HORIUCHI Shigeko

Faculty & Position:Women’s Health/Midwifery  professor
Contact:shigeko-horiuchi[at]slcn.ac.jp convert [at] to @
URL: 
Last Updated: Apr. 06, 2020 at 05:04

Researcher Profile & Settings

Academic & Professional Experience

  • Apr. 2020- TodayPresident, St. Luke’s International University
  • Apr. 1994Mar. 2020St. Luke's International University
  • Apr. 1978Mar. 1980St.Luke's International Hospital, St. Luke's International University

Qualification

  • 保健学修士
  • 看護学博士

Research Activities

Research Areas

  • Life sciences / Lifelong developmental nursing
  • Life sciences / Basic nursing

Research Interests

    Perinatal Loss , Grief work , Asia & Africa Midwife Research , continuing education , Physiological Birth , Oxytocin

Published Papers

  • Effects of a job aid-supported intervention during antenatal care visit in rural Tanzania
    Miyuki Oka, Shigeko Horiuchi, Yoko Shimpuku, Frida Madeni, Sebalda Leshabari
    International Journal of Africa Nursing Sciences 10 31 Nov. 2019 [Refereed]
  • Oxytocin levels in low-risk primiparas following breast stimulation for spontaneous onset of labor: a quasi-experimental study.
    Kaori Takahata, Shigeko Horiuchi, Yuriko Tadokoro, Erika Sawano, Kazuyuki Shinohara
    BMC pregnancy and childbirth 19(1) 351-351 Oct. 2019 [Refereed]
    BACKGROUND: Breast stimulation is performed to self-induce labor. However, there are apparently no reports on hormonal evaluation during stimulation for consecutive days in relation to induction effect. We evaluated the salivary oxytocin level following 3 consecutive days of own breast stimulation for 1 h each day compared with no breast stimulation. METHODS: We used a quasi-experimental design. The participants were low-risk primiparas between 38 and 39 gestational weeks. Eight saliva samples per participant were collected at preintervention and 30, 60, and 75 min postintervention on the first and third days. The primary outcome was change in the salivary oxytocin level on the third day after 3 consecutive days of breast stimulation for 1 h each day compared with no breast stimulation. The secondary outcomes were the rate of spontaneous labor onset and negative events including uterine hyperstimulation and abnormal fetal heart rate. RESULTS: Between February and September 2016, 42 women were enrolled into the intervention group (n = 22) or control group (n = 20). As there were differences in the basal oxytocin levels between the 2 groups, to estimate the change in the oxytocin level from baseline, we used a linear mixed model with a first-order autoregressive (AR1) covariance structure. The dependent variable was change in the oxytocin level from baseline. The independent variables were gestational weeks on the first day of intervention, age, education, rs53576 and rs2254298, group, time point, and interaction of group and time. After Bonferroni correction, the estimated change in the mean oxytocin level at 30 min on the third day was significantly higher in the intervention group (M = 20.2 pg/mL, SE = 26.2) than in the control group (M = - 44.4 pg/mL, SE = 27.3; p = 0.018). There was no significant difference in the rate of spontaneous labor onset. Although there were no adverse events during delivery, uterine tachysystole occurred in 1 case during the intervention. CONCLUSIONS: The estimated change in the mean oxytocin level was significantly higher 30 min after breast stimulation on the third day. Thus, consecutive breast stimulation increased the salivary oxytocin level. Repeated stimulations likely increase the oxytocin level. TRIAL REGISTRATION: UMIN000020797 (University Hospital Medical Information Network; Prospective trial registered: January 29, 2016).
  • Changes in salivary oxytocin levels and bonding disorder in women from late pregnancy to early postpartum: A pilot study
    SHISHIDO Eri, SHUO Takuya, TAKAHATA kaori, HORIUCHI Shigeko
    PLOS ONE 14(9) Sep. 2019 [Refereed]
    Objectives
    This pilot study aimed to 1) follow the longitudinal changes in the salivary oxytocin level of
    pregnant women from late pregnancy to early postpartum, 2) examine the factors related to
    these changes, and 3) clarify the association of these changes with mother-infant bonding.
    Methods
    This study used a longitudinal observational design and questionnaires to obtain objective
    and subjective data. For oxytocin evaluation, saliva samples were collected and their oxytocin
    levels were measured at 4-time points [i.e., 1) 36–37 gestation weeks, 2) 38–39 gestation
    weeks, 3) 1–2 days postpartum, 4) 4–5 days postpartum]. The oxytocin level was
    assayed in duplicates by enzyme-linked immunosorbent assay. Baseline data were evaluated
    using the Parental Bonding Instrument (25 items), State Trait Anxiety Inventory (20
    items), and Center for Epidemiologic Studies Depression Scale. Postpartum data were evaluated
    using the Mother to Infant Bonding Scale Japanese Version (10 items), Maternity
    Blues Scale (13 items), and ‘Fatigue after Childbirth’ using the Visual Analogue Scale (VAS:
    0–100 mm).
    Results
    The participants were 13 primiparas with a mean age of 33 years. They had no depression
    or anxiety at the baseline. Their mean salivary oxytocin levels significantly increased from
    late pregnancy (36–39 gestation weeks) up to 1 day postpartum and then decreased until 5
    days postpartum. There was a negligible correlation between the bonding disorder and the
    salivary oxytocin level on the 5th day after childbirth. A moderate correlation was observed
    between the maternity blues score and the salivary oxytocin level. There was a significant
    negative correlation between the postpartum fatigue and the salivary oxytocin level 1 day
    and 5 days after childbirth.
    Conclusion
    The mean salivary oxytocin levels significantly increased from the baseline up to 1 day postpartum
    and then decreased until 5 days postpartum. The salivary oxytocin level was moderately
    associated with maternity blues and significantly with postpartum fatigue.
  • A family-oriented antenatal education program to improve birth preparedness and maternal-infant birth outcomes: A cross sectional evaluation study.
