Journal of Japan Academy of Midwifery
Online ISSN : 1882-4307
Print ISSN : 0917-6357
ISSN-L : 0917-6357
Volume 9, Issue 1
Displaying 1-7 of 7 articles from this issue
  • Perspective for the Further
    Masako MITSUI
    1995 Volume 9 Issue 1 Pages 1
    Published: December 10, 1995
    Released on J-STAGE: November 17, 2010
    JOURNAL FREE ACCESS
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  • Atsuko SASAKI
    1995 Volume 9 Issue 1 Pages 5-10
    Published: December 10, 1995
    Released on J-STAGE: November 17, 2010
    JOURNAL FREE ACCESS
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  • Mari HAKU, Fumi ATOGAMI, Naoko ARIMORI, Shigeko HORIUCHI
    1995 Volume 9 Issue 1 Pages 11-22
    Published: December 10, 1995
    Released on J-STAGE: November 17, 2010
    JOURNAL FREE ACCESS
    This study finds out whether the Electric Fetal Monitoring (EFM) method would be effective or not compared with the Intermittent Auscultation (AUS) method in prospecting the fetal prognosis. The analysis was done as follows:
    1. To make a comparative study of the effects obtained from the controlled trial studies. As a result, only one out of nine studies was found to support the hypothesis which claims the EFM is more effective than AUS in prospecting the fetal prognosis while the other eight studies did not recognize it.
    2. To Analyze the mentioned controlled trial studies with designating the structural model in evaluating the fetal prognosis. As a result, it revealed the obscurity of criteria for select ing subjects, installing monitors and deciding the outcome, thus this obscurity became a weak point for the follow-up study.
    3. To compare the fetal prognosis in each method of the EFM and AUS by adopting metaanalysis. As its result, no significant difference between two methods was found affecting the fetal prognosis. The EFM found significantly higher rate of Caesarean section among the high-risk group, on the other hand, it found a significant rise of technical vaginal delivery such as vacuum extraction among the low-risk group. This indicates that the EFM led to the increase of medical intervention.
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  • Analyses of the Ratio of Joint Activities and Frequency of Calling
    Chisato KIMURA, Megumi MATSUOKA
    1995 Volume 9 Issue 1 Pages 23-30
    Published: December 10, 1995
    Released on J-STAGE: November 17, 2010
    JOURNAL FREE ACCESS
    To clarify the relationships between the subjective impression about the experience rated by parturient women and the ratio of joint activities (the ratio of the length of time shared together by the women and midwives over the length of time spent for observation), and midwife's calling frequency and family participants other than her partner, videotape recording during labor was used and writtenquestionnaire was completed by these primiparous women on the 3rd postpartum day.
    As the results, the mean value of the ratio of joint activities in the expulsion period was significantly higher than in the far advanced stage (p<0.05). In addition, there was a sig-nificant correlation between the ratio of joint activities in the expulsion period and the item, technical support from the midwife, rated by parturient women (r=0.51, p<0.05). No significant correlation was observed between the ratio of joint activities in the far advanced stage and theitem, technical support from the midwife, rated by parturient women. There was asignificant correlation between the unit of time frequencies of midwife's verbalresponse from the far advanced stage to the expulsion period and the item, technical support from the midwife, rated by parturient women (r=0.68, p<0.01). Furthermore, a significantly lower self-rating on attitude/achievement during labor and delivery was noted in the parturient women who had a family participant other than her partner during labor, compared to those who had family participant during labor (p<0.01).
    Based on the results, it was considered that further investigation on the selective presence of midwife in the far advanced stage, and participation of her family members other than her partner in the expulsion/far advanced stages were required. In addition, it was suggested that effective calls are essential not to disturb intrapartum woman who is consecrating her mind on delivery.
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  • Ritsuko TAKAHASHI, Kayoko KAWASAKI
    1995 Volume 9 Issue 1 Pages 31-37
    Published: December 10, 1995
    Released on J-STAGE: November 17, 2010
    JOURNAL FREE ACCESS
    Mitigating first-stage pains, particularly pressing massage on the back of waistis important nursing to woman in childbed. Effective method of mitigation is almost unknown at present.
    To observe the 9 spots selected in range of labor pains which may be affected with nervous control we have practiced the pressing spot method to the 15 objectives in the middle period (for the external os of 5-6cm) and in the later period (for the external os of 8-9cm) of the first stage withexamining effection of mitigating pain according to progress of delivery. It is obvious that the 7 spots are effective though there are some differences. Alsowehave observed relation to physique and anxious level of objectives. It becomes clear that height, weight, increased weight during pregnancy, length around bellyand baby's weight, and promotive drug, and anxiety are related to effection of mitigating pain by pressing spots.
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  • Matsuno HAYASHI, Emi INAGAKI, Sachiko MORITA, Makiko MANO, Atsuko AMAN ...
    1995 Volume 9 Issue 1 Pages 38-42
    Published: December 10, 1995
    Released on J-STAGE: November 17, 2010
    JOURNAL FREE ACCESS
    Download PDF (1259K)
  • Based on a Nationwide Survey of Ward Manager
    Naoko NAITO, Fumiko HINOKUMA, Kazuko IWASAWA, Atsuko GESSO, Masumi KAT ...
    1995 Volume 9 Issue 1 Pages 43-49
    Published: December 10, 1995
    Released on J-STAGE: November 17, 2010
    JOURNAL FREE ACCESS
    Download PDF (1520K)
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