Journal of Japan Academy of Midwifery
Online ISSN : 1882-4307
Print ISSN : 0917-6357
ISSN-L : 0917-6357
Volume 14, Issue 2
Displaying 1-7 of 7 articles from this issue
  • Akemi SAKAI
    2000 Volume 14 Issue 2 Pages 1
    Published: February 05, 2001
    Released on J-STAGE: November 17, 2010
    JOURNAL FREE ACCESS
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  • Focusing on Husbands' Reactions and Women's Feeling for Pregnancy and Sexual Intercourse
    Keiko TAKENOUE, Tamami SATOH, Toshitaka MATSUYAMA
    2000 Volume 14 Issue 2 Pages 5-17
    Published: February 05, 2001
    Released on J-STAGE: November 17, 2010
    JOURNAL FREE ACCESS
    Japanese womens' and husbands' actual mental state after spontaneous abortion should be understand by health care providers. The purpose of this study is to explore husbands' reactions and women's feelings for pregnancy and having sexual intercourse after spontaneous abortion.
    Forty nine women who have experienced spontaneous abortion and agreed to participate the survey were asked by sentence completion such as:“When my husband knew that our baby was not alive or when he noticed that I received the medical procedure after miscarriage, his reaction was..., ”“I felt my husband's reactions like..., ”“I felt my husband's feelings and states were..., ”“When we had sexual intercourse for the first time after miscarriage, I felt like..., ” and “Pregnancy is....”
    The following husbands' feelings and reactions after spontaneous abortion were described by women.
    1. Many women described their husbands'(partners') shock, surprise, and sadness.
    2. Over a half of the women described that they shared and sympathized sadness and loss with their husbands, and husbands helped women to soothe and supported their coping. At the same time, some women reported their anger, blame, antipathy, sorriness, helplessness, and loneliness. Some women supported their husbands.
    3. If women felt as they shared sadness and loss with husbands or their husbands were sympathetic and supportive, the women's sadness were reduced, healed, and calmed down andvice versa.
    4. These results indicate that husbands' responses influence the women's grief process either way to accelerate or to delay.
    5. Some women described their relationship with husbands that it became better or more intimate after miscarriage than before.
    6. Most of the women described positively about their feelings for pregnancy. At the same time, many women described their ambivalent feelings as they want to have a baby and they are afraid of repetition of miscarriage. These feelings changed to eagerness to be pregnant, disappointmemt, and envy toward a person who had had a beby.
    7. Only few women described their happiness and delightfulness for resuming sexual activities. Many women resumed sexual intercourse with fear for their physical recovery and anxiety that they might be pregnant or could not be pregnant and that they may repeat miscarriage. These results suggest medical staffs that both miscarried women and their husbands need psychological assessment within one to three months after spontaneous abortion and support system not only at hospitals but community.
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  • Yukiko NAGAOKA
    2000 Volume 14 Issue 2 Pages 18-27
    Published: February 05, 2001
    Released on J-STAGE: November 17, 2010
    JOURNAL FREE ACCESS
    The purpose of this study was to identify aspects of suffering and the coping mechanisms used by women undergoing infertility treatment and to explore the relationships of these aspects and mechanisms to the woman's self-esteem. The subjects who agreed to participate in the study included 604 married, infertile women. Data were collected by a self-reported questionnaire developed by the author. Results:
    1. Factor analysis yielded five aspects of suffering among infertile women. A “sense of vulnerability related to infertility” and an “uncertainty related to pregnancy” were the most characteristic aspects of suffering identified.
    2. Factor analysis also yielded five coping mechanisms found among infertile women. Positive coping mechanisms, such as “finding new values through the experienceof infertility” and “taking things easy” were described as characteristic coping mechanisms.
    3. The self-esteem scores were average, but 16.22% of the women belonged to the low score group. The strongest parameter in the self-esteem score was “introversive/emotional coping behavior”.