    Yoko Shimpuku, Frida E Madeni, Shigeko Horiuchi, Kazumi Kubota, Sebalda C Leshabari
    Reproductive health 16(1) 107-107 Jul. 2019 [Refereed]
    BACKGROUND: In Tanzania, the information on Birth Preparedness and Complication Readiness is insufficiently provided to pregnant women and their families. The aim of this study was to evaluate the maternal and infant outcomes of a family-oriented antenatal group education program that promotes Birth Preparedness and Complication Readiness in rural Tanzania. METHODS: Pregnant women and families were enrolled in a program about nutrition and exercise, danger signs, and birth preparedness. The cross sectional survey was conducted one year later to evaluate if the participants of the program (intervention group) were different from those who did not participate (control group) with respect to birth-preparedness and maternal and infant outcomes. RESULTS: A total of 194 participants (intervention group, 50; control group, 144) were analyzed. For Birth Preparedness and Complication Readiness, the intervention group participants knew a health facility in case of emergency (OR: 3.11, 95% CI: 1.39-6.97); arranged accompaniment to go to a health facility for birth (OR: 2.56, 95% CI: 1.17-5.60); decided the birthplace with or by the pregnant women (OR: 3.11, 95% CI: 1.44-6.70); and attended antenatal clinic more than four times (OR: 2.39, 95% CI: 1.20-4.78). For birth outcomes, the intervention group had less bleeding or seizure during labour and birth (OR: 0.28, 95%CI: 0.13-0.58); fewer Caesarean sections (OR: 0.16, 95% CI: 0.07-0.36); and less neonatal complications (OR: 0.28, 95% CI: 0.13-0.60). CONCLUSIONS: The four variables were significantly better in the intervention group, i.e., identifying a health facility for emergencies, family accompaniment for facility birth, antenatal visits, and involvement of women in decision-making, which may be key factors for improving birth outcome variables. Having identified these key factors, male involvement and healthy pregnant lives should be emphasized in antenatal education to reduce pregnancy and childbirth complications. TRIAL REGISTRATION: No.2013-273-NA-2013-101 . Registered 12 August 2013.
  • Changes in salivary oxytocin levels and bonding disorder in women from late pregnancy to early postpartum: A pilot study.
    Eri Shishido, Takuya Shuo, Kaori Takahata, Shigeko Horiuchi
    PloS one 14(9) e0221821 2019 [Refereed]
    OBJECTIVES: This pilot study aimed to 1) follow the longitudinal changes in the salivary oxytocin level of pregnant women from late pregnancy to early postpartum, 2) examine the factors related to these changes, and 3) clarify the association of these changes with mother-infant bonding. METHODS: This study used a longitudinal observational design and questionnaires to obtain objective and subjective data. For oxytocin evaluation, saliva samples were collected and their oxytocin levels were measured at 4-time points [i.e., 1) 36-37 gestation weeks, 2) 38-39 gestation weeks, 3) 1-2 days postpartum, 4) 4-5 days postpartum]. The oxytocin level was assayed in duplicates by enzyme-linked immunosorbent assay. Baseline data were evaluated using the Parental Bonding Instrument (25 items), State Trait Anxiety Inventory (20 items), and Center for Epidemiologic Studies Depression Scale. Postpartum data were evaluated using the Mother to Infant Bonding Scale Japanese Version (10 items), Maternity Blues Scale (13 items), and 'Fatigue after Childbirth' using the Visual Analogue Scale (VAS: 0-100 mm). RESULTS: The participants were 13 primiparas with a mean age of 33 years. They had no depression or anxiety at the baseline. Their mean salivary oxytocin levels significantly increased from late pregnancy (36-39 gestation weeks) up to 1 day postpartum and then decreased until 5 days postpartum. There was a negligible correlation between the bonding disorder and the salivary oxytocin level on the 5th day after childbirth. A moderate correlation was observed between the maternity blues score and the salivary oxytocin level. There was a significant negative correlation between the postpartum fatigue and the salivary oxytocin level 1 day and 5 days after childbirth. CONCLUSION: The mean salivary oxytocin levels significantly increased from the baseline up to 1 day postpartum and then decreased until 5 days postpartum. The salivary oxytocin level was moderately associated with maternity blues and significantly with postpartum fatigue.
  • Women's choice of maternal healthcare in Parung, West Java, Indonesia: Midwife versus traditional birth attendant.
    Yenita Agus, Shigeko Horiuchi, Mariko Iida
    Women and birth : journal of the Australian College of Midwives 31(6) 513-519 Dec. 2018 [Refereed]
    BACKGROUND: In the 1990s, the Indonesian government launched programmes to train traditional birth attendants (TBAs) and increase the number of midwives. AIM: To identify and compare the factors that influence women's choice of a midwife or a TBA for maternal healthcare in Indonesia. METHODS: This study used a descriptive design for comparing women's choice of maternal healthcare. The participants were (1) married women, (2) experienced birth within two years, (3) living in a rural or urban village, and (4) capable of communicating in the Indonesia language. Three instruments were used: (1) traditional belief questionnaire, (2) preference for caregiver questionnaire, and (3) women-centered care (WCC) questionnaire which measured women's perceptions of care that they received during pregnancy. FINDINGS: A total of 371 women participated in this study. All these subjects answered based on their most recent birth within the last two years. Of the 371 women, 207 (55.8%) chose a midwife and 164 (44.2%) chose a TBA for giving birth. Women choosing midwives were generally satisfied and perceived receiving WCC. Factors determining choice were (1) women's background, (2) perception of WCC, (3) satisfaction, (4) choice of antenatal care (ANC), (5) family encouragement, and (6) traditional beliefs. DISCUSSION: The choice of caregivers was determined by not only education, parity, usual source of healthcare payment, and family encouragement but also traditional beliefs. CONCLUSION: Indonesian women's choice of a midwife instead of a TBA for their maternal healthcare resulted in a higher satisfaction of care and more ANC visits.
  • Is hiesyo in pregnant women a risl factor for postpartum haemorrhage?
    Sachiyo Nakamura, Shigeko Horiuchi
    New Zealand College of Midwives Journal 54 Dec. 2018 [Refereed]
  • Evaluation of a family-oriented antenatal group educational program in rural Tanzania: a pre-test/post-test study.
