両親学級の実態からみた妊婦教育の課題  [in Japanese] The issues of the maternal education through the reality of parents class  [in Japanese]

本研究は,両親学級の実態調査を通して,今日の妊婦教育の現状・課題を検討することを目的とする。対象は,新潟県内の医療機関49施設と行政機関115施設のうち,倫理的配慮のもとに研究協力を得られた86施設であった(回答率52.4%)。1)行政機関による両親学級の実施率は,医療機関による両親学級の実施率に比べ有意に高かった(p<0.05)。2)両親学級の実施率は,土・日・祝日(p<0.01)または午前中と夕方(17時以降)(p<0.05)において,母親学級に比較し有意に高かった。3)両親学級の妊婦以外の参加者,特に夫・パートナーの参加は,母親学級に比べて有意に高かった(p<0.05)。4)新生児に関する演習の実施は,両親学級が母親学級に比較して有意に高かった(p<0.01)。5)評価の実施は,両親学級(48.0%)が母親学級(26.7%)に比べ有意に高かった(p<0.05)。両親学級と母親学級の実施状況には,上記の5項目以外には大きな差はみられなかった。今後は,「両親学級」の普及に及んだ社会背景やその特徴を考慮しつつ,家庭にも男女共同参画を盛り込んだ妊婦教育の提供を考慮する必要がある。

Purpose: Identify the issues of the maternal education through the reality of Parents Class in comparisons with Mothers Class. Methods and Analyses: The questionnaire with the consent regarding obligation to keep official secrets was posted to the 38-Medical Centers and the 48-Health Departments in Niigata Prefecture and analyzed by quantitative methods. The Quantitative analyses used was SPSS and included the information of the Medical Centers and the Health Departments as well as the contents of Parent Class and Mothers Class. Findings: The results of the statistical analyses revealed a significant difference between Parents Class and Mothers Class in the five contents such as the operational institutions, the date, the participants except pregnant women, the practices of newborn care, and the evaluations. Conclusion: Findings showed that the much differences didn't exist on the contents between Parents Class and Mothers Class, but some differences did. Therefore, health care providers should utilize the characteristic of Parents Class and provide maternal education toward key elements to promote healthy family with less physical, mental, and social pressures.