豊かな出産体験をもたらす助産とは : 出産体験尺度(CBE-scale)による調査  [in Japanese] How does a midwives' care effect mothers' valuable childbirth experience? : The research through CBE-scale  [in Japanese]

豊かな出産体験がその後の母子関係や母子の心身の健康状態に及ぼす影響を明らかにするために,出産体験尺度(The Childbirth Experience Scale:CBE-scale)が作成されている。本研究は,産科診療所であるA産婦人科で出産された産婦227名を対象に,CBE-scaleを使用して,どういった出産時の要因がCBE-scaleの高得点とCBE各因子に影響するのかを調べ,豊かな出産体験のためには助産師にどのような助産ケアが求められるかを明らかにすることを目的として行った。その結果,豊かな出産体験の要因には,主に助産師,分娩体位,会陰切開の有無,出産回数があげられ,助産師は,お産のケア実践ガイドに基づき,分娩体位を自由にし,会陰切開を避け,産婦自身の自然な心理的・身体的機能が発揮できるように援助することが重要であり,豊かな出産体験をもたらす助産とは,つぎの出産へつながることにもなりうるケアであることが示唆された。

The Childbirth Experience Scale (CBE-scale) measures mothers' valuable childbirth experiences. It has been developed on purpose to clarify the effects the valuable childbirth experiences have on mother-child relationship and mental and physical health in mothers and children. The purpose of this study is to investigate what factors of childbirth effect on high scores of CBE-scale so as to define what kinds of care by midwives are required for mothers' valuable childbirth experience. As the result of the research for 227 mothers, determinants of mothers' valuable childbirth experience was found out to be the midwife in charge, childbirth position, episiotomy, and the number of past deliveries. This result suggested that it is important for midwives to allow the mothers to have free childbirth position, to try to avoid episiotomy, according to "Care in normal birth: a practical guide", and to help mothers activate their psychological and physical function. It was discussed that midwives' care which arouses mothers' valuable childbirth experience could lead the mothers to the next childbirth.