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Keyword: 女性透析患者 , 出産経験 , 認識 , women on dialysis , the birth experience , perceptions pp.64-72
Published Date 2008/11/15
DOI https://doi.org/10.11477/mf.7003100347

 The purpose of this study is to retrospectively examine the birth experience and perceptions of dialysis patients by interviews. Subjects were 17 women who had given birth over a 19-year period from 1986 to 2005. Their mean age during the study was 41.1 years, and women on dialysis for 20 years or longer accounted for 26.7%of the total. Eighty percent of the infants they bore achieved age-appropriate growth. The duration of dialysis at delivery was 6.7 years, gestational age was 31.9 weeks, and birthweight was 1,596.6g.

 More than half of the women wished to be pregnant, and 30%had experience with fertility treatment. Seventy percent of women consulting on pregnancy responded positively to news of their pregnancy. In terms of uncertainty over continuing with the pregnancy, the group who gave birth after 2000 considered themselves significantly uncertain (χ2 = 4.65,P < 0.1) in comparison to the group who gave birth prior to that. Provision of information regarding continuing the pregnancy was done by a physician in the group who gave birth prior to 1996, while a high proportion of the group who gave birth after 2000 searched for information themselves. A high proportion of the group who were pregnant after 2000 actively accepted the information. The group who gave birth after 2000 had a significantly higher amount of early contact with the infant after birth (χ2 = 3.43,P < 0.1) and breast feeding (χ2 = 4.73,P < 0.05). Ninety percent of the women considered their experience with pregnancy and childbirth to be a rich one; all of the women considered having a child to be a reason for living and reintegration into society. A successfully giving birth is a rich experience despite the various difficulties encountered. Results suggested that a woman having a child is an important indicator for social reintegration.


Copyright © 2008, JAPAN ACADEMY OF NEPHROLOGY NURSING. All rights reserved.

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電子版ISSN 2758-8203 印刷版ISSN 1344-7327 日本腎不全看護学会

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