3 research outputs found
Opinions of midwives regarding the introduction of breast ultrasound in mothers’ breast care
日本の助産師のケアは、すべての母親の乳房問題を解決することはできません。この定性的、フォーカスグループインタビュー研究は、乳房ケアルーチンへの乳房超音波の導入に関する助産師の意見を明確にすることを目的としていました参加者は、5人と6人の助産師の2つのグループに分かれました。データは、フォーカスグループインタビューを実施することによって収集されました。インタビューデータは定性的に分析された。乳房ケアのための超音波の導入の3つの理由が助産師に明らかにされた。1つ目は、一定の助産能力の必要量を失い、母親の負担が増大する可能性であり、現状に不利な状況であった。2つ目は、助産師のスキルとケアの効率を向上させることによって母親の心理的安定性を高める可能性という肯定的なものでした。3つ目は、乳房超音波装置が簡単に操作できるように改良し、スキルを向上させるためのトレーニングを提供することです。助産師には、乳房ケアに乳房超音波を導入する利点が示されている。乳房超音波を乳房ケアに導入するためには、助産師が乳房超音波の操作方法を学ぶためのトレーニングコースを開発する必要があります
Physical and Mental Effects of Foot Baths Among Women in Labor: Protocol for a Pre-Post Test Experimental Design
BackgroundFoot baths are used in complementary and alternative therapy to improve the duration and quality of sleep and reduce tension, anxiety, fatigue, and confusion. They are also known to improve the frequency of labor contractions and to increase their duration in women; thus, they are commonly used by midwives in clinical settings in Japan. However, the physical and mental effects of foot baths during labor are unknown.
ObjectiveThis study aims to assess the physical and mental effects of foot baths based on biomarker levels and self-administered questionnaires.
MethodsA single-arm pre-post test trial design is being used in this study, and the study is being conducted at a general hospital in Tochigi Prefecture, Japan. The target study population is women in the first stage of labor, the phase when the uterus starts to contract and when the cervix dilates to 10 cm, or those undergoing labor induction. Participants who meet the eligibility criteria are recruited, and written informed consent is obtained from them. They are asked to answer the questionnaire and to collect 1.5 mL of saliva in 2 microtubes each, before and after the intervention. The intervention is foot baths for 15-20 minutes using a foot bath device. Data on delivery, such as gestational age, gravidity, parity, diagnosis following the last vaginal examination, and presence or absence of membrane rupture, are retrieved from the medical records. The primary outcomes are salivary cortisol levels before and after the foot baths. The secondary outcomes are levels of relaxation and comfort, labor pain, body warmth, vital signs, and interval of labor pain before and after the foot baths, which are assessed using a numerical rating scale. A paired t test or Wilcoxon signed-rank test will be performed to compare the data for salivary cortisol levels and numerical rating scale scores.
ResultsData collection started on April 1, 2022. As of October 2022, we had enrolled 10 participants. Because of the COVID-19 pandemic in Japan, it is difficult for medical personnel to freely interact with women in labor until the results of the COVID-19 polymerase chain reaction test are available in the research facility, complicating the recruitment process.
ConclusionsThis is the first prospective study to assess the effects of foot baths using a biomarker during the first stage of labor. The findings on the effects of foot baths on women in labor will provide novel insights that may improve the outcomes of delivery. A randomized controlled trial to investigate the effects of foot baths to obtain robust evidence should be conducted in the future.
Trial RegistrationUniversity Hospital Medical Information Network-Clinical Trial Registry UMIN000046539; https://tinyurl.com/2wwj7dns
International Registered Report Identifier (IRRID)DERR1-10.2196/3998