Development of a perinatal pelvic floor care program to prevent urinary incontinence: a collaborative model between midwives and physical therapists.

2022 Fiscal Year Final Research Report

• Project/Area Number: 20K10898
• 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: Teikyo University
• Principal Investigator: Ikeda Mayumi 帝京大学, 公私立大学の部局等, 准教授 (50583001)
• Co-Investigator(Kenkyū-buntansha): 神尾 博代 東京都立大学, 人間健康科学研究科, 助教 (30289970)
• Project Period (FY): 2020-04-01 – 2023-03-31
• Keywords: 助産師 / 理学療法士 / 産前産後 / 身体症状 / 骨盤底ケア / 尿失禁

Outline of Final Research Achievements

The physical symptoms and needs of women in the prenatal and postpartum periods were identified through questionnaires and interviews, and the usefulness of individual instruction by physical therapists and the effects of breathing patterns, contraction of pelvic floor muscle groups, and activity of abdominal muscle groups were analyzed.
Study sessions were conducted according to an intervention model developed in collaboration with the physical therapists, and changes in midwives' practice were followed for one year. There was a significant increase in knowledge at all time points post-intervention compared to pre-intervention, yet a significant strong positive correlation between practice and knowledge.

Free Research Field

医歯薬・生涯発達看護学関連

Academic Significance and Societal Importance of the Research Achievements

妊娠中の症状で多かったのは腰痛と尿もれであり、産後は腰痛・肩こり・手首や手の痛みなどが多く聞かれ、個別指導の有用性が示された。産前産後の女性は「尿もれ対策」「体に負担のかからない姿勢や日常動作の習得」のニーズがあり、身近な助産師からの助言や理学療法士による専門性のある施術を求めていた。本研究成果から、助産師と理学療法士との協働による介入プログラムの有用性が示唆された。今後助産師の現任教育への適用が期待できる。