2022 Fiscal Year Final Research Report

Perinatal mental health care of pregnant women underwent assisted reproductive technology; uantitative analysis focusing on anxiety

Research Project

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Project/Area Number	19K11032
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	Hokkaido University (2021-2022) Kyoto University (2019-2020)
Principal Investigator	Kondo Yoshiko 北海道大学, 保健科学研究院, 准教授 (40423248)
Co-Investigator(Kenkyū-buntansha)	古田真里枝京都大学, 医学研究科, 教授 (20390312) 大西舞子京都大学, 医学研究科, 技術職員 (50779262) 山田重人京都大学, 医学研究科, 教授 (80432384)
Project Period (FY)	2019-04-01 – 2023-03-31
Keywords	周産期 / メンタルヘルス / 不妊治療 / 生殖補助医療 / 助産
Outline of Final Research Achievements	This study was a prospective cohort study that investigated the psychological state and related factors of pregnant women from early pregnancy to one month postpartum, based on their fertility treatment history (with or without the use of Assisted Reproductive Technology (ART)). Among the 68 respondents whose answers were obtained throughout the pregnancy to postpartum period, there were 40 in the non-ART group and 26 in the ART group. Although no significant differences were found in psychological indicators, a slightly higher (worse) trend was observed among first-time mothers in the ART group. In the free description section, we found that the higher the mental health status score or the more likely the pregnant women were in the ART group, the less they tended to express or describe their experiences. This suggests that nurses need to pay attention to understanding not only the course of pregnancy but also the extent of expression in order to provide better care for these women.
Free Research Field	周産期看護
Academic Significance and Societal Importance of the Research Achievements	日本では高度生殖補助医療（ART）の実施率が世界的に顕著である一方、治療開始年齢などの要因により成功率は低い。ART治療を受けた妊産婦が育児困難感やメンタルヘルス問題に直面することが臨床的に認識されているものの、生殖補助医療がメンタルヘルスに悪影響を与えるかどうかの研究は不十分であり、日本人妊産婦を対象とした研究が求められていた。本研究では心理指標に明確な差は認められなかったものの、ART受療群において表出が少ないといった傾向が観察された。この結果は、周産期医療看護における今後の方向性を示唆するものであり、適切なケアを提供するために妊産婦のサインへの理解を深める重要性を示している。