    Yoko Shimpuku, Frida E Madeni, Shigeko Horiuchi, Kazumi Kubota, Sebalda C Leshabari
    Reproductive health 15(1) 117-117 Jun. 2018 [Refereed]
    BACKGROUND: To increase births attended by skilled birth attendants in Tanzania, studies have identified the need for involvement of the whole family in pregnancy and childbirth education. This study aimed to develop, implement, and evaluate a family-oriented antenatal group educational program to promote healthy pregnancy and family involvement in rural Tanzania. METHODS: This was a quasi-experimental 1 group pre-test/post-test study with antenatal education provided to pregnant women and their families in rural Tanzania. Before and after the educational program, the pre-test/post-test study was conducted using a 34-item Birth Preparedness Questionnaire. Acceptability of the educational program was qualitatively assessed. RESULTS: One-hundred and thirty-eight participants (42 pregnant women, 96 family members) attended the educational program, answered the questionnaire, and participated in the feasibility inquiry. The mean knowledge scores significantly increased between the pre-test and the post-test, 7.92 and 8.33, respectively (p = 0.001). For both pregnant women and family members, the educational program improved Family Support (p = 0.001 and p = 0.000) and Preparation of Money and Food (p = 0.000 and p = 0.000). For family members, the scores for Birth Preparedness (p = 0.006) and Avoidance of Medical Intervention (reversed item) (p = 0.002) significantly increased. Despite the educational program, the score for Home-based Value (reversed item) (p = 0.022) and References of SBA (p = 0.049) decreased in pregnant women. Through group discussions, favorable comments about the program and materials were received. The comments of the husbands reflected their better understanding and appreciation of their role in supporting their wives during the antenatal period. CONCLUSIONS: The family-oriented antenatal group educational program has potential to increase knowledge, birth preparedness, and awareness of the need for family support among pregnant women and their families in rural Tanzania. As the contents of the program can be taught easily by reading the picture drama, lay personnel, such as community health workers or traditional birth attendants, can use it in villages. Further development of the Birth Preparedness Questionnaire is necessary to strengthen the involved factors. A larger scale study with a more robust Birth Preparedness Questionnaire and documentation of skilled care use is needed for the next step. TRIAL REGISTRATION: No.2013-273-NA-2013-101 . Registered 12 August 2013.
  • Process of Establishment of Accelerated Baccalaureate Program in Nursing
     4 98-102 Mar. 2018
  • Midwives' respect and disrespect of women during facility-based childbirth in urban Tanzania: a qualitative study.
    Kana Shimoda, Shigeko Horiuchi, Sebalda Leshabari, Yoko Shimpuku
    Reproductive health 15(1) 8-8 Jan. 2018 [Refereed]
    BACKGROUND: Over the last two decades, facility-based childbirths in Tanzania have only minimally increased by 10% partly because of healthcare providers' disrespect and abuse (D&A) of women during childbirth. Although numerous studies have substantiated women's experience of D&A during childbirth by healthcare providers, few have focused on how D&A occurred during the midwives' actual care. This study aimed to describe from actual observations the respectful and disrespectful care received by women from midwives during their labor period in two hospitals in urban Tanzania. METHODS: This descriptive qualitative study involved naturalistic observation of two health facilities in urban Tanzania. Fourteen midwives were purposively recruited for the one-on-one shadowing of their care of 24 women in labor from admission to the fourth stage of labor. Observations of their midwifery care were analyzed using content analysis. RESULTS: All the 14 midwives showed both respectful and disrespectful care and some practices that have not been explicated in previous reports of women's experiences. For respectful care, five categories were identified: 1) positive interactions between midwives and women, 2) respect for women's privacy, 3) provision of safe and timely midwifery care for delivery, 4) active engagement in women's labor process, and 5) encouragement of the mother-baby relationship. For disrespectful care, five categories were recognized: 1) physical abuse, 2) psychological abuse, 3) non-confidential care, 4) non-consented care, and 5) abandonment of care. Two additional categories emerged from the unprioritized and disorganized nursing and midwifery management: 1) lack of accountability and 2) unethical clinical practices. CONCLUSIONS: Both respectful care and disrespectful care of midwives were observed in the two health facilities in urban Tanzania. Several types of physical and psychological abuse that have not been reported were observed. Weak nursing and midwifery management was found to be a contributor to the D&A of women. To promote respectful care of women, pre-service and in-service trainings, improvement of working conditions and environment, empowering pregnant women, and strengthening health policies are crucial.
  • Knowledge of danger signs during pregnancy and subsequent healthcare seeking actions among women in Urban Tanzania: a cross-sectional study.
    Beatrice Mwilike, Gorrette Nalwadda, Mike Kagawa, Khadija Malima, Lilian Mselle, Shigeko Horiuchi
    BMC pregnancy and childbirth 18(1) 4-4 Jan. 2018 [Refereed]
    BACKGROUND: Tanzania is among the countries with a high maternal mortality ratio. However, it remains unclear how information and education on danger signs of pregnancy translate into appropriate actions when a woman recognizes danger signs. This study aimed to determine women's knowledge of obstetric danger signs during pregnancy and their subsequent healthcare seeking actions. METHODS: The study design was a health facility-based cross-sectional study. Quantitative data were collected through interviewer-administered questionnaires. Descriptive and inferential statistics were used to analyze the data. The study enrolled 384 women from two health centers in Kinondoni Municipality, Dar es Salaam, Tanzania. A woman who had not mentioned any danger sign was categorized as having no knowledge, mentioned one to three danger signs as having low knowledge, and mentioned four or more danger signs as having sufficient knowledge. RESULTS: Among the 384 participants, 67 (17.4%) had experienced danger signs during their pregnancy and reported their healthcare seeking actions after recognizing the danger signs. Among those who recognized danger signs, 61 (91%) visited a healthcare facility. Among the 384 participants, five (1.3%) had no education, 175 (45.6%) had primary education, 172 (44.8%) had secondary education, and 32 (8.3%) had post-secondary education as their highest educational levels. When asked to spontaneously mention the danger signs, more than half of the participants (n = 222, 57.8%) were able to mention only one to three danger signs. Only 104 (31%) had correct knowledge of at least four danger signs and nine (2.7%) were not able to mention any item. The most commonly known pregnancy danger signs were vaginal bleeding (81%); swelling of the fingers, face, and legs (46%); and severe headache (44%). Older women were 1.6 times more likely to have knowledge of danger signs than young women (OR 1.61; 95% CI 1.05-2.46)". CONCLUSION: Women took appropriate healthcare seeking action after recognizing danger signs during pregnancy. However, the majority had low knowledge of pregnancy danger signs. Additional studies are warranted to address the knowledge gap and to plan interventions for improving health education under limited resource settings.
  • A feasibility study of an educational program on obstetric danger signs among pregnant adolescents in Tanzania: A mixed-methods study
    Beatrice Mwilike, Kana Shimoda, Miyuki Oka, Sebalda Leshabari, Yoko Shimpuku, Shigeko Horiuchi
    International Journal of Africa Nursing Sciences 8 33 2018 [Refereed]
  • Effects of breast stimulation for spontaneous onset of labor on salivary oxytocin levels in low-risk pregnant women: A feasibility study.
