• Title, Summary, Keyword: Postpartum edema

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Basic Research to Provide Severity Evaluation Criteria of Postpartum Edema (산호부종의 중증도 평가 기준 마련을 위한 기초 연구)

  • Choi, Min-Sun;Kim, Dong-Il
    • The Journal of Korean Obstetrics and Gynecology
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    • v.21 no.4
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    • pp.207-217
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    • 2008
  • Purpose: To provide Diagnostic Criteria and Severity Evaluation Criteria of postpartum edema mainly complained by women directly after delivery. Methods: We analyzed Edema Index(ECF/TBW) analyzed by Body Composition Analyzer(InBody720) of 103 women directly after delivery who were delivered in Ob & Gy of Dongguk University Ilsan Hospital. Results: Mean value for Edema Index of 103 participants was 0.3527$\pm$0.0102, Minimum was 0.336, Maximum 0.388. From this Mean value and Edema Index distribution of participants, We suggest that we can diagnose more than 0.35 of Edema Index as Postpartum Edema, more than 0.35 and less than 0.36 as postpartum edema grade 1, more than 0.36 and less than 0.37 as grade 2, more than 0.37 as grade 3. Conclusion: This research is the first step for diagnostic criteria of postpartum edema, we suggest that diagnostic criteria of postpartum edema is more than 0.35 of Edema Index score. But this suggestion must be revaluated by additional research.

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Study of the oriental medical literature for postpartum edema (산후부종(産後浮腫)에 대(對)한 문헌적(文獻的) 고찰(考察))

  • Byun, Hyung Kuk;Yoo, Dong Youl
    • Journal of Haehwa Medicine
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    • v.13 no.1
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    • pp.147-158
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    • 2004
  • In the wide view as human, males and females can be same. But in pathological view, they have big differences. Compared to that males mostly follow the pathological process according to the paticular abnormal organs. Females could show pathological state totally apart from the abnormal organs when connected to delivery. For example, Postpartum abnormal pain, fever, edema, etc show totally different aspects when regardless of delivery. Here, We'll analyze postpartum edema that generally apppears after delivery from historical books, and find out previous conception of that in the oriental medicine, and summary them to be helpful to the cause, differentiation, and treatment. Result 1. A cause of postpartum edema is a bad blood that originate in poor postpartum care weakness of spleen and stomach and trouble of body flood metabolism. 2. General symptom of postpartum edema is edema of face, eye, arm, leg but postpartum edemas not edema of face, eye, arm, leg but asthma, red lighted skin and difficulty of urine. 3. edema is classified by Gi-Jong, Su-Jong and Hyul-Jong.

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Basic Studies on Correlations between Postpartum Edema and Heart Rate Variability (산후부종과 HRV의 연관성에 관한 기초연구)

  • Hwang, Jae-Ho;Yun, Young-Jin
    • The Journal of Korean Obstetrics and Gynecology
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    • v.24 no.4
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    • pp.186-193
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    • 2011
  • Purpose: This study was performed to find correlations between Edema Index and Heart Rate Variability(HRV) conducted in early postpartum period. Methods: 17 postpartum women were participated in this study which was conducted with Inbody 720(Biospace Co. Ltd.) and SA-6000(Medicore Co. Ltd.). Edema Index(Extra Cellular Water/Total Body Water) was calculated after body composition analysis and HRV result(TP, VLF, LF, HF, HF norm, LF norm, LF/HF ratio) was analysed within a week after delivery. Results: There was no significant correlations between Edema Index and HRV results in time domain analysis. also Edema Index and TP, LF, HF, LF/HF ratio have no significant correlations in frequency domain analysis. but only VLF data has significance compared with Edema Index. Conclusions: It can be suggested that VLF results analysed by HRV can be useful reference estimating postpartum edema especially occurs in early postpartum period.

