抄録
本研究では,NICU入院による母子分離を経験する母親の育児支援の検討を目的に産後4週間のEPDS得点の分析を行った。対象は,当センターで出産した412名(回収率92%)で,産後1ヵ月健診時にエジンバラ産後うつ病自己評価表を配布し,当日,自己記入を実施。母子同室群と母子分離群でみたEPDS得点には,有意差はみられなかった。しかし,出生体重が1,500g未満の児を産んだ母親は,2,500g以上で産んだ母親よりEPDS得点が有意に高く,さらに,入院期間が31日以上の児をもつ母親は,入院期間が7日以内の母親に比べ有意に高かった。また,母体搬送後すぐ緊急帝王切開術になった母親は,当センターで妊婦健診を受け,その後,緊急帝王切開術になった母親に比べEPDS得点が有意に高かった。本研究の結果から,極低出生体重児を産んだ母親,長期母子分離を経験した母親,母体搬送後の緊急帝王切開術を経験した母親に対し,継続したメンタルヘルスケアが重要であることが示唆された。
In this study, we analyzed EPDS points for 4 weeks after giving birth in order to consider child-care support in mothers who experienced mother-infant separation due to NICU hospitalization. We conducted a survey on 412 mothers(response rate: 92%) who gave birth at our hospital. When they had their checkup at the first postpartum month, we gave them EPDS and had them fill out the forms. We didn't see a significant difference from the EPDS scores between the rooming-in group and mother-infant separation group. However, the EPDS scores of mothers who gave birth to babies with weight of 1,500g or less were significantly high compared to the scores of mothers who gave birth to babies with weight of 2,500g or more. Moreover, mothers whose babies were hospitalized for more than 31 days scored significantly higher compared to mothers whose babies were hospitalized for less than 7 days. Also, mothers underwent emergency caesarean section following maternal transport scored significantly higher compared to mothers who had maternal checkups at our hospital, and then underwent emergency caesarean sections. This study suggests that it's important to give continued mental health care to mothers who give birth to babies with less weight, experienced a long-term mother-infant separation and undergo emergency caesarean sections following maternal transportations.