    Kaori Takahata, Shigeko Horiuchi, Yuriko Tadokoro, Takuya Shuo, Erika Sawano, Kazuyuki Shinohara
    PloS one 13(2) e0192757 2018 [Refereed]
    OBJECTIVES: This preliminary study aimed to 1) determine changes in the salivary oxytocin (OT) level during breast stimulation for promoting the spontaneous onset of labor in low-risk term pregnancies, and 2) clarify the feasibility of the breast stimulation intervention protocol in terms of practicality and acceptability. METHODS: We used a single arm trial design. Sixteen low-risk pregnant women between 38 and 40 weeks of gestation with cephalic presentation participated. They performed breast stimulation for 3 days with an attendant midwife in a single maternity hospital. Each breast was stimulated for 15 minutes for a total of 1 hour per day. Saliva was collected 10 minutes before the intervention and 15, 30, 60, 75, and 90 minutes after the intervention, yielding 18 samples per woman. RESULTS: Among a total of 282 saliva samples from the 16 participants, OT level was measured in 142 samples (missing rate: 49.6%). The median OT level showed the highest values on day 3 of the breast stimulation, with a marked increase 30 min after the intervention. In the mixed models after multiple imputation for missing data, the OT level on the first day of intervention was significantly lower than that on the third day of intervention. Fatigue from breast stimulation decreased on subsequent days, and most of the women (75%) felt no discomfort with the protocol. Uterine hyperstimulation was not observed. CONCLUSION: Following a 3-day breast stimulation protocol for spontaneous onset of labor, the mean OT level showed the highest values on day 3. The breast stimulation intervention protocol showed good feasibility in terms of practicality and acceptability among the pregnant women. Additional large-scale studies are warranted to confirm the protocol's effectiveness.
  • Changes in salivary oxytocin after inhalation of clary sage essential oil scent in term-pregnant women: a feasibility pilot study.
    Yuriko Tadokoro, Shigeko Horiuchi, Kaori Takahata, Takuya Shuo, Erika Sawano, Kazuyuki Shinohara
    BMC research notes 10(1) 717-717 Dec. 2017 [Refereed]
    OBJECTIVES: This pilot study using a quasi-experimental design was conducted to evaluate the feasibility (i.e., limited efficacy, practicality, and acceptability) of our intervention protocol involving inhalation of the scent of clary sage essential oil by pregnant women and measurement of their preinhalation and postinhalation oxytocin levels. RESULTS: Participants were women of singleton pregnancies between 38 and 40 gestation weeks (N = 11). The experiment group (n = 5) inhaled the scent of clary sage essential oil diluted 50-fold with 10 mL of odorless propylene glycol for 20 min. Regarding limited efficacy, the oxytocin level 15 min postinhalation increased in 3 women and was unmeasurable in 2. The control group (n = 6) inhaled similarly without the 50-fold dilution of clary sage essential oil. Their oxytocin level increased in 2 women, decreased in 2, and was unmeasurable in 2. Uterine contraction was not observed in both groups. Regarding practicality, 3 of the 11 women could not collect sufficient saliva. The cortisol level decreased in both groups postinhalation. The protocol had no negative effects. Regarding acceptability, burden of the protocol was not observed. Trial registration The Clinical Trials Registry of University Hospital Medical Information Network in Japan-UMIN000017830. Registered:  June 8, 2015.
  • Feasibility of a Smartphone website to support antenatal Perineal massage in pregnant women.
    Shoko Takeuchi, Shigeko Horiuchi
    BMC pregnancy and childbirth 17(1) 354-354 Oct. 2017 [Refereed]
    BACKGROUND: In Japan, 85% of pregnant women do not practice antenatal perineal massage. Therefore, we developed a smartphone website to support the practice of antenatal perineal massage. The purpose of the present study was to evaluate the feasibility of our smartphone website. METHODS: Pregnant women were recruited at five hospitals or clinics in Tokyo, Japan. Participants assigned to the smartphone website group (n = 74) were asked to register on the smartphone website. After completing registration, they could login and use all the contents of the website. After giving birth, participants completed a 5-item questionnaire evaluating the acceptability of the smartphone website. Participants assigned to the leaflet group (n = 71) received a leaflet on antenatal perineal massage and completed a similar 4-item questionnaire evaluating the leaflet. Data were collected from April 2014 to November 2014. Data analysis was performed using chi-square and t-tests to analyze responses to close-ended questions, and content analysis was conducted to analyze responses of open-ended questions. RESULTS: In the smartphone website group, 9 women (12.2%) did not register on the smartphone website. Approximately 80% of the women who responded indicated that the smartphone site was easy to understand and useful for practicing antenatal perineal massage. In the smartphone website group, the reply rate for reporting the frequency of massage was 43.6%. Although the ratings and frequency at which the material was accessed tended to be higher in the smartphone website group than in the leaflet group, there were no significant differences. CONCLUSIONS: Most pregnant women in the smartphone website group provided a favorable evaluation for the smartphone website. However, some participants had suggestions for improvement, which need to be incorporated in a revised version of the website. Therefore, the present study's results demonstrate the feasibility of a smartphone website to support the practice of antenatal perineal massage, and they may aid in the development of similar web-based educational material for pregnant women. TRIAL REGISTRATION: This trial was registered with the UMIN Clinical Trials Registry ( UMIN000013979 ) on May 16, 2014.
  • Perceptional gaps among women, husbands and family members about intentions for birthplace: a cross-sectional study.
