Original Article

The purpose of this study was to identify concepts of family nursing in Japan that promote maternal identity during pregnancy. Using inductive content analysis, three dissertations, describing effective nursing interventions for pregnant women related to the process of motherhood, and five theses and fifteen original studies, related to maternal identity, were analyzed. As a result of analyzing the three dissertations, nursing interventions that promote maternal identity during pregnancy were categorized into 21 categories and 56 sub-categories. Those were then integrated from the view of family nursing, and two concepts were derived which were nursing care for a new mother and nursing care for the relationship between family members . 19 sub-categorized influential factors from other studies complemented those two concepts. For the most part family nursing in Japan that promotes maternal identity during pregnancy was nursing care for the new mother that approached the relationship between a new mother and her fetus from the cognitional aspect, emotional aspect, and behavioral aspect. Nursing care for the relationship between family members was recognized as the relationship with her husband. Further studies about the relationship with grandparents, the relationship with the husband, the relationship between the family and society were needed to create a framework of family nursing that promotes parenting in Japan.本研究の目的は,日本における妊娠期の母親役割獲得を促す家族看護の構成概念を明らかにすることである。千葉大学大学院看護学研究科から産出された修士・博士論文のうち,「母親役割獲得」を促す有効な看護について詳細に記述されている論文3編および,妊産婦の母親役割獲得に関連する修士論文5編と原著論文15編を対象とした。有効な看護介入について詳述している論文3編の帰納的内容分析の結果から,妊娠期の母親役割獲得を促す援助は56のサブカテゴリ,21のカテゴリに集約され,さらに,家族看護の視点から整理・統合したところ,日本における妊娠期の母親役割獲得を促す家族看護として、【母親となる女性へ働きかける援助】と,【家族成員間の関係性に働きかける援助】の2つの概念を抽出した。また,それ以外の論文で補完した結果,さらに影響要因として19のサブカテゴリを抽出した。妊娠した女性が母親という役割を獲得することを促す,日本の家族看護は,【母親となる女性へ働きかける援助】,すなわち,母親となる女性自身および胎児との関係性に対し,認知,感情,行動の3つの側面から働きかける看護援助が多くを占めた。【家族成員間の関係性に働きかける援助】は夫との関係性の中で見出されていた。今後は,出産後についておよび,影響要因として見出された,祖父母との関係や,夫婦関係あるいは,家族と社会との関係に対する援助についても研究を重ね,日本における親役割獲得を促す家族看護の枠組みを創出する必要がある

Relationship between the mode of conception and depressive symptoms during the first 6 months post‐partum in Japan

Abstract Purpose To determine whether conventional treatment and assisted reproductive technology for infertility are associated with depressive symptoms and to identify the predictors of depressive symptoms during the first 6 months' post‐partum. Methods A prospective cohort design was used, with the participants being recruited from 13 Japanese hospitals. Using self‐report questionnaires, a total of 2709 women (response rate: 71.9%) provided longitudinal data at five time points: during their hospital stay and at 1, 2, 4, and 6 months' post‐partum. The depressive symptoms were measured by using the Japanese version of the Edinburgh Postnatal Depression Scale (EPDS). A logistic regression analysis was used to examine the association between the mode of conception and depressive symptoms and to identify the predictors of the depressive symptoms. Results There was no significant association between the mode of conception and the depressive symptoms at any time point. Six factors that were associated with the EPDS score were first‐time childbirth, emergency cesarean delivery, infant feeding, financial burden, having a male infant, and dissatisfaction with social support. Conclusion There was no significant relationship between the mode of conception and depressive symptoms. Nursing care should be based on individual assessments that focus on parity, the delivery method, infant feeding method, financial burden, the infant's sex, and social support, rather than on the mode of conception

Preventive interventions for paternal perinatal depression: a scoping review protocol

Introduction The objective of this scoping review is to map the literature describing preventive interventions for paternal perinatal depression. Depression is a common mental disorder experienced by fathers as well as mothers around childbirth. Perinatal depression has negative consequences for men, and suicide is the most serious adverse effect. Impaired father–child relationships can also result from perinatal depression, negatively impacting child health and development. Considering its severe effects, early prevention of perinatal depression is important. However, little is known about preventive interventions for paternal perinatal depression including Asian populations.Methods and analysis This scoping review will consider studies of preventive interventions for perinatal depression in men with a pregnant wife or partner, and new fathers (less than 1 year post partum). Preventive intervention includes any form of intervention intended to prevent perinatal depression. Primary prevention intended to promote mental health will also be included if depression is included as an outcome. Interventions for those with a formal diagnosis of depression will be excluded. MEDLINE (EBSCOhost), CINAHL (EBSCOhost), APA PsycINFO (EBSCOhost), Cochrane Central Register of Controlled Trials and Ichushi-Web (Japan’s medical literature database) will be searched for published studies, and Google Scholar and ProQuest Health and Medical Collection will be searched for grey literature. Beginning in 2012, the search will include the last 10 years of research. Screening and data extraction will be performed by two independent reviewers. Data will be extracted using a standardised data extraction tool and presented in diagrammatic or tabular form, accompanied by a narrative summary.Ethics and dissemination As this study involves no human participants, approval from a human research ethics committee is not required. Findings of the scoping review will be disseminated through conference presentations and publication in a peer-reviewed journal.Trial registration number https://osf.io/fk2qe/