Journal of Japan Academy of Midwifery最新文献

COVID-19パンデミック中に妊娠が判明した都市部に住む日本人女性の身体活動と食生活に関連した経験 COVID-19居住在城市的日本女性在流感大流行期间怀孕，她们的身体活动和饮食习惯相关经历

Journal of Japan Academy of Midwifery Pub Date : 2023-01-01 DOI: 10.3418/jjam.jjam-2023-0016

Natsuki HORI, Mie SHIRAISHI, Toshiko IGARASHI

引用次数: 0

Association of occupational stress during pregnancy with premature birth and small for gestational age: A systematic review of observational studies 妊娠期职业压力与早产和胎龄小的关系:一项观察性研究的系统综述

Journal of Japan Academy of Midwifery Pub Date : 2020-01-01 DOI: 10.3418/jjam.jjam-2018-0049

Hiyori Takahata, Mie Shiraishi

引用次数: 2

The utility of teaching women pelvic floor muscle training with vaginal palpation: Evaluation by postpartum women 阴道触诊教妇女盆底肌训练的效用:产后妇女评价

Journal of Japan Academy of Midwifery Pub Date : 2019-12-27 DOI: 10.3418/jjam.jjam-2018-0050

Mayumi Ikeda

{"title":"The utility of teaching women pelvic floor muscle training with vaginal palpation: Evaluation by postpartum women","authors":"Mayumi Ikeda","doi":"10.3418/jjam.jjam-2018-0050","DOIUrl":"https://doi.org/10.3418/jjam.jjam-2018-0050","url":null,"abstract":"Purpose The purpose of this study was to evaluate the utility of pelvic floor muscle training using vaginal palpation in postpartum period from the change of pelvic floor muscle contraction before and after teaching and the postpartum women's reactions. Methods 14 postpartum women who had vaginal deliveries in a maternity home and had a good postpartum progress participated in the study. Midwives implemented pelvic floor muscle training using vaginal palpation on women's fourth postpartum day. In order to evaluate the utility of teaching muscle contractions using vaginal palpation, the change of pelvic floor muscle contraction before and after teaching and the postpartum women's reactions were used as indices. Pelvic floor muscle contraction force was measured using the Oxford scale to quantify changes before and after teaching of pelvic floor muscle contraction. In addition, three observation indices evaluated: (1) movement of the vaginal and anal muscles; (2) presence or absence of substitute muscle contraction and (3) sensation of muscle contraction. Interview data from participants' reactions were analyzed qualitatively after practice as well as an anonymous questionnaire one month later. Results After the training, the majority of participants' weak pelvic floor muscle contractility disappeared, their use of substitute muscle contractions decreased and participants increased their understanding of the muscle contraction sensation. Five participants who did not understand how to contract the pelvic floor muscles before the training showed improvement on the Oxford scale after training. This change seemed to be due to increased awareness of contraction site and contraction sensation particularly through the midwives' use of vaginal palpation with pelvic floor muscle training. Pearson's correlation analysis indicated a strong significant correlation between Oxford scale score and the “movement of the vaginal and anal muscles”, “substitute contraction”, and “sensation of contraction”; these three variables proved to be a valid evaluation index of pelvic floor muscle contraction. Based on the interviews and an anonymous questionnaire, participants had no negative opinions on the pelvic floor muscle training using vaginal palpation. Two categories were extracted as evaluation from the postpartum women: Comprehension of pelvic floor muscle contraction, and Requirements for vaginal palpation. Comprehension of pelvic floor muscle contraction were supported by three subcategories: (1) understanding of the contraction site, (2) direct sensation of contraction, and (3) confirmation of correct muscle group contraction. Requirements for vaginal palpation were supported by three subcategories: (1) trust in providers of practice, (2) painless implementation and (3) consideration for shame. Conclusion Vaginal palpation was used as a teaching method for pelvic floor muscle training in the early postpartum period because it helped to confirm the contraction si","PeriodicalId":397231,"journal":{"name":"Journal of Japan Academy of Midwifery","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128155429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Comparison of attitudes toward childrearing among female college students in Japan, the United States, and Indonesia 日本、美国和印度尼西亚女大学生育儿观的比较

Journal of Japan Academy of Midwifery Pub Date : 2019-12-27 DOI: 10.3418/jjam.jjam-2018-0010