    Yoko Shimpuku, Frida Elikana Madeni, Shigeko Horiuchi, Sebalda Charles Leshabari
    Revista latino-americana de enfermagem 25 e2840 Jan. 2017 [Refereed]
    Objective:: women are more likely to give birth at a health facility when their families agree with the birthplace. However, in rural areas of Tanzania, women are often marginalized from decision-making. This study predicted birthplace intention and identified factors to reduce perceptional gaps among pregnant women, husbands and family members. Method:: explanatory cross-sectional survey was conducted in three villages in North Eastern Tanzania. Participants were 138 pregnant women and their families who answered the Birth Intention Questionnaire (BIQ), measuring knowledge, attitude, perceived behavioral control, subjective norms and intention for birthplace. Descriptive analysis, ANOVA, Chi-square, and multiple linear regression was used to analyze the data. Results:: the regression model showed that knowledge, perceived behavioral control, and subjective norms predicted intention for birthplace (R2 = .28). While 81% of pregnant women thought their husbands were decision-makers for their birth, only 38% of husbands and 37% of family members agreed. Pregnant women had significantly lower scores on the item "I will prepare for childbirth with my family" compared with husbands (p < .01) and other family members (p < .001). Conclusion:: providing evidence-based birth preparation and reducing the identified perceptual gaps may enhance women's intention to deliver at health facilities. Objetivo:: as mulheres são mais propensas a dar à luz em um centro de saúde quando suas famílias estão de acordo com o local de nascimento. No entanto, nas áreas rurais da Tanzânia, as mulheres são muitas vezes marginalizadas do processo de decisão. Este estudo fez previsoes de intenção para o local do parto e fatores para reduzir as lacunas de percepção entre as mulheres grávidas, seus maridos e familiares identificados. Método:: estudo transversal explicativo realizado em três aldeias no nordeste da Tanzânia. Os participantes foram 138 mulheres grávidas e suas famílias que responderam ao Questionário de Intenção sobre Parto (BIQ), medindo o conhecimento, atitude, percepcão de controle comportamental, normas subjetivas e intenção para lugar de parto. Análise descritivas, ANOVA, Qui-quadrado e regressão linear múltipla foram utilizados para analisar os dados. Resultados:: o modelo de regressão mostrou que o conhecimento, percepcão de controle comportamental e normas subjetivas previram intenção de lugar de parto (R2 = 0,28). Enquanto 81% das mulheres grávidas pensavam que seus maridos eram os decisores para seu parto, apenas 38% dos maridos e 37% dos membros da família concordaram. As mulheres grávidas tiveram escores significativamente mais baixos sobre o item "Vou me preparar para o parto com a minha família", em comparação com os maridos (p < 0,01) e outros membros da família (p < 0,001). Conclusão:: Proporcionar preparação para o parto baseada em evidencias e a redução das lacunas de percepção identificadas podem melhorar a intenção das mulheres para dar à luz em unidades de saúde. Objetivo:: las mujeres son más propensas a dar a luz en un centro de salud cuando sus familias están de acuerdo con el lugar de parto. Sin embargo, en las zonas rurales de Tanzania, las mujeres son a menudo marginadas de la toma de decisiones. Este estudio predijo la intención del lugar de parto y los factores identificados para reducir la brecha de percepción entre las mujeres embarazadas, esposos y miembros de la familia. Método:: encuesta transversal explicativa llevada a cabo en tres aldeas en el noreste de Tanzania. Los participantes fueron 138 mujeres embarazadas y sus familias, que respondieron al Cuestionario sobre Intención del Parto (BIQ), que mide el conocimiento, la actitud, percepción de control del comportamiento, las normas subjetivas y la intención de lugar de parto. Se utilizaron análisis descriptivo, ANOVA, Chi-cuadrado y regresión lineal múltiple para analizar los datos. Resultados:: el modelo de regresión mostró que el conocimiento, la percepción de control del comportamiento, y las normas subjetivas predijeron la intencion del lugar de parto (R2 = 0,28). Mientras que el 81% de las mujeres embarazadas pensaba que sus maridos estaban encargados de tomar decisiones para el nacimiento, sólo el 38% de los esposos y el 37% de los miembros de la familia estuvieron de acuerdo. Las mujeres embarazadas tenían puntuaciones significativamente más bajas en el tema "Me prepararé para el parto con mi familia", en comparación con los maridos (p < 0,01) y otros miembros de la familia (p < 0,001). Conclusión:: proporcionar la preparación al parto basada en la evidencia y reducir las brechas de percepción identificadas pueden mejorar intención de las mujeres a dar a luz en centros de salud.
  • Randomized Controlled Trial to Assess the Effectiveness of a Self-Care Program for Pregnant Women for Relieving Hiesho.
    Sachiyo Nakamura, Shigeko Horiuchi
    Journal of alternative and complementary medicine (New York, N.Y.) 23(1) 53-59 Jan. 2017 [Refereed]
    OBJECTIVE: To assess differences in improvement of hiesho (sensitivity to cold) through a randomized controlled trial (RCT) of one group that used a self-care program (the Home Care Package Program for Relieving Hiesho) and another that did not. METHODS: Participants were pregnant women experiencing hiesho in the 28th to 33rd weeks of pregnancy. The group carried out the intervention program for 4 weeks by wearing leg warmers, performing exercises, and pressing acupuncture points. The control group did not take any specific actions. Hiesho condition was assessed by using thermography to measure temperature in the four limbs; the changes were analyzed. RESULTS: Findings for 140 pregnant women (73 in the experimental group and 67 in the control group) were analyzed. Participants' body temperatures were measured after completion of the program for 4 weeks and compared to their temperatures before start of the program. Compared with the control group, the experimental group had arm skin temperature 3.0°C (p < 0.001) higher and leg skin temperature 1.93°C (p = 0.02) higher; both differences were significant. CONCLUSION: The Home Care Package Program for Relieving Hiesho self-care program significantly relieved hiesho.
  • Identifying clinical and educational difficulties of midwives in an Indonesian Government Hospital マテrにtyっわrd:Towards improving childbirth Care
    Yasuko Magamatsu, Rie Tanaka, Miyuki Oka, Naoko Maruyama, Shigeko Horiuchi
    Jouranal of Nursing and Practice 7(11) 7-13 2017 [Refereed]
  • Randomised controlled trial using smartphone website vs leaflet to support antenatal perineal massage practice for pregnant women.
    Shoko Takeuchi, Shigeko Horiuchi
    Women and birth : journal of the Australian College of Midwives 29(5) 430-435 Oct. 2016 [Refereed]
    BACKGROUND: In Japan, the rate of pregnant women who practice antenatal perineal massage was only 15.1%. AIM: The aim of this study was to develop and evaluate a smartphone website and a leaflet to support antenatal perineal massage practice for primiparous women. METHODS: In a randomised control trial, 161 primiparous women were randomly assigned to a smartphone website group (n=81) or a leaflet group (n=80). Data analysis were by per protocol analysis and intention to treat analysis. FINDINGS: Of the 161 women participants, 47 in the smartphone website group and 49 in the leaflet group completed all questionnaires. Primary outcome was continuance rate (three times a week over a three week period) of antenatal perineal massage practice. The rates by a per protocol analysis were 51.1% in the smartphone website group and 51.0% in the leaflet group, respectively. There was no significant difference between the groups. Moreover, the rates by an intention to treat analysis were 29.6% in the smartphone website group and 31.3% in the leaflet group, respectively. There was also no significant difference between the groups. There were no significant differences in the evaluation of perineal massage, childbirth self-efficacy, satisfaction with efforts towards childbirth, and perineal outcomes following childbirth which were measured as secondary outcomes between the groups. CONCLUSION: There was no significant difference in continuance rate of antenatal perineal massage practice between those using a smartphone website and those with a leaflet, however, the rate was better than no instructions.