Literature research on the use of succium and pumpkin in postpartum edema (산후부종(産後浮腫)의 호박(琥珀)과 남과(南瓜)의 오용에 대한 문헌고찰)

  • Ahn, Sang-Young;Han, Chang-Hyun;Kwon, Oh-Min;Park, Sang-Young;Ahn, Sang-Woo
    • Herbal Formula Science
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    • v.17 no.2
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    • pp.39-51
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    • 2009
  • Objectives : In Korea the practice of folk remedies is widely spread. One of the main uses is the utilization of pumpkin in postpartum edema. While this practice is widely propagated no one could exactly define the evidence of its uses. Therefore we aimed to provide literature evidence of correct prescription in postpartum edema. Methods : As the use of pumpkin in postpartum edema is particular to korea, we revised all the medical book published from the 17th century, the time supposed to have been introduced pumpkin in Korean peninsula. We also researched the prescription mainly used in postpartum edema, and the common main herbal component, succium. As pumpkin and succium is homophony to 'Ho bak' in korean it had the possibility of being misinterpreted. Results : On our literature research we found the precautions of pumpkin to provoke gi-stagnatio and dampness obstruction and that it was restricted while the recovery of all kind of diseases as well as in puerperium. The main reason of postpartum edema is caused by blood stasis which when the blood gains its normal circulation, edema is dispersed by itself. For this propose main prescription was Jogyeongsan調經散 type with its main component succium which medical properties are cited in all medical classics consistently. From the literature of "Juchonsinbang" and "Uibanghapbu" we found three different prescriptions, Hobakgo琥珀膏, Hobakgo胡朴膏, and Namgwago南瓜膏 which contents and their medical proposes were equal. Conclusions : By these finding we could refer that the use of pumpkin in postpartum edema was caused by homophonic reasonal misinterpretation of succinum in korean. This research provides the literature evidence to correct pumpkin's misuse and also the necessity of restriction of the use of even most common products for medical proposes and/or at least the importance of being guided by the experts.

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Correlations between Postpartum Edema and Pulse Energy Measured by 3D Blood Pressure Pulse Analyzer (3D Blood Pressure Pulse Analyzer로 측정한 맥파 에너지와 산후 부종과의 상관성 연구)

  • Lee, Ji-Yeon;Yun, Young-Jin
    • The Journal of Korean Obstetrics and Gynecology
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    • v.27 no.1
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    • pp.167-175
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    • 2014
  • Purpose: This study was performed to find correlations between Edema Index and Pulse Energy in early postpartum period. Methods: Fiftynine postpartum women were participated in this study which was conducted with Inbody 720 (Biospace Co. Ltd) and 3D Blood Pressure Pulse Analyzer (3D-MAC). Edema Index (Extra Cellular Water/Total Body Water) calculated after body composition analysis and 3D-MAC result (Pulse Energy) were analysed within a week after delivery. Results: The results were as follows 1. Edema Indexes of the upper, lower limbs, trunk and whole body were associated with each other respectively. 2. Edema Indexes and Right Kwan pulse energy had significant positive correlation. 3. Right Kwan pulse energy showed positive correlations with Left Kwan, Right Chon, Right Cheok. Conclusions: Viscera associated with Postpartum Edema are Spleen, Lung, Liver and Vital Gate. The most important thing is thought to be Spleen.

Body Composition Analysis Study of Postpartum Women With Cold-Hypersensitivity (수부냉증이 있는 산모의 체성분학적 특성 분석)

  • Lee, Mi-Joo;Lee, Chang-Hoon;Lee, Kyung-Sub
    • Journal of Oriental Medical Thermology
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    • v.9 no.1
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    • pp.22-28
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    • 2011
  • Purpose :To analyze body composition in postpartum women with cold-hypersensitivity, their edema index, skelectal muscle's weight and body fat were measured and analyzed with cold hypersensitive postpartum women compared with those of non-cold hypersensitivity. Methods : We studied 38 postpartum women visiting Gangnam Kyung-Hee Korean Hospital from 1 st October 2010 to 30th september 2011. they were subjected to Digital Infrared Thermal Imaging and those with thermal difference greater than $0.3^{\circ}C$ between anterior forearm and center of hand were diagnosed with cold hypersensitivity. Cold hypersensitivity group were consisted of 11 women, the other were consisted of 26 women. All of them were measured Edema index, skelectal muscle's weight and body fat by Inbody720(body composition scanner). We studied the difference of Body composition factor between two groups and relationship between cold-hypersensitivity, Edema index, skelectal muscle's weight and body fat by Independent Samples T-test and Spearman Correlation. Results : No significant differences were observed in edema index, skelectal muscle's weight and body fat between two groups. Conclusion : There was no significant relationship among the Cold-hypersensitivity and Body composition factor(Edema index, skelectal muscle's weight. body fat). But furthemore large scale study is required.

