average maternal ages were 32.30 (±4.61) and 31.33 (±7.05) years in the cessation and maintenance groups, respectively. The average duration of breastfeeding in the cessation group was 56.27 (±37.48) days. After adjusting for all covariates, the risk of breastfeeding cessation was 2.5 times greater among participants diagnosed with gestational diabetes mellitus (p=.042). Additionally, the risk of breastfeeding cessation was 1.3 times greater among those with severe breastfeeding-related pain (p=.015). Conclusion: The first two months postpartum is the most essential time for healthcare workers to provide support and address difficulties associated with breastfeeding for mothers with gestational diabetes mellitus.

An Analysis of Factors associated with Annual Trends in Childbirth Plans by Female Workers: Jee Seon Yi, Hye Sun Jung; J Korean Acad Community Health Nurs. 2019;30(3):357-367. Published online September 30, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.3.357

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PURPOSE
The aim of this study is to identify factors of Korean female workers' childbirth plans and to establish measures to improve the childbirth plan.
METHODS
Study subjects were selected part in the 1st, 3rd, and 5th year surveys of the Korean Longitudinal Panel Survey of Women and Families. The selection criteria were as follows: women who had a spouse; were salaried workers currently employed for the last one month; belonged to a childbearing age; and had less than 3 children. Logistic regression analysis was conducted to investigate factors associated with childbirth plans.
RESULTS
Childbirth plans by female workers decreased each year. The analysis of associated factors revealed that age, number of children were associated factors in all years. In addition, education, satisfaction about dividing household chores with the husband, and satisfaction about working environment were associated with the lack of planning for childbirth in female workers in the 1st survey year. Satisfaction about dividing household chores with the husband, family-work conflict, and satisfaction about the potential for personal development were associated factors in the 3rd survey year. Finally, family-work conflict, satisfaction about employment stability, and satisfaction about job task at work were associated factors in the 5th survey year.
CONCLUSION
It is important to know the measures focusing on the lack of planning for childbirth, and hence these factors can be improved by assessing in general, family, and occupational characteristics. Additionally, employer policies regarding women employees who are pregnant or have children at home need to be reviewed.

Citations

Citations to this article as recorded by

Adult Perceptions of Healthy Pregnancy: A Focus-Group Study
Hae Won Kim, Duck Hee Kim, Hyang Yuol Lee, Young Jin Lee, Hye Young Ahn
International Journal of Environmental Research and Public Health.2020; 17(7): 2460. CrossRef

Factors Influencing Happiness among Pregnant Women in the Ecological Systems Theory: Gyu Ree Lee, Hyun Kyung Choi; J Korean Acad Community Health Nurs. 2019;30(1):11-24. Published online March 31, 2019; DOI: https://doi.org/10.12799/jkachn.2019.30.1.11

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PURPOSE
This study tries to systematically understand factors that explain levels of happiness among pregnant women in the Ecological systems theory.
METHODS
A descriptive, cross-sectional study was conducted with 169 pregnant women in Korea. Collected data from self-report questionnaires were analyzed by hierarchical regression analysis using the SPSS statistics 23 program.
RESULTS
A total of 5 models were examined according to individual, microsystem, mesosystem, exosystem, and macrosystem in the Ecological systems theory. In the first model including individual factors, extraversion, neuroticism, and physical and psychological change constitute significant factors explaining happiness. In the second model with microsystem factors and in the third one with mesosystem factors, marital intimacy appears to be a significant factor. In the fourth model including exosystem factors, community service is a significant factor. In the final model with social atmosphere, personality (Î²=.15 for extraversion; Î²=âˆ’.30 for neuroticism), physical and psychological change (Î²=âˆ’.15), marital intimacy (Î²=.35), and community service (Î²= .18) turn out to be significant. These factors explain 59% of the variance of happiness in the pregnant women in Korea.
CONCLUSION
Considering the fact that pregnant women's happiness is explained by microsystem and exosystem factors as well as individual factors, developing intervention programs that can promote influencing factors such as marital intimacy and community service is necessary to improve levels of happiness among pregnant women in Korea.

Citations

Citations to this article as recorded by

Trajectories of subjective health status among married postmenopausal women based on the ecological system theory: a longitudinal analysis using a latent growth model
Eun Jin Kim, Ju-Hee Nho
Korean Journal of Women Health Nursing.2022; 28(2): 123. CrossRef
The Mediating Effect of Marital Intimacy on the Relationship between Spouse-Related Stress and Prenatal Depression in Pregnant Couples: An Actor–Partner Interdependent Model Test
Miyoung Lee, Yeon-Suk Kim, Mi-Kyoung Lee
International Journal of Environmental Research and Public Health.2021; 18(2): 487. CrossRef
Effects of Positive Psychology-Based Program for the Depressed Pregnant Women
Hyeon Hee Shin, Yeong Hee Shin
Journal of The Korean Society of Maternal and Child Health.2021; 25(2): 109. CrossRef

A Study on Characteristic Factors Related to Low Back Pain and Mental Health of Pregnant Women: Myoung Ja Wang, Sang Won Lim, Sun Hye Jun, Nam Hyun Cha; J Korean Acad Community Health Nurs. 2009;20(3):381-389. Published online September 30, 2009

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Abstract PDF: PURPOSE
The study was to explore the level of low back pain and characteristic factors influencing low back pain (LBP) and mental health during pregnancy.
METHODS
The subjects were a total of 383 healthy pregnant women in S City and K-Do. Data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlation.
RESULTS
82.5% of the pregnant women answered the existence of LBP and 19.7% of them had high LBP. The preferred method of controlling LBP was 'Just endure' (42.3%). There were significant differences in pregnancy level (p < .05) and discomfort condition related to pregnancy (p < .01) according to low back pain. There were significant differences in pain intensity according to mental health. The correlation between pain level and pregnancy weeks (p < .001) and BMI in previous pregnancy (p < .001) was significant. The correlation between mental health and age was significant (p < .001).
CONCLUSION
The majority of the pregnant women experienced LBP during pregnancy. However, they were not offered the best method of controlling the pain. Thus, for preventing LBP during pregnancy, we recommend regular exercises and BMI control.

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