  • A Cross-Sectional Study of Community-Based Maternal and Child Health Interventions Involving Women's Health Volunteer Groups in Rural Myanmar.
    Michiko Oguro, Shigeko Horiuchi
    Public health nursing (Boston, Mass.) 33(5) 449-59 Sep. 2016 [Refereed]
    OBJECTIVE: This study identified the relationship between interventions with women's health volunteer groups in two Myanmar villages and maternal and child health outcomes. DESIGN AND SAMPLE: This cross-sectional study included 188 women aged 15-49 years old with at least one ≤5-year-old child. The women were randomly selected from two control and two experimental villages. MEASURES: Data were collected via structured interview with a questionnaire based on the UNICEF Multiple Indicator Cluster Survey. RESULTS: Logistic regression analyses confirmed that women's health volunteer group intervention was related to the participants' receiving any antenatal care (OR: 6.99, p < .01) and having knowledge regarding danger signs during the perinatal period (OR: 15.08, p < .001), modern contraceptive methods (OR: 44.52, p < .001), acceptable first aid (OR: 14.04, p < .001), and malaria prevention (OR: 40.30, p < .001). A skilled midwife had the most significant relationship with patients' receiving any antenatal care (OR: 65.18, p < .001). Distance from urban area negatively related to appropriate disposal of the child's stool (i.e., flushed in a latrine; OR: 7.51, p < .05). CONCLUSIONS: This study shows that women's health volunteer groups may positively affect the diffusion of the need to seek antenatal care and health knowledge in rural Myanmar. The importance of skilled midwives is also highlighted, especially in resource-limited settings.
  • Development and assessment of the validity and reliability of a scale for measuring the mentoring competencies of Japanese clinical midwives: An exploratory quantitative research study.
    Yuri Hishinuma, Shigeko Horiuchi, Haruo Yanai
    Nurse education today 41 60-6 Jun. 2016 [Refereed]
    BACKGROUND: Midwives are always involved in educational activities whenever novice midwives are present. Although various scales for measuring the educational competencies of nurses have already been developed in previous studies, a scale for the educational competencies particular to midwives has yet to be developed, or even no previous studies have revealed their functions as clinical educators. OBJECTIVES: The purpose of this study was to develop a scale to measure the mentoring competencies of clinical midwives (MCCM Scale) and to confirm its validity and reliability. DESIGN: An exploratory quantitative research study. METHODS: Questionnaires were distributed to 1,645 midwives at 148 facilities who had previously instructed novice midwives. 1,004 midwives (61.0%) voluntarily returned valid responses and 296 (18.0%) voluntarily agreed to participate in the survey for test-retest reliability. RESULTS: Exploratory factor analyses were performed over 41 items and the following seven factors were extracted with a reliability coefficient (Cronbach's α) of 0.953: (i) supporting experimental study, (ii) personal characteristics particularly in clinical educators, (iii) thoughtfulness and empathy for new midwives, (iv) self-awareness and self-reflection for finding confidence, (v) making effective use of the new midwives' own experience, (vi) commitment to educational activities, and (vii) sharing their midwifery practice. Test-retest reliability was measured based on a convenience sample of 246 (83.1%). Pearson's test-retest correlation coefficient for the entire scale was r=0.863. The factor loadings of each item on its respective factor were 0.313-0.925. The total score of the MCCM Scale was positively correlated with that of the Quality of Nurses' Occupational Experience Scale (r=0.641, p=0.000) and was negatively correlated with the total score of the Japanese Burnout Scale (r=-0.480, p=0.000). CONCLUSION: The MCCM Scale is composed of 41 items and three subscales measured from a total of seven factors. The validity and reliability of the MCCM Scale was supported by the statistical analyses.
  • A cross-sectional survey of policies guiding second stage labor in urban Japanese hospitals, clinics and midwifery birth centers.
    Kaori Baba, Yaeko Kataoka, Kaori Nakayama, Yukari Yaju, Shigeko Horiuchi, Hiromi Eto
    BMC pregnancy and childbirth 16(1) 37-37 Feb. 2016 [Refereed]
    BACKGROUND: The Japan Academy of Midwifery developed and disseminated the '2012 Evidence-based Guidelines for Midwifery Care (Guidelines for Midwives)' for low-risk births to achieve a more uniform standard of care during childbirth in Japan. The objective of this study was to cross-sectional survey policy implementation regarding care during the second stage of labor at Japanese hospitals, clinics, and midwifery birth centers, and to compare those policies with the recommendations in Guidelines for Midwives. METHODS: This study was conducted in the four major urbanized areas (e.g. Tokyo) of the Kanto region of Japan. Respondents were chiefs of the institutions (obstetricians/midwives), nurse administrators (including midwives) of the obstetrical departments, or other nurse/midwives who were well versed in the routine care of the targeted institutions. The Guidelines implementation questionnaire comprised 12 items. Data was collected from October 2010 to July 2011. RESULTS: The overall response was 255 of the 684 institutions (37%). Of the total responses 46% were hospitals, 26% were clinics and 28% were midwifery birth centers. Few institutions reported perineal massage education for 'almost all cases'. Using 'active birth' were all midwifery birth centers, 56% hospitals and 32% clinics. Few institutions used water births. The majority of hospitals (73%) and clinics (80%) but a minority (39%) of midwifery birth centers reported 'not implemented' about applying warm compress to the perineum. Few midwifery birth centers (10%) and more hospitals (38%) and clinics (50%) had a policy for valsalva as routine care. Many hospitals (90%) and clinics (88%) and fewer midwifery birth centers (54%) offered hands-on technique to provide perineal support during birth. A majority of institutions used antiseptic solution for perineal disinfection. Few institutions routinely used episiotomies for multiparas, however routine use for primiparas was slightly more in hospitals (21%) and clinics (25%). All respondents used fundal pressure as consistent with guidelines. Not many institutions implemented the hands and knees position for correcting fetal abnormal rotation. CONCLUSIONS: This survey has provided new information about the policies instituted in three types of institutions guiding second stage labor in four metropolitan areas of Japan. There existed considerable differences among institutions' practice. There were also many gaps between reported policies and evidence-based Guidelines for Midwives, therefore new strategies are needed in Japan to realign institution's care policies with evidenced based guidelines.
