Journal of Japan Academy of Midwifery
Online ISSN : 1882-4307
Print ISSN : 0917-6357
ISSN-L : 0917-6357
Volume 15, Issue 1
Displaying 1-6 of 6 articles from this issue
  • Mieko TAKEUCHI
    2001 Volume 15 Issue 1 Pages 1
    Published: August 31, 2001
    Released on J-STAGE: November 17, 2010
    JOURNAL FREE ACCESS
    Download PDF (228K)
  • Kumiko ADACHI, Mieko SHIMADA
    2001 Volume 15 Issue 1 Pages 6-13
    Published: August 31, 2001
    Released on J-STAGE: November 17, 2010
    JOURNAL FREE ACCESS
    The aim of this study was the evaluation of sitting position on reducing labor pain. Fifty laboring woman (thirty three primiparous and seventeen multiparous) alternately assumed the sitting and supine position during the late phases of labor (cervical dilation from six to eight centimeters), and pain intensity was measured by a 100 millimeter Visual Analogue Scale (VAS) at the each position. The results showed that the pain scores during the sitting position were significantly lower than that during the supine position. The diminished pain scores were more than thirteen millimeters, which is the minimum clinically significant change in patient pain severity measured with a 100 millimeter Visual Analog Scale. The largest decrease measured was in the lower back pain. No differences were found between the two different pain scores (sitting and supine) in abdominal pain. 52% of parturients in the supine position and 34% of parturients in the sitting position pronounced that back pain was most painful during the latter phases of labor, indicating that the sitting position during the first stage of labor is an effective method to relieve labor pain.
    Download PDF (7564K)
  • Yaeko KATAOKA, Shigeko HORIUCHI
    2001 Volume 15 Issue 1 Pages 14-23
    Published: August 31, 2001
    Released on J-STAGE: November 17, 2010
    JOURNAL FREE ACCESS
    The purpose of this study was to examine nurses' attitudes toward sexual assault, general knowledge of sexual assault, and comprehension of nursing care for survivors, and explored the relationship between these aspects and personal characteristics of the nurse.
    379 nurses working on obstetric/gynecologic (OBGY), surgery, and emergency room units at 11 hospitals and 1 clinic participated in this survey. The Rape Supportive Attitude Scale (RSAS) was translated by the author. The Test of General Knowledge of Sexual Assault and the Comprehension Test of Nursing Care for Rape Survivors were author-developed. Factor analysis of the RSAS yielded four factors:(1) image of the rape victim and justification of assailants, (2) some rape is induced by women and is their responsibility, (3) women's sexual preferences, (4) men desire rape.
    As a result, three personal characteristics of nurses were correlated with the dependent variables: being a midwife, working in OBGY and interest in nursing care for rape survivors. Midwives had more favorable attitudes toward survivors (RSAS), higher general knowledge of sexual assault, and greater knowledge of nursing care.
    The above findings, together with the findings that 71% of respondents were interested in nursing care for survivors but few had the chance to learn, indicate that an educational program that focuses on the nursing care for rape survivors should be planned for nurses.
    Download PDF (5637K)
  • Noriko FURUTA, Kyoko YOKOO
    2001 Volume 15 Issue 1 Pages 24-33
    Published: August 31, 2001
    Released on J-STAGE: November 17, 2010
    JOURNAL FREE ACCESS
    Article 4 “Help mothers initiate breastfeeding within a half-hour of birth” of The Step to Successful Breasffeeding by WHO/UNICEF is variously interpreted and incorrectly practiced such as when neonates are forced to suck. The purpose of this study was to confirm relations between maternal-infant skin-to-skin contact and breastfeeding behavior during the first ninety minutes after birth, and practical issues for article 4.
    The subjects were twenty-two pairs of neonates and their mothers. The behavior of neonates, mothers and nurses were videotaped during the first ninety minutes after birth and descriptively analyzed.
    The results were as follows:
    1) Four patterns of maternal-infant contact were identified by the analysis of data. Three patterns corresponded with the recommendation of WHO/UNICEF; 2) Four stages of feeding behavior were identified: pre-feeding behavior; crawling and rooting; lip prehension; sucking. While neonates were separated from mothers, fourteen neonates showed movements like rooting behavior and one sucked his own fingers; 3) The way to help the neonates by mothers and nurses were mainly to pick up the nipples, support the head of neonate, draw the nipple to lip of neonate and support the breast.
    From these results, practical issues for article 4 were identified:
    1) recognize the feeding behavior of neonates immediately after birth and do not force sucking; 2) act considerately not to disturb maternal-infant contact and feeding behavior; 3) support feeding behavior through helping mother and neonate; 4) reconsider the timing and contents of neonatal routine care immediately after birth.
    Download PDF (7700K)
  • Akemi SAKAI
    2001 Volume 15 Issue 1 Pages 34-42
    Published: August 31, 2001
    Released on J-STAGE: November 17, 2010
    JOURNAL FREE ACCESS
    Download PDF (8072K)
  • 2001 Volume 15 Issue 1 Pages 43-59
    Published: August 31, 2001
    Released on J-STAGE: November 17, 2010
    JOURNAL FREE ACCESS
    Download PDF (2644K)
feedback
Top