母親が母子健康手帳に抱く思い

Mothers' thoughts on the Maternal and Child Health Handbook

抄録

【目的】妊娠から育児期の中で母親が母子健康手帳に感じている思いを明らかにする。

【方法】質的記述的研究デザインを用いた。母子健康手帳の自由記載欄に記入している3歳の子どもを持つ母親8名に対して、半構造的面接法を用いたインタビューを行なった。得られたデータは、逐語録に起こし、文面上の意味を損なわないように、テーマに関連した文脈に着目してコード化し、他の構成要素と比較・統合しながら、サブカテゴリー化、カテゴリー化した。

【結果】分析の結果、5つのカテゴリーと18のサブカテゴリーが抽出された。母親は母子健康手帳交付を受けたことで【母になる実感が湧いてくる】という思いになり、母子健康手帳を眺めることによって【見えない胎児を感じる】という思いも持っていた。母子健康手帳は、妊娠中から【母から子へバトンをつないでいる】【代えがたい特別な記録になる】一方で、【書けなくてもちゃんと育てている】という思いも抽出された。

【考察】母子健康手帳を手にしたことが母親へ妊娠が証明される嬉しさと産める保障が得られた安心感などの喜びなど、母親になれる実感をもたらすことが分かった。母子健康手帳は母から子へ愛情の深さや実母の出産や子育ての体験、子どもに伝えたい思いが引き継がれてゆくものと感じていた。さらに母親にとって母親になるという体験が何にも代え難いものであり、母子健康手帳には特別な思い入れがあった。そして母親は母子健康手帳への記載が少なくても子どもは自分なりに育てているという思いがあり、母子健康手帳の記入量によって子育ての様子は量れないことが示唆された。

【Purpose】This study aims to clarify the feelings that mothers have about the Maternal and Child Health (MCH) handbook at various times during pregnancy, and childcare.

【Methods】The research design was a qualitative descriptive study, with a study period from July 2018 to February 2019. The study population consisted of 8 mothers of three-year-old children who filled in the free space in the MCH handbook. Data were collected using semi-structured interviews based on an interview guide. The analysis began with verbatim transcripts of the interviews, which were then categorized according to the research theme.

【Results】Mothers who received the MCH handbook felt that they feel more like becoming mothers. They also felt that the MCH handbook would "allow them to feel the invisible fetus," "allow them to pass the baton to their children," "become an irreplaceable and special record," and "allow them to raise their children in their own way even if they didn't have much to write in the MCH handbook.

【Conclusions】It was found that having the MCH handbook in their hands gave them the joy of being able to become mothers, including the joy of having proof of pregnancy and the peace of mind of knowing that they could give birth. They feel that the depth of affection from mother to child, their own experience of childbirth and child rearing, and the thoughts they want to pass on to their children, would be passed on to children In addition, the mothers reported that the experience of becoming a mother is very precious, and they have a special attachment to the handbook. They felt that they were raising their children in their own way, even if the amount of entries in the handbook was small, suggesting that the number of entries in the MCH handbook cannot be used to measure the state of child rearing.