    Infertile women listed many serious forms of suffering. They tried to cope with this suffering in their own way and they described the capability to change the experience of infertility into a positive experience. These findings suggest that it is important to understand the aspects of suffering and the coping mechanisms used by women undergoing infertility treatment.
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  • Yasuko YOSHIDA
    2000 Volume 14 Issue 2 Pages 28-38
    Published: February 05, 2001
    Released on J-STAGE: November 17, 2010
    JOURNAL FREE ACCESS
    This study examined the pattern on vomiting during labor and investigate a relationship between the stage of labor and vomiting in primiparae. The participants were thirty-seven (37) low risk primiparae. They were admitted for labor.
    A researcher cared for the woman and observed them according to observation guidelines. Then, the vomiting group and non-vomiting group were compared. There were no significance difference found in the demographic data between the groups.
    The data from the vomiting group suggested that there was a relationship between the stage of labor and the vomiting.
    1) 17 (46%) low risk primiparae were vomiting.
    2) Vomiting appeared in every stage of labor:
    a) when the contraction suddenly became strong
    b) three hours after a meal
    c) when the cervix was 3 cm dilated.
    3) When laboring woman vomited, her cervical ripening was good, duration of labor was become shorter than the primiparae's average. In this situation, the midwife should give information to the woman about the progress of labor for the purpose of her taking and feeling in control of the experience.
    4) When laboring woman vomited, her cervical ripening wasn't good, she lost energy and became tired psychologically and physiologically. It became uterine inertia. In this situation, the midwife should relieve the woman's anxiety and fatigue, coordinate suitable nourishment, and fulfill her physiological function.
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  • Yumiko TATEOKA
    2000 Volume 14 Issue 2 Pages 39-47
    Published: February 05, 2001
    Released on J-STAGE: November 17, 2010
    JOURNAL FREE ACCESS
    The concentration of secretory IgA was measured in human colostrum from 129 mothers who “normally” delivered after full-term pregnancy. The relations between the concentrations of secretory IgA and many stress conditions during delivery, physical conditions, stress sensitivities, and mother's character were investigated. Minimum and maximum values of secretory IgA concentration were 13mg/dl and 5860mg/dl respectively. Mean and median values was 1223mg/dl and 621mg/dl respectively. A wide variation of secretory IgA concentration among individuals was noted in human colostrum of 3 days postpartum.
    A significantly higher value of secretory IgA concentration in colostrum was observed among mothers who are more sensitive to stress, unstable in character and receivedmore physical stresses during delivery when compared with mothers who are less sensitive to stress, stable in character and received less physical stresses during delivery.
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  • Haruko OKAMURA
    2000 Volume 14 Issue 2 Pages 48-58
    Published: February 05, 2001
    Released on J-STAGE: November 17, 2010
    JOURNAL FREE ACCESS
    The perpuse of this study is to explain the relationship between maternal temperature variations and delivery progress in normal delivery. I measured 33 women's temperatures who experienced a vaginal delivery. This was done using a deep skin temperature monitor.(the forehead was used as the central deep skin temperature, and the instep as the peripheral deep skin temperature). As a result, I noticed 3 variation patterns:
    1) The central and the peripheral temperature both decreased; This group's delivery progress was quiet and steady.
    2) The central temperature increased and the peripheral temperature decreased; This group's delivery incidents included high tension, appeal strong pain.
    3) The central and the peripheral temperature both rise; This group's delivery incidents included too much exercise for prolonged (stagnant) dilating cervix or a long time pushing.
    Childbearing women's temperature is varied and the midwife must individualize their approach each woman.
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  • Mayumi NOGUCHI, Shigeko HORIUCHI, Yasuko MITSUHASHI, Yoshiko TAGA
    2000 Volume 14 Issue 2 Pages 59-65
    Published: February 05, 2001
    Released on J-STAGE: November 17, 2010
    JOURNAL FREE ACCESS
    Download PDF (6321K)
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