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KMID : 0377619770320040453
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Korean Jungang Medical Journal
1977 Volume.32 No. 4 p.453 ~ p.459
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Survey on the Knowledge and Practice of Postpartal Care
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Abstract
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This study was designed to investigate 250 of mothers, 2 to 6 months after normal delivery, who called at the well-baby clinic of "S" Hospital in Seoul from during the 4 months from Sep. to Dec. 1976. regarding their knowledge and practice of postpartal care by means of a questionnaire.
The results are as follows;
1) Most of them were found to know postpartal care by learning from their family members or acquaintances, and 34.4/ of them know correctly that the postpartal period is 6-8 weeks.
2) 83.2% of them executed postpartal perineal care, and a complication of epigiotomy wound occurred in 16.0%. And the complication rate was about 3 times higher in the non perineal care group than in the perineal care group.
3) As for the relation between breast breeding and postpartal recovery, 60.8% of them answered the breast feeding would improve recovery and 18.8% answered it would delay recovery, and 20.4% of them were unconcerned or did not have knowledge.
There was very significant difference in knowledge (P<0.001), the breast feeding group showing the highest rate, followed by the mixed-feeding group and the artificial feeding group.
4) 11. 1% of investigated women showed antenatal breast care and 88.9% of them did not have antenatal breast care. There were significant differences (P <0.05) between the group of antenatal care and that of non antenatal care, the former showing a higher rate of normally in the breast, when breast feeding was done the abnormal symptoms of the breast appeared about 8 times higher in the non antenatal breast care group.
5) 32.8% of them practiced postpartal exercises and 67.2% of them did not.
As for the relation between postpartal exercises and recovery, 56.8% of them answered the exercises would improve recovery Ad 16.8% answered it would delay recovery, and 28.4% of them were unconcerned or did not have knowledge.
There was no significant difference in knowledge standard between the exercise group and the non exercise group.
6) 5-6 weeks after delivery, 46.4% of -them began to conduct normal activity and then there was significant difference (P<0.001) between primigravidas and multigravidas so, the former requiring a longer period prior to their resumption of normal activity.
7) 68.4% of them repressed sexual intercourse during the postpartal period, but 85.6% of them showed the correct knowledge.
There was no significant relation sexual intercourse and the knowledge of sexual intercourse during the postpartal period.
8) As for the points they desired after delivers, primigravidas want knowledge about child care and immunization, postpartal recovery course, sexual intercourse and family planning. But multigravidas wanted sexual intercourse and family planning, child care and immunization, and perineal care, in that order.
9) 81.2% of them answered they needed the guidance in postpartal care and primigravidas showed greater need than multigravidas (P<0.001).
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