Opinions of midwives regarding the introduction of breast ultrasound in mothers’ breast care
##plugins.themes.academic_pro.article.main##
Abstract
日本ã®åŠ©ç”£å¸«ã®ã‚±ã‚¢ã¯ã€ã™ã¹ã¦ã®æ¯è¦ªã®ä¹³æˆ¿å•題を解決ã™ã‚‹ã“ã¨ã¯ã§ãã¾ã›ã‚“。ã“ã®å®šæ€§çš„ã€ãƒ•ã‚©ãƒ¼ã‚«ã‚¹ã‚°ãƒ«ãƒ¼ãƒ—ã‚¤ãƒ³ã‚¿ãƒ“ãƒ¥ãƒ¼ç ”ç©¶ã¯ã€ä¹³æˆ¿ã‚±ã‚¢ãƒ«ãƒ¼ãƒãƒ³ã¸ã®ä¹³æˆ¿è¶…音波ã®å°Žå…¥ã«é–¢ã™ã‚‹åŠ©ç”£å¸«ã®æ„見を明確ã«ã™ã‚‹ã“ã¨ã‚’目的ã¨ã—ã¦ã„ã¾ã—ãŸå‚åŠ è€…ã¯ã€5人ã¨6人ã®åŠ©ç”£å¸«ã®2ã¤ã®ã‚°ãƒ«ãƒ¼ãƒ—ã«åˆ†ã‹ã‚Œã¾ã—ãŸã€‚データã¯ã€ãƒ•ォーカスグループインタビューを実施ã™ã‚‹ã“ã¨ã«ã‚ˆã£ã¦åŽé›†ã•れã¾ã—ãŸã€‚インタビューデータã¯å®šæ€§çš„ã«åˆ†æžã•れãŸã€‚乳房ケアã®ãŸã‚ã®è¶…音波ã®å°Žå…¥ã®3ã¤ã®ç†ç”±ãŒåŠ©ç”£å¸«ã«æ˜Žã‚‰ã‹ã«ã•れãŸã€‚1ã¤ç›®ã¯ã€ä¸€å®šã®åŠ©ç”£èƒ½åŠ›ã®å¿…è¦é‡ã‚’失ã„ã€æ¯è¦ªã®è² æ‹…ãŒå¢—大ã™ã‚‹å¯èƒ½æ€§ã§ã‚りã€ç¾çжã«ä¸åˆ©ãªçжæ³ã§ã‚ã£ãŸã€‚2ã¤ç›®ã¯ã€åŠ©ç”£å¸«ã®ã‚¹ã‚ルã¨ã‚±ã‚¢ã®åŠ¹çŽ‡ã‚’å‘上ã•ã›ã‚‹ã“ã¨ã«ã‚ˆã£ã¦æ¯è¦ªã®å¿ƒç†çš„安定性を高ã‚ã‚‹å¯èƒ½æ€§ã¨ã„ã†è‚¯å®šçš„ãªã‚‚ã®ã§ã—ãŸã€‚3ã¤ç›®ã¯ã€ä¹³æˆ¿è¶…音波装置ãŒç°¡å˜ã«æ“作ã§ãるよã†ã«æ”¹è‰¯ã—ã€ã‚¹ã‚ルをå‘上ã•ã›ã‚‹ãŸã‚ã®ãƒˆãƒ¬ãƒ¼ãƒ‹ãƒ³ã‚°ã‚’æä¾›ã™ã‚‹ã“ã¨ã§ã™ã€‚助産師ã«ã¯ã€ä¹³æˆ¿ã‚±ã‚¢ã«ä¹³æˆ¿è¶…音波を導入ã™ã‚‹åˆ©ç‚¹ãŒç¤ºã•れã¦ã„る。乳房超音波を乳房ケアã«å°Žå…¥ã™ã‚‹ãŸã‚ã«ã¯ã€åŠ©ç”£å¸«ãŒä¹³æˆ¿è¶…éŸ³æ³¢ã®æ“作方法をå¦ã¶ãŸã‚ã®ãƒˆãƒ¬ãƒ¼ãƒ‹ãƒ³ã‚°ã‚³ãƒ¼ã‚¹ã‚’開発ã™ã‚‹å¿…è¦ãŒã‚りã¾ã™ã€‚
##plugins.themes.academic_pro.article.details##
References
- Douglas, P., & Geddes, D. (2018). Practice-based interpretation of ultrasound studies leads the way to more effective clinical support and less pharmaceutical and surgical intervention for breastfeeding infants. Midwifery, 58, 145–155. 10.1016/j.midw.2017.12.007.
- Ikenoue, K., Yamamoto, U., Shimada, M., et al. Midwifery Business Guidelines. Tokyo: Japan Midwifery Association, 2018, pp.22–26.
- Japan academy of midwifery. Japanese midwives association. Mastitis Care Guidelines. Tokyo: Japan Midwifery Association, 2020, pp.48–61.
- Japanese Breast Cancer Society. (2012). 1 breast cancer incidence rate, breast cancer mortality rate, breast cancer practice guidelines for Japanese women. https://jbcs.xsrv.jp/guidline/2018/index/ekigakuyobo/s1/. Accessed February 16, 2020.
- Kamiya, S. & Shimura, C. (2018). Factors associated with continued breastfeeding: Based on mothers’ reflections on 1 year of breastfeeding. Journal Academic Health Science, 20(4), 147–157. doi: 10.24531/jhsaiih.20.4_147.
- Kardinah, D., Anderson, B.O., Duggan, C., Ali, I.A., & Thomas, D.B. (2014). Short report: Limited effectiveness of screening mammography in addition to clinical breast examination by trained nurse midwives in rural Jakarta, Indonesia. Int J Cancer, 134, 1250–1255. doi: 10.1002/ijc.28442.
- Martin, J.G. (2009). Breast abscess in lactation. Journal of Midwifery & Women Health, 54(2), 150–151. doi: 10.1016/j.jmwh.2008.07.015.
- Ministry of Health, Labor and Welfare. (2005). Public health nurses, midwives and nurses act (act No. 203 of 1948). https://www.mhlw.go.jp/shingi/2005/04/s0428-7f.html. Accessed February 16, 2022.
- Sato, K. (2005). Midwifery skills. Journal of St. Luke's Nursing Society, 9(1), 102–103. https://doi.org/10.34414/00014948
- Sharon, V., Jeanne, S.S.,& Jane, M. Translated by Jun Tabei N, Shibahara N;1999. Group interview techniques. Tokyo: Keio University Press Co. 1996, pp.122–146
- Sou, K. (2021). Promotion of breastfeeding policy and women’s breastfeeding experiences in Taiwan. Gend Cult Asia, 5, 53–71. https://hdl.handle.net/10935/5597
- Teshima, M., Oishi, K., Nagahashi, M., & Nakaoka, Y. (2017). The change of thickness of mammary gland tissue before and after breastfeeding in early postpartum: An ultrasonographic study. Journal of Japan Academic Midwifery, 31(1), 71–77. https://doi.org/10.3418/jjam.31.71