立ち会い分娩を体験した女性が助産師による家族への関わりに対して抱く思い

Women's Feelings toward Midwife's Involvement with Their Birth Families after Experiencing Delivery with Husband Present

抄録

【目的】立ち会い分娩を体験した女性が助産師による家族への関わりに対して抱く思いを明らかにすることである。

【対象と方法】半構成的面接を用いた質的記述的研究デザインを選択した。研究参加者は、立ち会い分娩を体験した産後5か月〜1年の女性5名である。録音データから逐語録を作成し、女性が助産師による家族への関わりに対して抱く思いと考えられる部分を抽出し質的に分析した。

【結果】分析の結果、105のコード、48のサブカテゴリー、19のカテゴリー、5の大カテゴリーが抽出された。本研究において研究参加者は、助産師による家族への関わりによって、自分だけではなく【家族の満足感が高まったことに喜びを感じた】。そして、助産師が自分の代弁者となってくれたこと等、家族への関わりが【自分の意向に沿ってくれていたことを実感した】。また、助産師が自分や家族の情報を把握し、不安への配慮をしてくれたことによって【自分や家族を理解していたことに安心感を抱いた】。一方で、助産師の家族への関わりが自分の望みとは異なっていた場合でも、その時は助産師に対して【自分の望みを伝えることができないと感じた】。さらに研究参加者は、助産師が行った家族への関わりの内容だけではなく【助産師の印象や分娩の結果を重視した】ことが明らかになった。

【結論】立ち会い分娩を体験した女性が助産師による家族への関わりに対して抱く思いが明らかになった。これらの結果から、立ち会い分娩への支援を行う助産師は、助産師の印象や分娩の結果が関わりへの思いを変化させることを認識した上で、家族の思いや女性の意思を尊重して家族に関わることが重要であることが示唆された。

【Purpose】 The purpose of this study is to clarify the feelings of women who have experienced delivery with husband present toward midwife's involvement with their families.

【Methods】 A qualitative descriptive research design with a semi-structured interview was employed. The study participants were five women who had experienced delivery with husband present five months to one year ago. The interviews with the participants were recorded and transcribed verbatim. The topics considered to represent women's feelings toward midwife's involvement with their families were extracted, coded, categorized and, then, qualitatively analyzed.

【Results】 After analysis, 105 codes, 48 subcodes, 19 categories, and five large categories were extracted. The study participants 【felt delightful in that family's satisfaction had increased】 as well as their own satisfaction by midwife's involvement with the families. They also 【realized that midwife's involvement had been in line with their own wishes】 because the midwives played a role as an advocate for the women. And they 【felt secure about that the midwives had understood them and the families】 because the midwives captured information on them and the families and gave consideration to their anxiety. On the other hand, they conceived negative feelings, for example, they 【felt that they had not be able to convey their wishes to the midwives】 even if they felt as if midwife's involvement was not in line with their wishes. In addition, it was made clear that the participants 【placed emphasis on midwife's impression and the delivery outcome】 although they had various feelings toward midwife's involvement with the families.

【Conclusions】 Women's feelings toward midwife's involvement with their birth families after experiencing delivery with husband present were clarified. The study findings suggest that it is important for midwives who support delivery with husband present to respect family's feelings and women's will in involving with the families, based on the understanding that midwife's impression and the delivery outcome could change women's feelings toward midwife's involvement with the families.