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Effects of Foot-Reflexology Massage on Body Weight, Lower Extremity Edema and Serum Lipids in Postpartum Women (발반사 마사지가 산욕부의 체중, 하지부종과 혈청 지질수준에 미치는 효과)

  • Park, Shim-Hoon
    • Korean Journal of Women Health Nursing
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    • v.13 no.2
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    • pp.105-114
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    • 2007
  • Purpose: This study examined the effects of foot-reflexology massage on body weight, lower extremity edema, and serum lipids in postpartum women. Method: This study was a nonequivalent control-group pretest-posttest design. Postpartum women were assigned to the experimental group (n=16) or a control group (n=15). Foot reflexology massage was applied 5 times a week, for a total of 2 weeks to the experimental group. The tool for measuring lower extremity edema was the girth of the thigh, and the calf. The measuring tool for serum lipids was total cholesterol and TG in blood serum by clinical process. Data was analyzed by $x^2$-test, t-test, and paired t-test, ANOVA using SPSS/Win PC 14.0. Results: There was a statistically significant decrease in levels of TG in blood serum in the experimental group compared to the control group. Conclusion: Foot reflexology massage is a useful nursing intervention that decreases serum lipids level in postpartum women. Therefore foot reflexology massage is recommended as a nursing intervention strategy for serum lipids reduction in postpartum women.

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A Study on the Effect of Omibaekchul-san on Postpartum Edema - Comparison with Saenghwa-tang (오미백출산이 분만 후 산모의 부종에 미치는 영향 - 생화탕과 비교하여)

  • Kim, Gun-Hee;Lee, Ji-Hyun;Cho, Han-Baek;Choi, Chang-Min;Kim, Song-Baek
    • The Journal of Korean Obstetrics and Gynecology
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    • v.28 no.2
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    • pp.91-108
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    • 2015
  • Objectives : The aim of this study was to investigate the effect of Omibaekchul-san on postpartum edema in women hospitalized at korean medical postpartum care center in comparison with Saenghwa-tang. Methods : The body composition data was collected from 102 women, who took postpartum care in postpartum care center attached to Won-kwang University Jeonju Korean Medical Hospital, from March 2012 to July 2013. The data was analyzed by Body Composition Analyzer (Inbody 720). Specifically the data was composed of the Extra Cellular Fluid/Total Body Fluid (ECF/TBF), Total Body Water (TBW), Intra Cellular Water (ICW), Extra Cellular Water (ECW), Body Weight, Body Mass Index (BMI), Waist Hip Ratio (WHR), and the ECF/TBF of each body parts such as the upperlimb, lowerlimb and trunk. The body composition was measured twice during 2~8.5 days from childbirth and once again after 7~13.5 days from childbirth by Body Composition Analyzer. Results : The Omibaekchul-san -treated group showed a significant decrease of ECF/TBF, ECW, TBF, Body weight, BMI, ECF/TBF of each body parts and increase of WHR in comparison with the data of the Saenghwa-tang-treated group. In two groups, only the change of ICW was unsignificant. Conclusions : Statistically this study suggests that the Omibaekchul-san will help the quality of life of women who are in postpartum edema.