  • Factors defining the mentoring competencies of clinical midwives: An exploratory quantitative research study in Japan.
    Yuri Hishinuma, Shigeko Horiuchi, Haruo Yanai
    Nurse education today 36 330-6 Jan. 2016 [Refereed]
    BACKGROUND: Clinical education is an extremely important process in cultivating healthcare professionals, and the quality of educators has a major impact on the quality of future practitioners. Although practicing clinical midwives contribute to the education of pre-registered midwives and those qualified within the past year (new midwives), the factors defining the educational competencies of clinical midwives have not been clarified. OBJECTIVES: The purpose of this study was to explore the factors that define the mentoring competencies of clinical midwives involved in educating new midwives. DESIGN: An exploratory quantitative research study. METHODS: Questionnaires were distributed to 694 midwives who had previously conducted educational activities with new midwives at the 63 facilities whose administrator or nurse manager in charge of all staff, including midwives, consented to participate. Of the 694 midwives, 464 (66.9%) returned the questionnaire and 451 (65.1%) valid responses were analyzed. Exploratory factor analyses were performed on the following three concepts: [competency as a professional], [competency as an educator], and [personal characteristics]. RESULTS: [Competency as a professional] consisted of two factors: and ; [competency as an educator] consisted of four factors: , , and ; and [personal characteristics consisted of three factors: , and . These three concepts were defined by a total of nine sub-concepts (factors), and 41 items were extracted with a reliability coefficient (Cronbach's α) of 0.944 CONCLUSIONS: "Mentoring competencies of clinical midwives (MCCM)" are defined by three concepts and nine sub-concepts, which can be evaluated by 41 items regarding the behavior, thoughts, and characteristics that clinical midwives exhibit when they educate new midwives in clinical settings.
  • Humanized childbirth awareness-rasing program among Tanzanian midwived and nurses:A mixed-methods study
    Shigeko Horiuchi, Yoko Shimpuku, Mariko Iida, Yasuko Nagamatsu, Hiromi Eto, Sedalda Lesabari
     5 9-16 2016 [Refereed]
  • Mentoring Characteristics in Competent Clinical Educators who provide new Midwives with Instructions in Delivery Assistance
    Yuri Hishinuma, Shigeko Horiuchi, Haruo Yanai
    Journal of Community & Public Health Nursing doi: 10.4172/jcphn.1000103-shigeko-horiuchi@slcn.ac.jp Dec. 2015 [Refereed]
  • Midwives' intrapartum monitoring process and management resulting in emergency referrals in Tanzania: a qualitative study.
    Kana Shimoda, Sebalda Leshabari, Shigeko Horiuchi, Yoko Shimpuku, Junko Tashiro
    BMC pregnancy and childbirth 15 248-248 Oct. 2015 [Refereed]
    BACKGROUND: In the United Republic of Tanzania, the maternal mortality ratio, and neonatal mortality rate have remained high for the last 10 years. It is well documented that many complications of pregnancy are avoidable by providing skilled midwifery care during and immediately after childbirth. However, there have been delays in providing timely and necessary obstetric interventions, most likely due to lack of proper monitoring during labor. Yet, there has been little research concerning how midwives monitor the process of childbirth. Therefore, this study aimed to describe how midwives monitored and managed the process of childbirth to achieve early consulting and timely referral to obstetricians. METHODS: The design was qualitative and descriptive, using data from comprehensive semi-structured interviews of midwives. The interviews were conducted at one hospital and one health center in Dar es Salaam, Tanzania's largest city. Eleven participants were purposively recruited and interviewed about their experiences managing complicated intrapartum cases. After the interviews, data were analyzed using content analysis. RESULTS: Derived from the data were three activity phases: initial encounter, monitoring, and acting. During these phases, midwives noticed danger signs, identified problems, revised and confirmed initial problem identification, and organized for medical intervention or referral. The timing of taking action was different for each midwife and depended on the nature of the prolonged and obstructed labor case. CONCLUSIONS: For the majority of midwives, the processing of assessments and judgments was brief and without reflection, and only a few midwives took time to continue to monitor the labor after the initial identification of problems and before taking actions. To make a final judgment that the labor was becoming prolonged or obstructed, midwives should consider taking time to review and synthesize all their findings.
  • Career development expectations and challenges of midwives in Urban Tanzania: a preliminary study.
    Tanaka N, Horiuchi S, Shimpuku Y, Leshabari S
    BMC nursing 14 27 May 2015 [Refereed]
    BACKGROUND:Approaches to addressing the shortage of midwives are a great need especially in Sub-Saharan Africa including Tanzania. The midwifery shortage in Tanzania consists of two major causes; the first is the shortage of pre-service nursing training and the second is the low rate of retention as it is difficult to sustain midwives' career motivations. Lack of opportunities for career developme
  • Automated Software Analysis of Fetal Movement Recorded during a Pregnant Woman's Sleep at Home.
    Kyoko Nishihara, Noboru Ohki, Hideo Kamata, Eiji Ryo, Shigeko Horiuchi
    PloS one 10(6) e0130503 2015 [Refereed]
    Fetal movement is an important biological index of fetal well-being. Since 2008, we have been developing an original capacitive acceleration sensor and device that a pregnant woman can easily use to record fetal movement by herself at home during sleep. In this study, we report a newly developed automated software system for analyzing recorded fetal movement. This study will introduce the system and compare its results to those of a manual analysis of the same fetal movement signals (Experiment I). We will also demonstrate an appropriate way to use the system (Experiment II). In Experiment I, fetal movement data reported previously for six pregnant women at 28-38 gestational weeks were used. We evaluated the agreement of the manual and automated analyses for the same 10-sec epochs using prevalence-adjusted bias-adjusted kappa (PABAK) including quantitative indicators for prevalence and bias. The mean PABAK value was 0.83, which can be considered almost perfect. In Experiment II, twelve pregnant women at 24-36 gestational weeks recorded fetal movement at night once every four weeks. Overall, mean fetal movement counts per hour during maternal sleep significantly decreased along with gestational weeks, though individual differences in fetal development were noted. This newly developed automated analysis system can provide important data throughout late pregnancy.