Keiko Hiraoka

引用次数: 0

Improve academic writing skills 提高学术写作能力

Journal of Japan Academy of Midwifery Pub Date : 2019-12-27 DOI: 10.3418/jjam.foreword-33-2

Y. Asaka

引用次数: 0

Women's labor pains in natural childbirth 妇女在自然分娩时的阵痛

Journal of Japan Academy of Midwifery Pub Date : 2019-12-27 DOI: 10.3418/jjam.jjam-2018-0038

Megumi Sato

{"title":"Women's labor pains in natural childbirth","authors":"Megumi Sato","doi":"10.3418/jjam.jjam-2018-0038","DOIUrl":"https://doi.org/10.3418/jjam.jjam-2018-0038","url":null,"abstract":"Objective In this study, we aimed to describe women's experiences of labor pains during natural childbirth. Study and This study involved qualitative and descriptive research based on Merleau-Ponty's phenomenological philosophy. The study participants were 9 women at six weeks after natural childbirth. Data were collected through non-structured interviews and analyzed with reference to the steps in Pollio's approach to phenomenology. Results We identified the following five elements as a framework for women's experiences of labor pains in natural childbirth: “ realization ” , “ acceptance ” , “ battling ” , “ sharing ” , and “ comparison ” . “ Realization ” was experienced by mothers who realized that their labor pains had started from the duration of their perceived physical pain and the consistency of that pain with their pre-existing knowledge of labor pains. “ Acceptance ” was experienced by mothers who accepted the phenomenon of labor pains in their own way, having recognized the significance and necessity of labor pains in the childbirth process. “ Battling ” was experienced by mothers who questioned whether or not they could control themselves at a critical moment in a state of severe labor pains. “ Sharing ” was experienced by mothers who felt labor pains were eased, mitigated, or otherwise made tolerable as a result of contact with others. “ Comparison ” was experienced by mothers with recollections linked to feeling that their recent labor pains were better or worse than previous labor pains or some other previous pain, or were better or worse than their previous knowledge had indicated. Conclusion Midwives supporting women in labor should understand the individual context in which a mother experiences labor pains, respect the intuition that mothers have about their labor pains, and build relationships of trust with the mothers while fostering such relationships between the mother and other people around her.","PeriodicalId":397231,"journal":{"name":"Journal of Japan Academy of Midwifery","volume":"597 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123191142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Change process of nipple tissue after initiating breastfeeding 母乳喂养后乳头组织的变化过程

Journal of Japan Academy of Midwifery Pub Date : 2019-12-27 DOI: 10.3418/jjam.jjam-2018-0032

Maya Nakamura, Y. Asaka

引用次数: 3

Lives of grandmothers of twins who are focused on childcare support 双胞胎祖母的生活，她们专注于儿童保育支持

Journal of Japan Academy of Midwifery Pub Date : 2019-12-27 DOI: 10.3418/jjam.jjam-2019-0022

Kanae Watanabe, K. Hama

引用次数: 0

Effects of tea consumption during pregnancy on preterm birth and small for gestational age: A systematic review 孕期饮茶对早产和胎龄小的影响:一项系统综述

Journal of Japan Academy of Midwifery Pub Date : 2019-12-27 DOI: 10.3418/jjam.jjam-2019-0016

Rio Harada, Mie Shiraishi

{"title":"Effects of tea consumption during pregnancy on preterm birth and small for gestational age: A systematic review","authors":"Rio Harada, Mie Shiraishi","doi":"10.3418/jjam.jjam-2019-0016","DOIUrl":"https://doi.org/10.3418/jjam.jjam-2019-0016","url":null,"abstract":"Purpose Tea consumption during pregnancy is assumed to increase the risks of preterm birth and small for gestational age (SGA). However, this association remains unclear. This review aimed to assess the effects of tea consumption during pregnancy on preterm birth and SGA. Method A search through 4 databases (PubMed, CINAHL, CiNii, and Ichushi-Web) and handsearches were conducted for identifying relevant publications in Japanese and English. We first screened the identified articles based on the inclusion and exclusion criteria and then evaluated the quality of articles using a risk-of-bias assessment tool. We used Mantel-Haenszel test to integrate the results of articles included in the review. Results Eleven articles were included in the review. Five articles examined the association between any tea consumption during pregnancy and preterm birth. Among the 5 articles, a meta-analysis of 3 articles that had the similar classification criteria for tea consumption indicated that the risk of preterm birth was significantly higher in women with high tea consumption (3 or more cups per week or 1 or more cups per day) than in women with low tea consumption (odds ratio=1.32, 95% confidence interval=1.06-1.63). By tea type, the consumption of green, Japanese and Chinese, or black tea was associated with an increased risk of preterm birth in 3 out of 7 relevant articles. However, meta-analyses showed no significant associations between the consumption of green or black tea and preterm birth. Black tea consumption during pregnancy was reported to be associated with an increased risk of SGA in 1 out of 7 relevant articles. In meta-analysis, no significant association between black tea consumption and SGA was found. Conclusion The meta-analysis showed an association between any tea consumption and preterm birth. On the other hand, there was no association between tea consumption and SGA. Further research regarding an association between tea consumption and SGA is required because of the small number of studies that could be used in the meta-analysis. Healthcare professionals would need to grasp individual daily tea consumption and inform pregnant women of the possible association between high tea consumption and an increased risk of preterm birth.","PeriodicalId":397231,"journal":{"name":"Journal of Japan Academy of Midwifery","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121420249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

