|Budget Amount *help
¥1,610,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥210,000)
Fiscal Year 2007: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2006: ¥700,000 (Direct Cost: ¥700,000)
A survey of child abuse risk screening during pregnancy and postpartum was conducted in 616 pregnant women who visited four obstetric institutions in Japan to review the effectiveness of screening methods. The screening survey was performed between pregnancy and 1-month postpartum using an independently developed screening sheet (M risk survey), the Hanazawa's scale of feelings toward the baby, and the Edinburgh Postnatal Depression Scale (EPDS). There were 61 cases (10.3%) which the midwives recognized as high risk and required cooperation with other institutions (high risk [HR] group). The analyses were classified into the HR group and the low risk(LR) group, and EPDS high score group(●9 points) and low score group points). The between-group differences among the scores on the M risk and Hanazawa's scales were tested for statistical significance. The mean M risk scores during pregnancy**, childbirth*, postpartum**, and the total period** were all significantly higher in the HR group (1.9, 2.3, 0.7, and 5.0, respectively), than in the LR group (0.8, 1.4, 0.2, and 2.4, respectively [*p<0.05, **p<0.01]). The scores during pregnancy***, childbirth***, postpartum***, and the total period*** were all significantly higher in the EPDS high score group (1.4, 2.2, 0.5, and 4.2, respectively) than in the low score group (0.8, 1.4, 0.2, and 2.4, respectively [p<0.001]).
The mean score on the antagonist index of the scale of feelings toward the baby was significantly higher in the HR group(27.5) than in the LR group(23.5, p<0.05). Furthermore, the mean avoidance score** and antagonist index** were both significantly higher in the EPDS high score group(8.7 and 32.6, respectively) than in the low score group(6.3 and 23.0, respectively[*p<0.05, **p<0.01.
Based on these results, the screening methods used in this research were considered useful for screening for high risk cases of child abuse during pregnancy and postpartum.