Development of an Assessment Tool for the Diagnosis of Severe Mastitis Requiring Medical Intervention

Research Project

Project/Area Number	24593405
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Research Field	Lifelong developmental nursing
Research Institution	Kyorin University (2014-2015) University of Shizuoka (2012-2013)
Principal Investigator	Osada Chieko 杏林大学, 保健学部, 准教授 (30458393)
Research Collaborator	OHHIRA Aiko 大平母乳育児相談室, 助産師 INOUE Akemi 井上母乳育児相談室, 助産師 TAKAFUJI Yoshimi 酒井産婦人科クリニック, 助産師 YOSHINAGA Mariko 吉永母乳育児相談室, 助産師
Project Period (FY)	2012-04-01 – 2016-03-31
Project Status	Completed (Fiscal Year 2015)
Budget Amount *help	¥5,460,000 (Direct Cost: ¥4,200,000、Indirect Cost: ¥1,260,000) Fiscal Year 2014: ¥2,860,000 (Direct Cost: ¥2,200,000、Indirect Cost: ¥660,000) Fiscal Year 2013: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000) Fiscal Year 2012: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Keywords	助産学 / 母乳育児 / アセスメントツール / 乳腺炎 / 母乳育児支援 / 日本
Outline of Final Research Achievements	The aim of this study was to examine the efficacy of an “assessment tool for the diagnosis of mastitis during the lactation period,” designed to ascertain mastitis in need of medical intervention, as part of this tool’s development. The results of this study revealed that there was no difference between the results obtained by midwives using the tool and the discrimination of severe mastitis by ultrasound examination. The results of a survey of mothers also confirmed that severe mastitis was not overlooked. The results of a breast milk culture test indicated that no Staphylococcus aureus, which is said to be a causative bacterium of infectious mastitis, was detected. We also verified the reliability of the tool and were able to confirm that there were no differences between facilities.