Journal of Japanese Society of Psychosomatic Obstetrics and Gynecology
Online ISSN : 2189-7980
Print ISSN : 1345-2894
ISSN-L : 1345-2894
 
A study of the postpartum problems assessed from the houmon kanngo rennraku hyou used by the medical team at our Prenatal Medical Center and analysis of psychosomatic problems
Wakana SOEDAYoshiko MOCHIZUKIEmi MOTEGIIchio FUKASAWA
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2017 Volume 22 Issue 3 Pages 285-291

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Abstract

【Objective】Postpartum psychological problems are serious conditions which show the importance of public health. This study uses the “Houmon Kanngo Rennraku Hyou (home visit nursing care form)”: through which public health nurses may be able to identify the high-risk families. The purpose of this study is to recognize the presence or absence of a mother’s psychological problems from using this form.

【Method】From 01/04/2015 to 31/03/2016, 634 pregnant women underwent labor management at our hospital. Of which 99 postpartum mothers with babies with high risk had the form submitted, which were used for this analysis. The form has been divided into 4 groups of reasoning : baby’s problems, mother’s illness, psychological problems and social problems.

【Result】There were 43 cases due to psychological problems, of which 33 had anxiety to take care of the baby for the first time. There were also 41 cases due to the baby’s problems, 55 cases due to the mother’s health issues and 33 cases due to social problems. This shows that most of them had overlapping reasons.

【Discussion】There were no isolated cases with only postpartum psychological problems. For that reason, we would suggest that the “Houmon Kanngo Rennraku Hyou” needs a separate blank space for noting the mother’s care-related psychological problems. Most of the cases overlapped with each other. In our center, taking care of the families is not only the OB-GYN’s duty, but also other doctors, nurses and medical social workers are working together as a team for taking care of the families.

【Conclusion】We meet face-to-face and hold regular monthly meetings and we provide care to mothers and their families who need help working with the local governments and public nurses. Nowadays, local governments have one-stop-centers which continuously provide help to prenatal families up to families with elementary school children to deal with child-related issues.

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© 2017 Japanese Soiety of Psychosomatic Obstetrics and Gynecology
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