2018 Fiscal Year Final Research Report

The posttraumatic stress symptoms related to childbirth and associated factors among Japanese women

Research Project

PDF

Project/Area Number	15K11719
Research Category	Grant-in-Aid for Scientific Research (C)
Allocation Type	Multi-year Fund
Section	一般
Research Field	Lifelong developmental nursing
Research Institution	Mie University (2016-2018) Aichi Prefectural University (2015)
Principal Investigator	Obayashi Yoko 三重大学, 医学系研究科, 准教授 (70551224)
Co-Investigator(Kenkyū-buntansha)	入山茂美名古屋大学, 医学系研究科(保健), 教授 (70432979)
Research Collaborator	SUZUKI asuka
Project Period (FY)	2015-04-01 – 2019-03-31
Keywords	出産 / ストレス / 心的外傷 / 産後女性 / 産後うつ
Outline of Final Research Achievements	This study aimed examine of factors associated to postnatal posttraumatic stress symptoms related to childbirth among women had caesarean section at three months after childbirth. The factors found to be associated with postnatal posttraumatic stress symptoms related to childbirth at three months after childbirth were the perception of childbirth as a posttraumatic stress experience and a stressful event at one month after childbirth, and the presence of subjective stress for childbirth. The high risks women of posttraumatic stress disorder and postnatal depression at one month after childbirth had childbirth-related posttraumatic stress symptoms. Moreover, women had stronger subjective stress for childbirth and postnatal depression had stronger posttraumatic stress symptoms related to childbirth. Therefore, midwives and nurses must carefully mental care for women had stronger postnatal posttraumatic symptoms related childbirth at one month after caesarean section.
Free Research Field	生涯発達看護学
Academic Significance and Societal Importance of the Research Achievements	本研究成果の学術的意義は、産後3ヶ月に出産による心的外傷後ストレス症状をもつ女性は、産後1ヶ月に出産を心的外傷、ストレスのある出来事と知覚し、その症状が持続していたこと、帝王切開分娩後の女性の2.4％に産後3ヶ月のPTSDの発症リスクが考えられたことが明らかになったことである。本研究成果の社会的意義は、産後入院中および産後1ヶ月にPTSD発症リスクのある女性を早期に見出し、出産を肯定的に意味づけられるよう心理的サポートに努めるという看護実践への適用が示唆されたことである。