Development of screening tool to identify social high risk pregnant women

2021 Fiscal Year Final Research Report

• Project/Area Number: 17K17488
• Research Category: Grant-in-Aid for Young Scientists (B)
• Allocation Type: Multi-year Fund
• Research Field: Lifelong developmental nursing
• Research Institution: Komazawa Women's University (2018-2021); Japanese Red Cross College of Nursing (2017)
• Principal Investigator: Mizuno Maki 駒沢女子大学, 看護学部, 准教授 (60547181)
• Project Period (FY): 2017-04-01 – 2022-03-31
• Keywords: 母子保健 / 社会的ハイリスク / 保健師 / 助産師 / 包括的支援 / 虐待

Outline of Final Research Achievements

The purpose of this study is to clarify how to identify and support social high-risk pregnant women of public health nurses and midwives involved in maternal and child health at government agencies. The subjects of this study interviewed nine health nurses and midwives involved in maternal and child health at five government agencies.
The contents of the screening sheet differed depending on the administrative agency, and the contents were also based on the community characteristic. However, it was difficult to identify using only the screening sheet, and the experience points and their observer's point of regard had a great influence. It is necessary to create standardized indicators to identify risks while making the best use of a community characteristics.

Free Research Field

母子保健

Academic Significance and Societal Importance of the Research Achievements

今回の調査で、社会的に支援の必要な母子とその家族は増加していく中、行政機関で働く保健師助産師の役割はますます重要になってくる。しかし、社会的ハイリスクの母子を早期発見するために行政機関で使用されているスクリーニングシートには課題があり、またマンパワー不足が常態化している。縦割りの部署となり、複雑な背景を持つ家族への支援が、様々な部署で行われていることから、情報がつながらず支援が途絶えてしまう可能性も示唆された。妊産婦と子どもへの支援をコーディネートする人材を増やし、他部署と連携しながら包括的な支援が提供できるよう、行政機関での支援体制の見直しは必要と考える。