紀要論文 妊娠中にマタニティヨガを実践した女性の出産満足度

蓬莱, 佳奈  ,  宮原, 春美

29pp.51 - 58 , 2017-01 , 長崎大学大学院医歯薬学総合研究科保健学専攻
ISSN:18814441
内容記述
目的:妊娠中にマタニティヨガを実践した女性の出産満足度を明らかにする. 方法:妊娠経過が正常で経膣分娩予定である初産婦全員を対象とし,マタニティヨガ教室への参加を呼びかけ,参加回数や自宅での継続状況をマタニティヨガノートに記載してもらい,産褥 3 - 4 日に出産体験自己評価尺度を用いて測定した. 結果:出産体験自己評価尺度合計点はヨガ参加群133.0±20.0点,ヨガ非参加群130.0±19.8点で有意差はな かった.自由記載の欄には「呼吸法が役立った」「リラックスできた」等の意見があった.産科的要因において吸引分娩はヨガ参加群がヨガ非参加群より多く,有意差を認めた(p=0.042).新生児予後では臍帯血pHに有意差はなく,アプガースコアは両群共に全員 8 点以上であった. 考察:出産満足度においてヨガ参加群は吸引分娩といった出産満足度を低下させる要因が有意に多かったにも関わらず,出産体験自己評価尺度合計点に差はなく,新生児予後も差はなかった.自由記載からマタニティヨガを通して呼吸法やリラックスを身につけた等分娩に対する肯定的な感情が見受けられた.これらのことからマタニティヨガが出産満足度低下を抑制する一助となった可能性がある.
Objective: To evaluate the level of childbirth satisfaction among postpartum women who practiced maternity yoga during pregnancy. Methods: Primiparous women in a normal course of pregnancy and expected vaginal delivery were recruited to participate in prenatal yoga classes. They were asked to record their class attendance as well as any follow-up exercises performed at home. Women who attended 3 or more yoga classes were categorized as yoga group, and those who attended less than 3 yoga classes as non-yoga group. After delivery, women completed a self-evaluation questionnaire including Tokiwa inventory of self-evaluation of childbirth 3-4 days postpartum. Results: There was no statistically significant difference in the self-evaluation of childbirth experience scores (mean ± SD) between the yoga group (133.0 ± 20.0) and non-yoga group (130.0 ± 19.8). In the free comment section of the questionnaire, women in the yoga group left positive comments regarding yoga practice, for example “the breathing exercise (taught in the yoga classes) helped me (during labor)” and “I was able to relax (during labor)”. Vacuum delivery was more common in the yoga group compared to the non-yoga group (P=0.042). Regarding neonatal prognosis, there was no statistical difference in the umbilical pH values between the two groups, and 8 points or more APGAR scores were observed in both groups. Discussion: Although the yoga group women more likely to experience vacuum delivery that would typically decrease satisfaction of childbirth process, their self-evaluation of childbirth experience scores were not lower than that of the non-yoga group, and the neonatal prognosis of their newborns were not different compared to the non-yoga group. As the free comments from the yoga group women suggest, maternity yoga practices may possibly contribute to counterbalance the satisfaction of childbirth process and the negative labor impact such as vacuum delivery.
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http://naosite.lb.nagasaki-u.ac.jp/dspace/bitstream/10069/37034/1/hokenn29_51.pdf

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