In medical facilities with obstetrics, the In-hospital midwifery care system to make use of the specialty of midwives is promoted. On introducing this system, space planning and living environmental improvement for maternal care are carried out.
This paper aims to grasp recognition for current environment in evaluation of puerperants and midwives, and requirements of environmental improvement for maternal care with this system. The questionnaire survey was conducted at two facilities with different spatial independence for obstetrics; all rooms are placed in obstetric space and shared with obstetrics, or all rooms are placed outside obstetric space and make it dedicated to the system. The research object were examination room, LDR, hospital bed room and nursing room. The investigation contents were evaluation for environmental improvement and satisfaction level of each room. After considering based on survey results by simple aggregation, correlation analysis, multiple regression analysis and principal component analysis, the conclusions are as follows.
1) On comparison of two facilities, there was no significant difference in consciousness for environment between puerperants and midwives, in spite of difference in spatial planning between them.
2) Though midwives appreciated environmental improvement of current situation higher than puerperants, they was not satisfied yet. There was a tendency for midwives to seek higher level of spatial environment
3) Midwives was strongly aware of need for individual response environment for securing privacy and guidance or nursing in improvement of hospital bed room.
4) Puerperants tended to emphasize satisfaction of space for delivery and inpatient life. Midwives tended to emphasize ergonomic aspects of furniture to come into contact with people.
5) As evaluation consciousness for midwifery space, "Functionality" related to midwifery behavior, "Environmentality" related to daily activities and "Privacy" related to personal actions were grasped.
