記述言語：日本語   出版者・発行元：(一社)日本助産学会  

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記述言語：日本語   出版者・発行元：(NPO)バイオテクノロジー標準化支援協会  

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記述言語：日本語   出版者・発行元：(NPO)バイオテクノロジー標準化支援協会  

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

Insomnia is associated with adverse outcomes in women in the perinatal period; thus, the assessment of insomnia is important for pregnant women. The Insomnia Severity Index (ISI) is an instrument used globally to assess the severity of insomnia. However, its factor structure and structural invariance for pregnant women have not been studied. Therefore, we aimed to conduct factor analyses to search for the best model to fit its structural invariance. A cross-sectional study with the ISI was conducted at one hospital and five clinics in Japan from January 2017 to May 2019. A set of questionnaires was administered on two occasions with a one-week interval. The study included 382 pregnant women ranging in gestational age from 10 to 13 weeks. One week later, 129 participants answered the retest. After exploratory and confirmatory factor analyses, the measurement and structural invariance between parity and two time points was tested. The two-factor structure model showed an acceptable fit for the ISI in pregnant women (χ2 (12) = 28.516, CFI = 0.971, RMSEA = 0.089). The model also showed satisfactory measurement and structure invariance between parity and time points. The findings indicate that the ISI's use would be appropriate for pregnant women as a two-factor subscale of "severity" and "impact", regardless of the parity or time point. The ISI's factor structure may vary by subject; hence, it is necessary to confirm the measurement and structural invariance of the subject for whom the ISI will be used. Furthermore, interventions that focus not only on total scores and cutoff points but also on the phenomenon of subscales should be considered.

DOI： 10.3390/healthcare11081194

PubMed

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記述言語：日本語   出版者・発行元：(公大)横浜市立大学医学部看護学科  

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記述言語：日本語   出版者・発行元：神奈川母性衛生学会  

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記述言語：日本語   出版者・発行元：神奈川母性衛生学会  

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記述言語：日本語   出版者・発行元：(公社)日本母性衛生学会  

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

Bonding is crucial to perinatal mental health. Despite an extensive body of literature on maternal bonding, few studies have focused on paternal bonding. This scoping review aimed to clarify the current state of the concept of paternal-infant/fetus bonding. The eligibility criteria were drawn from the population concept and context elements to answer the following questions: "what is paternal bonding?" and "what are the constructs of the concept of paternal bonding?" The review comprised 39 studies. Paternal bonding was associated with both positive and negative paternal behavior and thought and may be determined based on fathers' beliefs and rearing history. Most studies showed that father-child interaction is one of the factors promoting paternal bonding. However, fathers generally felt more distant from their babies post-delivery than mothers. Only a few studies originally defined paternal bonding; most relied on the definitions of maternal bonding. We found different descriptions lacking consensus. Few studies examined the differences between paternal and maternal bonding. No consensus exists on the concept, constructs, and assessment of paternal bonding. The causal relationship between paternal bonding and other variables is unexplored. Future studies should explore fathers' perspectives and experiences, focusing on the unknown aspects of paternal bonding identified in this review.

DOI： 10.3390/healthcare10112265

PubMed

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担当区分：筆頭著者   記述言語：英語   掲載種別：研究論文（学術雑誌）  

BACKGROUND: Although midwives are expected to play a key role for psychological support throughout perinatal periods, their educational chances are limited. Versatile teaching strategies such as e-learning may be promising in expanding education. The objective of our study was to clarify the effects of an e-learning educational programme on midwives' empathic communication skills. METHODS: From April 2019 to September 2019, a randomised controlled trial of a 1-day e-learning educational programme on perinatal psychological issues (both perinatal mental health assessment and empathic communication) was conducted to improve empathic communication skills of midwives and perinatal healthcare workers. Two types of measurements (paper-and-pencil multiple-choice test and video-viewing tests of simulated patient) were used to measure the competency of empathic communication skills. RESULTS: Participants (N = 115) were randomly allocated to two groups (Intervention: n = 58, Control: n = 57). The intervention group was at a significantly higher level for both post-tests of empathic communication skills compared with the control group. Both intervention and control groups showed improvements in acquiring knowledge about perinatal mental health assessments. CONCLUSIONS: The results of our study show that a 1-day e-learning programme helped improve the midwives' empathic communications skills. Therefore, an effective 1-day e-learning educational programme of perinatal mental health will expand opportunity to learn about empathic communication skills for midwives and perinatal healthcare workers. TRIAL REGISTRATIONS: UMIN000036052.

