Health assessment of mothers and infants with delivery caregiving to minimize invasion of the baby

Research Project

Project/Area Number	18K17553
Research Category	Grant-in-Aid for Early-Career Scientists
Allocation Type	Multi-year Fund
Review Section	Basic Section 58070:Lifelong developmental nursing-related
Research Institution	University of Fukui
Principal Investigator	uchie nozomi 福井大学, 学術研究院医学系部門, 助教 (10782683)
Project Period (FY)	2018-04-01 – 2022-03-31
Project Status	Completed (Fiscal Year 2021)
Budget Amount *help	¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000) Fiscal Year 2020: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000) Fiscal Year 2019: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000) Fiscal Year 2018: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Keywords	分娩介助法 / 熟練助産師 / 健康状態 / 母親 / 新生児 / 助産師 / 分娩外傷予防 / 分娩介助手技 / 胎児娩出法
Outline of Final Research Achievements	In this study, the "watching method" is used to monitor the birth of the mother and baby, and the "standard method" is used as the method according to the midwifery textbook that applies the power of the caregiver to the child and perineum. The purpose was to compare the states. It was thought that it was necessary to judge whether the "watching method" could be used as a caregiving method, and many experienced midwives practiced it. The "watching method" was significantly less bleeding and perineal laceration in the mother than the "standard method", and was less invasive to the mother.
Academic Significance and Societal Importance of the Research Achievements	母体の総出血量、会陰裂傷の有無、アプガースコア1分後・5分後、児の出生直後・1・2時間後の呼吸数、出生直後・１時間後の努力呼吸の有無では、「watching法」の方が有意に母児間の侵襲が少なかった。よって、「watching法」は母児の侵襲を最小限にし、母児にとって優しい分娩介助方法である。これらの分娩介助方法を規範とし、新たな分娩介助方法を提案することにより、助産師の質の向上、母子保健の向上に役立つと考える。