Experiences in which women who underwent a planned cesarean section are seen as being proactively involved in the birth of their child

2023 Fiscal Year Final Research Report

• Project/Area Number: 20K10873
• 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: Sonoda Women's University
• Principal Investigator: TAKEUCHI Kazuko 園田学園女子大学, 人間健康学部, 准教授 (70749192)
• Project Period (FY): 2020-04-01 – 2024-03-31
• Keywords: 予定帝王切開 / 予定帝王切開の出産体験 / 主体的に出産に関与したととらえることができる体験 / 主体的に出産に関与

Outline of Final Research Achievements

In Japan, value is placed on the act of enduring labor pains and giving birth to a baby on one's own, so both medical professionals and expectant mothers consider planned caesarean section to be a passive experience in which the baby is taken out by the doctor without experiencing labor pains. There is a tendency to grasp it. This study was able to clarify the experience of women's active involvement in childbirth through a multifaceted analysis of narratives about elective caesarean sections. The findings from this study can improve care for women undergoing elective caesarean section. For example, we learned about the necessity and method of birth reviews, which are currently not performed at some facilities for women undergoing planned caesarean section, and also clarified what kind of advice and care should be given during surgery. We also believe that this technology can be extended to provide care for women undergoing emergency caesarean sections.

Free Research Field

母性看護学

Academic Significance and Societal Importance of the Research Achievements

日本では、陣痛に耐え、自分で児を産みだす行為に価値がおかれているため、予定帝王切開は、陣痛を経験せず児を医師に取り出される受け身な体験であると医療者も妊産婦もとらえる傾向にある。本研究は、予定帝王切開術を受けた語りの多面的な分析から女性が主体的に出産に関与した体験を明らかにすることができた。本研究で明らかになったことで、予定帝王切開の女性へのケアが発展できる。例えば、現状では予定帝王切開の女性のみ実施されない施設もあるバースレビューの必要性や方法がわかり、術中にどのような声掛けやケアをする必要があるかが明らかとなった。また、緊急帝王切開の女性へのケアへも発展することができると考える。