DOI： 10.1186/s40359-022-00832-6

PubMed

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記述言語：日本語   出版者・発行元：(一社)日本助産学会  

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記述言語：日本語   出版者・発行元：神奈川母性衛生学会  

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記述言語：日本語   出版者・発行元：神奈川母性衛生学会  

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記述言語：日本語   出版者・発行元：(株)日本助産師会出版  

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記述言語：日本語   出版者・発行元：(株)日本助産師会出版  

国内の在日外国人を対象とした母子保健に関する文献調査を実施した。2021年5月に医学中央雑誌Web(Ver.5)を用いて、「外国人/在日外国人」and「母子」をキーワードとし、文献検索を行った。タイトル、アブストラクトのスクリーニングを行い、最終的に調査目的に関連する文献57件を分析対象とした。内容分析の結果、課題や改善が求められる事に関して21項目、好事例の取り組みに関して16項目、今後の示唆に関して12項目があげられた。課題や改善が求められること、好事例の取り組み、今後の示唆の全てに関して、支援者・当事者の両方に「文化・慣習」「言語・コミュニケーション」の記述が多くみられ、文化・言語に関する項目は在日外国人母子の支援にとって重要であることが再認識された。助産師は課題・改善策に関して、他の支援者ではあげられていなかった、女性が健康な妊娠・分娩に至るための介入に関する項目が多くあげられていた。

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その他リンク： https://search.jamas.or.jp/default/link?pub_year=2022&ichushi_jid=J03787&link_issn=&doc_id=20220310300003&doc_link_id=2201361&url=https%3A%2F%2Fkango-sakuin.nurse.or.jp%2Fnid%2F2201361&type=%E6%9C%80%E6%96%B0%E7%9C%8B%E8%AD%B7%E7%B4%A2%E5%BC%95Web&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00014_1.gif

記述言語：日本語   出版者・発行元：神奈川母性衛生学会  

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記述言語：日本語   出版者・発行元：神奈川母性衛生学会  

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記述言語：日本語   出版者・発行元：(公社)日本母性衛生学会  

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担当区分：筆頭著者   記述言語：日本語   掲載種別：研究論文（学術雑誌）   出版者・発行元：日本周産期メンタルヘルス学会  

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記述言語：日本語   出版者・発行元：(一社)日本助産学会  

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記述言語：日本語   出版者・発行元：(一社)日本助産学会  

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担当区分：筆頭著者   記述言語：日本語  

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担当区分：筆頭著者   記述言語：英語   掲載種別：研究論文（学術雑誌）  

BACKGROUND: Japanese infants have relatively higher risk of anemia and neonatal jaundice. This study aimed to assess the effects of delayed cord clamping (DCC) on the incidence of anemia during early infancy in low-risk Japanese term infants with planned exclusive breastfeeding for 4 months. This study also aimed to explore the effects of DCC on neonatal jaundice. METHODS: We conducted an open-label, parallel-arm, multicenter randomized controlled trial of DCC (clamping the cord after more than a minute or pulsation stops) vs. early cord clamping (ECC; clamping the cord within 15 s) at one birth center and two clinics in Japan. Low-risk pregnant women planning to have a vaginal birth and to exclusively breastfeed and term singleton infants delivered in cephalic presentation were included in this study. The primary outcome was spectrophotometric estimation of hemoglobin at 4 months. Secondary outcomes were anemia incidence at 4 months, four outcomes related to neonatal jaundice, hematocrit levels, and related outcomes. RESULTS: Overall, 150 pregnant women were recruited. Participants (N = 138) were randomly allocated to two groups (DCC n = 68, ECC n = 70). There were no significant differences between the two groups in spectrophotometric estimation of hemoglobin at 4 months: mean difference = 0.1 g/dL, 95% confidence interval - 0.14, 0.35, DCC 12.4 g/dL, ECC 12.3 g/dL. Only the hematocrit levels on days 3 to 5 were significantly higher in the DCC group than in the ECC group: DCC 57.0%, ECC 52.6%, mean difference = 4.4, 95% confidence interval 2.61, 6.20. There were no significant differences in other secondary outcomes, including outcomes related to neonatal jaundice. CONCLUSION: Among low-risk Japanese term infants with planned exclusive breastfeeding, DCC showed no significant effects on spectrophotometric hemoglobin levels at 4 months compared with ECC. We observed significantly higher hematocrit levels on days 3 to 5 in infants who underwent DCC, while these levels were within the normal range. Jaundice outcomes remained similar to those of infants who underwent ECC. Although a larger sample size is required to assess the effects of cord clamping on neonatal jaundice, DCC may prevent anemia in newborn infants. TRIAL REGISTRATION: UMIN-CTR; UMIN000022573, 06/01/2016 - retrospectively registered, https://upload.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000023056.

