A study to support mothers in building self confidence in their roles, beginning in the perinatal period

2022 Fiscal Year Final Research Report

• Project/Area Number: 19K11030
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 58070:Lifelong developmental nursing-related
• Research Institution: Nagoya University
• Principal Investigator: Yuki Takahashi 名古屋大学, 医学系研究科(保健), 准教授 (80346478)
• Co-Investigator(Kenkyū-buntansha): 玉腰 浩司 名古屋大学, 医学系研究科(保健), 教授 (30262900) ; 奈良間 美保 京都橘大学, 看護学部, 教授 (40207923)
• Project Period (FY): 2019-04-01 – 2023-03-31
• Keywords: 会陰部痛 / 母親役割移行 / 母乳育児 / 日常生活の支障

Outline of Final Research Achievements

The purpose of the study is to examine how postpartum mothers' physical recovery is related to their confidence in the maternal role. Findings will be used to examine specific midwifery practices that promote postpartum mothers' role adaptation. The study population consisted of 184 women (92 first-time mothers and 92 postpartum mothers). Maternal-Confidence in the role increased from the fifth postpartum day to the first postpartum month. Higher confidence in the mother's role was associated with being a multiparous woman, not having a perineal incision, breastfeeding exclusively for the first month postpartum, and no disruption in daily life due to perineal pain. Midwives need to help mothers-to-be facilitate a physically and mentally healthy postpartum life and transition into the role of mother.

Free Research Field

助産学

Academic Significance and Societal Importance of the Research Achievements

本研究では、育児不安や抑うつの予防に寄与しうる母親役割の自信に着目し、母親役割の自信と、助産師が分娩時や産後の入院中に介入可能な日常生活への支障との関連を明らかにした。
したがって、日常生活への支障に関連する会陰損傷予防、会陰部痛軽減のケアを行うと共に、産後の女性が、会陰部痛や日常生活への支障を抱えながらも、育児がスタートする時期を順調に過ごせるよう環境を整えていくことが、母親役割の自信の向上につながり、ひいては、育児不安や産後うつ予防に寄与する可能性を示唆できた。