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Development of a Midwifery care program during delivery for prevent urinary incontinence

Research Project

Project/Area Number 16K12168
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Lifelong developmental nursing
Research InstitutionInternational University of Health and Welfare

Principal Investigator

Katsuko Shinozaki  国際医療福祉大学, 福岡看護学部, 教授 (30331010)

Co-Investigator(Kenkyū-buntansha) 江藤 宏美  長崎大学, 医歯薬学総合研究科(保健学科), 教授 (10213555)
Project Period (FY) 2016-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2018: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2017: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
Fiscal Year 2016: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords産後 / 尿失禁 / 助産ケア / 骨盤底筋群 / コアマッスル / 骨盤底機能 / 骨盤底筋 / 分娩体位 / インナーユニット / 努責 / 姿勢 / 呼吸 / 呼吸法 / 分娩第2期
Outline of Final Research Achievements

From the viewpoint of preventing perinatal urinary incontinence, this study addressed urinary incontinence prevention using a new concept that includes not only the pelvic floor muscles but also the core muscles. The purpose of this study is to develop a midwifery care program during delivery to prevent urinary incontinence. This research was a descriptive comparative study. In the midwifery care program group, exercises to strengthen the core muscles were performed. At the time of delivery, the straight extension maternal position and pushing within 6 seconds were performed to minimize damage of the pelvic floor muscles. In the control group, normal pregnancy care and Valsalva maneuver in flexion during delivery were performed. We compared the dichotomized data between the absence and presence of urinary incontinence at 1 month postpartum. There was no significant difference in the rate of urinary incontinence between the 2 groups.

Academic Significance and Societal Importance of the Research Achievements

本邦の産後尿失禁発生率は、26.2~35.5%と報告されている。本邦の出産年齢は、年々上昇している。出産の高齢化は、分娩所要時間が遷延傾向にあり、骨盤底筋群の負担も大きくなる。現在の分娩時の姿勢は、脊柱を丸め努責を行うという方法が多くの施設で行われている。これは、コアの概念では、腹圧の負荷を骨盤底筋が直接受け、産後の尿失禁増加の可能性を高める。骨盤底筋群の損傷を最小限にするには、脊柱を伸展し自然な腹圧をかける努責が必要である。既に尿失禁が起こってから骨盤底筋群トレーニングを行うことは、機能回復に限界がある。骨盤底筋群の障害を最小限に抑えることが重要であり、この効果は女性のQOL向上に寄与する。

Report

(5 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • 2016 Research-status Report
  • Research Products

    (15 results)

All 2021 2020 2019 2018 2017

All Journal Article (3 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 3 results,  Open Access: 2 results) Presentation (11 results) (of which Int'l Joint Research: 1 results,  Invited: 2 results) Book (1 results)

  • [Journal Article] 多様な分娩体位を実践する助産師の経験知2018

    • Author(s)
      篠﨑克子
    • Journal Title

      インターナショナルNursing Care Research

      Volume: 4 Pages: 41-50

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Validity and Reliability of the Japanese Version of the Fertility Quality of Life (FertiQoL) Tool for couples Undergoing Fertility Treatment2018

    • Author(s)
      Kyoko Asazawa, Mina Jitsuzaki, Akiko Mori, TOmohiro Ichikawa, Katsuko Shinozaki
    • Journal Title

      Open Journal of Nursing

      Volume: 8 Issue: 09 Pages: 616-628

    • DOI

      10.4236/ojn.2018.89046

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Supportive Care Needs and Medecal Care Requests of Male Patients during infertility Treatment2018

    • Author(s)
      Kyoko Asazawa, Mina Jitsuzaki, Akiko Mori, Tomohiko Ichikawa, Katsuko Shinozaki
    • Journal Title

      Scientific Research publishing

      Volume: 8 Pages: 1-13

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Presentation] コアマッスルの機能を活かした妊娠・分娩時のケアと産後の尿失禁との関連2021

    • Author(s)
      篠崎克子
    • Organizer
      第22回日本女性骨盤底医学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 尿失禁を革命的に進化させるための提案;骨盤底筋の癒着と機能回復:エコーによる骨盤底筋の動的評価2020

    • Author(s)
      蒲田和芳、山上未菜子、篠崎克子、坂本飛鳥
    • Organizer
      Women's Health Care Forum 2020
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] 分娩中の姿勢と努責が産後の尿失禁に及ぼす影響2020

    • Author(s)
      篠崎克子
    • Organizer
      第29回日本創傷・オストミー・失禁管理学会学術集会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 尿失禁治療を革命的に進化させるための提案;骨盤底筋の癒着と機能回復:エコーによる骨盤底筋群の動的評価2019

    • Author(s)
      蒲田和芳、山上未菜子、篠崎克子、坂本飛鳥
    • Organizer
      Women's Health Care Forum 2019
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] 助産学実習で学生が困難に感じた経験と対処方法2019

    • Author(s)
      池田舞、篠崎克子
    • Organizer
      第60回日本母性衛生学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 産後1か月の母親の育児不安と期待する育児支援の関連と里帰りの有無による不安と期待の経時的検討2019

    • Author(s)
      佐々野麻耶、篠崎克子
    • Organizer
      第60回日本母性衛生学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 産褥期における女性の骨盤形状の特徴2019

    • Author(s)
      鬼田恵芳、篠崎克子
    • Organizer
      第33回日本助産学会
    • Related Report
      2018 Research-status Report
  • [Presentation] 助産師の専門的自律能力の実態と影響する要因の分析2019

    • Author(s)
      山口あゆみ、篠﨑克子
    • Organizer
      第33回日本助産学会
    • Related Report
      2018 Research-status Report
  • [Presentation] 助産師の母乳育児支援の実践―Baby Friendly Hospital での勤務経験の有無における比較分析―2019

    • Author(s)
      轟莉沙、篠﨑克子
    • Organizer
      第33回日本助産学会
    • Related Report
      2018 Research-status Report
  • [Presentation] インナーユニットを構成する各筋肉の活動と分娩の関連2018

    • Author(s)
      篠崎克子
    • Organizer
      コ・メディカル形態機能学会
    • Related Report
      2018 Research-status Report
  • [Presentation] The influence of pushing technique in the second stage of labor on urinary incontinence after delivery: a review2017

    • Author(s)
      Katsuko Shinozaki
    • Organizer
      31th ICM Triennial Congress
    • Related Report
      2017 Research-status Report 2016 Research-status Report
    • Int'l Joint Research
  • [Book] 根拠がわかる母性看護過程2018

    • Author(s)
      中村 幸代
    • Total Pages
      264
    • Publisher
      南江堂
    • ISBN
      9784524255139
    • Related Report
      2017 Research-status Report

URL: 

Published: 2016-04-21   Modified: 2021-02-19  

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