OSCE investigation for evaluating delivery practices during midwife course completion trials for midwifery students before graduation 欧安组织对毕业前助产士课程完成试验期间评估接生实践的调查

Journal of Japan Academy of Midwifery Pub Date : 2019-12-27 DOI: 10.3418/jjam.jjam-2019-0014

Mie Ito, Mie Izumi, Hiromi Fujii, Y. Okuyama, K. Hirata, Yumiko Hosokawa, Yukari Takigawa, Junzo Funaki, Emiko Manabe, M. Takada

{"title":"OSCE investigation for evaluating delivery practices during midwife course completion trials for midwifery students before graduation","authors":"Mie Ito, Mie Izumi, Hiromi Fujii, Y. Okuyama, K. Hirata, Yumiko Hosokawa, Yukari Takigawa, Junzo Funaki, Emiko Manabe, M. Takada","doi":"10.3418/jjam.jjam-2019-0014","DOIUrl":"https://doi.org/10.3418/jjam.jjam-2019-0014","url":null,"abstract":"Objectives We investigated an OSCE for evaluating delivery practices during the completion of a midwifery course (below, “pre-graduation”) and implemented trials for pre-graduation students to analyze the validity of this OSCE. Methods We implemented a two-stage development process during the period from March 2017 to March 2018. In Stage 1, we planned an OSCE that evaluated the clinical reasoning tasks. For scenarios, we set four scenes and eight tasks as excerpts from the stretch of time between when a pregnant woman enters the hospital and the completion of childbirth. The evaluation chart was based on the Japan Society of Midwifery Education's (2016) “Factual Survey of Midwifery Student Degree of Learning of Delivery Care Abilities” and was completed after running a pilot test. In Stage 2, we ran trials for pre-graduation midwifery students, with two lanes of two student test subjects and six evaluating instructors in teams of three, and we aggregated the trial data and extracted items that were consistent or different among the evaluations of the evaluators. We also conducted focus-group interviews of the evaluators, analyzed the content, and integrated it with quantitative data to analyze the results. This study obtained the approval of the affiliated institution's ethics review committee. Results The items of the evaluators' evaluations that were in agreement were “prediction of progress status,” “delivery preparation timing,” “torso delivery,” and “judgment of hemorrhage.” Conversely, the evaluations varied for the following items: “psychological support,” “support for accelerating delivery progress,” “assistance of child's first respiration,” “identification of external deformities,” and “precautions against abnormalities.” The evaluators opinions were that the diagnostic skills appeared well, that it was difficult to standardize the evaluation of behavioral aspects, and that detailed standards were needed regarding technical aspects. Conclusion This OSCE aims to evaluate students' abilities to gather information, to conduct all kinds of medical examinations for pregnant women visiting hospitals and to make decisions about care plans and put them into practice. In the trial, students' clinical reasoning was made apparent, and the results suggested that the trial had high validity as an evaluation method for the comprehensive practical abilities of pre-graduation students. In the future, it will be necessary to accumulate and study data, while further increasing validity by improving on topics such as evaluator consistency, standardization of evaluation standards, number of cases, number of tasks, time required, and number of evaluators.","PeriodicalId":397231,"journal":{"name":"Journal of Japan Academy of Midwifery","volume":"123 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126826553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0