A Prospective Observational Study on Symptoms of the Postpartum Women with Korean Medicine Treatment during Six Weeks after Childbirth (한의치료를 받은 산모의 산후 6주간 증상에 대한 전향적 관찰 연구)

  • Kim, Pyung-Wha;Kim, An-Na;Jang, Hyun-Chul;Lee, Eun-Hee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.30 no.4
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    • pp.114-134
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    • 2017
  • Objectives: This study aims to investigate the changes of women's postpartum symptoms, including their weights, edema index and quality of life (QOL) over the first six weeks after childbirth. Methods: The study participants were 31 postpartum women treated in the Dept. of Obstetrics & Gynecology, at Woo-Suk University Korean Medicine Hospital, from May 20th to August 5th, 2016. In the first 2 weeks of the postpartum period, the main data collection method was to interview each patient and write down all of their complaints, and additionally referring to each participant's PHR (Personal Health Records). At the 3rd, 4th, 5th and 6th week, the researcher interviewed participants by phone once a week. The participants' weight, edema index (ECW/TBW) and the quality of life (by EQ-VAS) were measured at 1st and 2nd week after childbirth. And, EQ-VAS was assessed once more at the 6th week after childbirth. As a last step, the participants responded to a survey on satisfaction regarding their postpartum care with Korean Medicine. Results: 1. In the 1st one week after childbirth, edema was the most frequent complaint. It was about joint pain of the upper limbs in the 2nd and 3rd weeks, sweating in the 4th week, and joint pain of the upper limbs in the 5th and the 6th weeks. 2. In the 1st two weeks of the postpartum period, the weight of the participants decreased from $66.33{\pm}9.30kg$ to $62.60{\pm}8.92kg$ (p<0.001) and the edema index ECW/TBW decreased from $0.399{\pm}0.010$ to $0.385{\pm}0.0 4$ (p<0.001). The EQ-VAS significantly improved from $61.77{\pm}17.72$ to $73.51{\pm}14.67$ (p<0.001). In the last 4-weeks of the postpartum period, the EQ-VAS decreased from $74.30{\pm}14.25$ to $73.63{\pm}13.35$, but this difference was not statistically significant (p=0.749). 3. Regarding the satisfaction with postpartum care with Korean Medicine, 60% of the participants responded that it was 'Excellent' and 40% said it was 'Good'. Conclusion: Over the entire postpartum period, the most frequent complaints were about musculoskeletal symptoms. Postpartum care with Korean Medicine treatments in the early postpartum period improves various postpartum symptoms and the quality of life for postpartum women.

A Study about the Satisfaction of Oriental Medical Postpartum Care (산욕 초기 입원치료를 받은 산모들의 한방 치료 만족도 조사)

  • Bak, Ji-Young;Park, Jung-Kyung;Park, Ka-Young;Kim, Tae-Hee
    • The Journal of Korean Obstetrics and Gynecology
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    • v.22 no.4
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    • pp.173-186
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    • 2009
  • Purpose: 1. To analyze the satisfaction and cognition of postpartum care and to aid the spread of oriental medicine in postpartum care. 2. Get a basic guideline of O.M.D's postpartum care. Methods: We studied the satisfaction and cognition of postpartum care with questionnaire from January 2009 to August 2009, who was treated in ○○ Oriental Medical Postpartum care center during 2 weeks. 61 puerperants answered us. Results: 1. In choosing Postpartum care center, puerperants concerned about new born infants' care(50.8%) and treatment for discomfort after delivery(27.86%). 2. 22 puerperants(36.6%) had a positive view in folk remedy for postpartum care and 34 puerperants(55.73%) thought it would be good to eliminate edema and loose weight. 3. Most of puerperants(80.32%) chose oriental medical postpartum care because they wanted to receive oriental medical treatment. 4. 5 puerperants(8.19%) were very satisfied with oriental medical postpartum care than other type of postparum care which they experienced at first delivery. 47(77.04%) were satisfied, 2(3.27%) were unsatisfied and no one was very satisfied. 5. To the questionnaire about the effect of strength recovery, lochia excretion, edema limination, increasing amount of breastmilk, reducing arthralgia, about 36.8% puerperants showed positive view. 6. The positive view about Acupuncture, cupping, moxibustion, herbal treatment was, respectively, 90.16%, 49.18%, 73.77%, 86.88%. Conclusion: Puerperants were satisfied with oriental medical postpartum care and had positive cognition in oriental medical treatment. There is much capability for extension of oriental medicine in postpartum care. So continuous concern, systemic development and publicity about oriental medical postpartum care are required.

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