Kumiko Kido
Kagawa Prefectural University of Health Sciences

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Change in Sleep and Depressive Symptoms in The Perinatal Periode: A Case Series of Four Japanese Mothers Kumiko Kido; Mari Matsuo; Yuko Uemura; Atsuko Shiota; Satoshi Tada
Women, Midwives and Midwifery Vol. 2 No. 2 (2022): Women, Midwives and Midwifery journal
Publisher : Asosiasi Pendidikan Kebidanan Indonesia (AIPKIND)

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Abstract

Background: Late maternal deaths have been associated with psychiatric disorders such as perinatal depression and their prevention is an important issue within perinatal healthcare. Sleep disturbance can be a chronic stressor, and chronic stress can lead to depression. Sleep disturbances during pregnancy, as a lifestyle factor, are associated with postpartum depression. Depression could be assessed using prostaglandin D2 (PGD2) levels. Compared to sleep prior to pregnancy, shorter sleep duration and poorer sleep efficiency in the postpartum period have been reported. The association of breastfeeding, sleep habits, baby care, stress and depressive symptoms have not been examined. Purpose: This case series describes changes in sleep quality, stress, and depressive symptoms of perinatal women. Methods: This was a longitudinal case study. Pregnant women, who consented to participate, were followed between the third trimester of pregnancy and four month postpartum. This study was approved by the Ethical Review Committee of the Kagawa Prefectural University of Health Sciences (No.350). Results: The Japan Pittsburgh Sleep Quality Index (JPSQI) scores decreased over the postpartum period. However, there were temporarily higher JPSQI scores in the early postpartum period. Sleep duration and sleep efficiency improved two months postpartum. No participant scored ?9 on the Japanese version of the Edinburgh Postnatal Depression Scale (J-EPDS) from the third trimester of pregnancy to four months postpartum. Two samples had temporarily higher J-EPDS scores from two weeks to one month postpartum, showing a sharp drop at two months postpartum. The Patient Health Questionnaire-9 (PHQ-9) scores and urine biopyrin (UBP) levels decreased, while PGD2 levels increased over the postpartum period. Conclusion: Sleep quality and depressive symptoms improved over time postpartum. Improved sleep quality reduces stress, as shown by decreased levels of an oxidative stress marker with improved sleep quality. PGD2 and UBP are useful biomarkers to assess sleep quality and stress, respectively.
Tender Loving Care: A Conceptual Analysis Kumiko Kido; Akemi Mitani; Yuko Uemura
Women, Midwives and Midwifery Vol. 3 No. 2 (2023): Women, Midwives and Midwifery journal
Publisher : Asosiasi Pendidikan Kebidanan Indonesia (AIPKIND)

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Background: Studies have shown that combining tender loving care (TLC) with the treatment of patients with recurrent miscarriages can improve pregnancy outcomes. The importance of TLC has long been recognised in studies on psychiatric, gerontological, and end-of-life nursing in Western countries. Recently, randomised controlled trials (RCTs) have been used to examine the improvement in outcomes with the addition of TLC to the treatment of patients with recurrent miscarriages; however, no conclusions have been reached. TLC is a highly beneficial and harmless intervention that is not necessary for conducting RCTs. Therefore, healthcare professionals need to be aware of exercising TLC when treating patients with recurrent miscarriages. However, the concept of TLC is ambiguous and its definition is unclear. Purpose: This study aimed to conduct a conceptual analysis of TLC and clarify its constructs. Clarifying the definition of TLC will provide professionals with basic information that will be helpful when exercising TLC with patients who experienced repeated miscarriages despite of hopes of having a baby. Methods: This study was conducted using Walker and Avant’s concept analysis approach. Research published between the first edition of the journal till January 2022 were searched, and the titles and abstracts of the studies were reviewed to determine their suitability. Consequently, 28 articles, all of which were in English, were selected for conceptual analysis. The were CINAHL Plus with Full Text and MEDLINE databases were examined. The search term used was ‘tender loving care’. Results: The results of the conceptual analysis of TLC revealed the following antecedents, defining attributes, and consequences. The antecedents involve patients with the following diseases or disabilities: (1) suffering from mental or physical distress, (2) facing significant barriers in life (illness, disability, etc.), and (3) being unable to manage their mental health and well-being through self-care. Conclusion: In this study, a conceptual analysis of TLC was conducted using Walker and Avant's (2000) method. As a result of the conceptual analysis, ‘tender loving care’ was defined as ‘the care for mentally or physically distressed or impaired subjects by health professionals, parents, and teachers based on compassion and empathy, who perceive the condition of the subject and respond appropriately, thereby reducing tension, distress, and anxiety and achieving a state of mental and physical well-being’.
An Integrative Review of Fear of Childbirth Kumiko Kido; Yuko Uemura
Journal of Midwifery Vol 8, No 1 (2023): Journal of Midwifery
Publisher : Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jom.8.1.24-35.2023

Abstract

This study aimed to provide knowledge for midwives to deepen their understanding of their clients when working closely with women during the perinatal period through an integrative review of ‘fear of childbirth’, and to clarify the research topics to be addressed in the future. Methods: This study used an integrative review (IR) method in addition to bibliometric analysis methods to classify and analyse the studies. Review questions (RQ) included 1. ‘what is the status of research efforts (number of papers, location, etc.) on “fear of childbirth”?’, 2. ‘what are the screening methods and prevalence of “fear of childbirth”?’, and 3. ‘what can be learned from the findings of these studies?’Findings: RQ1: The number of papers published gradually increased after 1981 and has been increasing since 2000. Studies conducted in Scandinavia accounted for more than half of the total studies. Conversely, only five studies were conducted in Japan. RQ2: The Wijma Delivery Experience Questionnaire is a screening scale for fear of childbirth developed in Sweden, which has been translated and utilised in multiple languages. In meta-analyses worldwide, the prevalence of fear of childbirth has been reported to range from 3.7% to 43%. RQ3: Fear of childbirth leaves a negative impression of past childbirth experiences on women’s psychological well-being and subsequently leads to post-traumatic stress disorder. Intervention studies have shown that prenatal education can help couples overcome their fear of childbirth. However, the effectiveness of intervention studies that have examined these psychological aspects has not yet been clarified.Conclusion: The prevalence of fear of childbirth varies considerably, possibly owing to cultural differences. Research on fear of childbirth has reported negative effects on the postpartum period and on subsequent pregnancy and childbirth. Practising women-centred care may help prevent this fear.