初産婦における母子同室の効果 : 1か月後の対児感情  [in Japanese] Effects of Infant Rooming-in For Primiparae : Maternal Feelings in the Month After Delivery  [in Japanese]

本研究の目的は,母子同室体制での初産婦と母子異室体制での初産婦は対児感情に違いがあるかどうか。特に産後1か月後のわが子の泣きに対する母親の反応について知ることである。調査対象は母児同室群の初産婦197名と異室群の初産婦148名の計345名である。方法は産褥3-5日の面接調査と1か月後の質問紙方法による。結果は,1)母子同室を経験した母親は,1か月後の回避感情が低下する。2)異室群において,乳児の泣きが強いと感ずる母親,乳児の泣いている意味が解らない母親の方の接近得点が低くなった。3)両群に共通する乳児の泣きに対する反応は,泣き方が強いと感じる母親ほど,回避得点は高かった。わが子との接触時間を入院中から多く持つことが,赤ん坊に対する肯定的な感情を芽生えさせ,適切なコミニュケーションがとれる方向に変化することが期待できる。

The purpose of this study was to figure out whether there's a difference between the maternal feelings of primiparae in a rooming-in group and those of primiparae in a nursery group. In particular, we put focus on their reactions to their infants' crying in the month after the delivery. Subjects were 345 primiparae; 197 of them spent the hospitalization period in the same room as their infants, while 148 did not. The investigation was conducted by interviewing the primiparae for 3 to 5 days during the hospitalization period and having them answer a questionnaire in the month after the delivery. The results of the investigation showed that: 1) The primiparae who had kept their infants in their rooms showed decreased feelings of avoidance for their infants at the end of the month; 2) Among the group whose infants had stayed at the nursery, the louder they felt the crying was, the lower their degree of closeness, and those primiparae who had difficulty identifying the reason for their infants' crying showed a lower degree of closeness to their infants than those who had no difficulty; 3) The reactions of primiparae to their infants' crying were similar in both groups: the louder they felt the crying was, the higher their degree of avoidance were. In short, having more contact with their infants from the early stages will bring about a positive feeling in primiparae for their infants, which will in turn enhance the communication between them.