DOI： 10.1186/s40748-021-00125-7

PubMed

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記述言語：日本語   出版者・発行元：日総研出版  

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記述言語：日本語   出版者・発行元：日総研出版  

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担当区分：筆頭著者   記述言語：英語   掲載種別：研究論文（学術雑誌）  

AIM: Neonatal jaundice is a common problem among infants. Among the several risk factors are East Asian race and delayed cord clamping. Birth centers manage low-risk term deliveries using physiological management, which may include delayed cord clamping. This study aimed to investigate the occurrence of hyperbilirubinemia, a pathological process of jaundice, and its risk factors among neonates born at a Japanese birth center. METHODS: This was a retrospective cohort study. Data were collected from March 2006 to October 2014 from healthy mothers and neonates at a birth center in a metropolitan area of Japan. Demographic data and background factors of hyperbilirubinemia, including blood and transcutaneous values of jaundice, were collected and statistically analyzed. RESULTS: Of the 1,211 neonates analyzed, 4.7% exceeded the standard transcutaneous bilirubin value, and 1.8% needed phototherapy. Multiple logistic regression with adjusted odds ratios (ORs) and 95% confidence intervals (95% CIs) was used to identify the risk factors of hyperbilirubinemia, which were found to be cephalohematoma (OR = 30.18, 95% CI 5.63-161.69), delay of meconium elimination (OR = 2.66, 95% CI 1.28-5.51), previous history of phototherapy of siblings (OR = 10.28, 95% CI 3.53-29.92), and primiparity (OR = 4.55, 95% CI 2.59-8.02). CONCLUSIONS: In low-risk Japanese neonates delivered at a birth center expected to practice delayed cord clamping, the rate of neonates requiring phototherapy was not high compared to previous studies, and the identified risk factors of hyperbilirubinemia were related to bilirubin metabolism.

DOI： 10.1111/jjns.12372

PubMed

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担当区分：筆頭著者   記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： 10.4236/ojd.2017.63006

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記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： 10.1111/jjns.12093

Web of Science

PubMed

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担当区分：筆頭著者   記述言語：英語   掲載種別：研究論文（学術雑誌）  

DOI： 10.1111/j.1742-7924.2010.00140.x

Web of Science

PubMed

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記述言語：日本語   出版者・発行元：(株)医学書院  

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記述言語：日本語   出版者・発行元：(株)医学書院  

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記述言語：日本語   出版者・発行元：(株)医学書院  

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記述言語：英語  

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記述言語：日本語   出版者・発行元：(株)医学書院  

CiNii Books

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記述言語：日本語   出版者・発行元：医学書院  

CiNii Books

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記述言語：日本語   出版者・発行元：(一社)日本助産学会  

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記述言語：日本語   出版者・発行元：日本助産師会出版部  

CiNii Books

J-GLOBAL

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記述言語：日本語   出版者・発行元：聖路加看護大学  

CiNii Books

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記述言語：日本語   出版者・発行元：聖路加看護大学  

CiNii Books

J-GLOBAL

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記述言語：日本語   出版者・発行元：聖路加看護大学  

CiNii Books

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記述言語：日本語  

J-GLOBAL

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開催年月日： 2022年2月

記述言語：日本語  

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開催年月日： 2021年3月

記述言語：日本語  

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開催年月日： 2021年3月

記述言語：日本語  

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開催年月日： 2020年2月 - 2020年5月

記述言語：英語   会議種別：口頭発表（招待・特別）  

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開催年月日： 2019年11月

会議種別：公開講演，セミナー，チュートリアル，講習，講義等  

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開催年月日： 2019年10月

記述言語：日本語  

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開催年月日： 2018年2月

記述言語：日本語  

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開催年月日： 2013年7月

記述言語：日本語  

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記述言語：英語   会議種別：口頭発表（一般）  

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会議種別：シンポジウム・ワークショップ パネル（公募）  

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記述言語：日本語   会議種別：ポスター発表  

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会議種別：ポスター発表  

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記述言語：日本語  

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記述言語：日本語  

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記述言語：英語   会議種別：ポスター発表  

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記述言語：英語   会議種別：口頭発表（一般）  

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記述言語：英語   会議種別：ポスター発表  

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記述言語：日本語  

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記述言語：日本語  

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記述言語：日本語  

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