  • Impact of a nursing education program about caring for patients in Japan with malignant pleural mesothelioma on nurses' knowledge, difficulties and attitude: A randomized control trial
    Yasuko Nagamatsu, Yuji Natori, Haruo Yanai, Shigeko Horiuchi
    NURSE EDUCATION TODAY 34(7) 1087-1093 Jul. 2014
    Purpose: In japan nursing care lags behind the growing population of patients with malignant pleural mesothelioma. This study evaluated an educational program for nurses about caring for patients with malignant pleural mesothelioma in Japan. Method: In this randomized controlled study relative to care for malignant pleural mesothelioma, Knowledge, Difficulties and Attitude were measured at baseline, at post-test and at follow-up one month later. The two-day program with a half-day follow-up program included lectures, group work, role-playing and group discussion. 188 participants were randomly assigned to the intervention group (program, n = 96) and control group (n = 92; self-study by a similar content handbook). At baseline the groups showed no statistical differences in Knowledge (p = 0.921), Difficulty (p = 0.458) and Attitude (p = 0.922). Completing the study were 177 participants yielding 88 in the intervention group and 89 in the control group. Human rights and privacy of participants were protected. Results: The Knowledge score was significantly higher in the intervention post-test (t = 14.03, p = 0.000) and follow-up test (t = 8.98, p = 0.000). Difficulty score was significantly lower in the intervention at post-test (t = -3.41, p = 0.001) and follow-up test (t = -3.70, p = 0.000). The Attitude score was significantly higher in the intervention post-test (t = 7.11, p = 0.000) and follow-up test (t = 4.54, p = 0.000). The two-way analysis of variance with repeated measures on time showed an interaction between time and group; the subsequent simple main effect test found significant differences (p = 0.000-0.001) between groups for after-program and at follow-up and a significant difference (p = 0.000) in time only within the intervention group. Conclusion: The educational program was effective in improving the nurses' knowledge and attitude toward malignant pleural mesothelioma care and decreasing the difficulty in MPM care, therefore this program has potential for nurses' in-service education throughout japan. (C) 2014 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-SA license (http://creativecommons.org/licenses/by-nc-sa/3.0/).
  • Why don't pregnant women practice antenatal perineal massage?::An empirical investigation
    TAKEUCHI Shoko, HORIUCHI Shigeko
    J. Jpn. Acad. Midwif. 28(2) 173-182 2014
    <b>Purpose</b><br>To determine women's perception of antenatal perineal massage and to identify factors impeding their massage practice.<br><b>Methods</b><br>A questionnaire survey was conducted with a purposive sample of 390 women from eight Japanese urban hospitals, clinics and birth centers and who had a vaginal and full-term delivery. The 334 (85.6%) valid responses were analyzed statistically
  • Decision support for immnization: A literature review and introduction to decision aids
    ENDO Akiko, HORIUCHI Shigeko
    J. Jpn. Acad. Midwif. 28(1) 5-15 2014
    <b>Purpose</b><br>The aims of this study were:<br> 1. to examine the effectiveness of decision support for immunization by a literature review and<br> 2. to describe the web-based decision support instruments (decision aids) for immunization with the inclusion of the quality standards<br><b>Methods</b><br> Eligible studies using decision supports for immunization were retrieve
  • Prophylactic interventions after delivery of placenta for reducing bleeding during the postnatal period.
    Yaju Y, Kataoka Y, Eto H, Horiuchi S, Mori R
    The Cochrane database of systematic reviews 11(11) CD009328 Nov. 2013 [Refereed]
  • Immigrants' Experiences of Maternity Care in Japan
    Yukari Igarashi, Shigeko Horiuchi, Sara E.Porter
    Jouranl of Community Heralth 38(4) 781-790 Aug. 2013 [Refereed]
  • Relationship Between Advanced Maternal Age, Hiesho(Sensitivity to Cold)and Abnormal Delivery in Japan
    Sachiyo Nakamura, Shigeko Horiuchi
    The Open Nursing Journal 7 142-148 2013 [Refereed]
  • Doctoral Nursing Educaition In Japan
    Journal of Nursing Science 5-8 2013
  • Prophylactic Interventions after Delivery of Placenta for Reducing Bleeding during the Postnatal Period (Review)
    Yaju Y, Kataoka Y, Etoh H, Horiuhi S, Mori R
    The Cochrane Collaboraiton Issue 11(11) 2013
  • Rural Indonesia women’s traditional beliefs about antenatal care
    Yenita Agus, Shigeko Horiuchi, Sarah E Porter
    BMC Research Notes 5(589) 589 Oct. 2012 [Refereed]
  • The relationship between women-centred care and women's birth experiences: a comparison between birth centres, clinics, and hospitals in Japan.
    Iida M, Horiuchi S, Porter SE
    Midwifery 28(4) 398-405 Aug. 2012 [Refereed]
  • [Relationship between pregnant women's sensitivity to cold (hiesho) and premature labor assessed using propensity scores for adjusting confounding factors].
    Nakamura S, Horiuchi S, Yanai H
    [Nihon koshu eisei zasshi] Japanese journal of public health 59(6) 381-389 Jun. 2012 [Refereed]
  • Relationship between infant and mother circadian rest-activity rhythm pre- and postpartum, in comparison to an infant with free-running rhythm.
    Nishihara K, Horiuchi S, Eto H, Kikuchi S, Hoshi Y
    Chronobiology international 29(3) 363-370 Apr. 2012 [Refereed]
  • Factors influencing the use of antenatal care in rural West Sumatra,Indonesia
    Yenita Agus, Shigeko Horiuchi
    BMC Pregnancy and Childbirth 12(9) 9 Feb. 2012 [Refereed]
  • Relationship Between Infant and Mother Circadian Rest-Acttivity Rhuthm Pre-and Postpartum, in Comparison to an Infant With Free-Running Rhythm
    Kyoko Nishihara, Shigeko Horiuchi, Hiromi Eto, Sawa Kikuchi, Yoko Hoshi
    Chronobiology International 29(3) 363-370 2012
  • The relationship between women-centred care and women's birth experiences: A comparison between birth centres, clinics, and hospitals in Japan
    飯田真理子, 堀内成子, Sarah E. Porter
    Midwifery Aug. 2011
  • Pregnant Women's Awareness of Sensitivity to Cold (Hiesho) and Body Temperature Observational Study: A Comparison of Japanese and Brazilian Women.
    中村幸代, Sueli M.T. Ichisato, 堀内成子, 毛利多恵子, 桃井雅子
    BMC Research Notes 4 278 Aug. 2011 [Refereed]
    BackgroundSensitivity to cold (hiesho) is a serious health problem in Japan, yet it is minimally understood within Western cultures. The purpose of this study was to clarify the divergence between pregnant Japanese woman living in Japan and pregnant Brazilian women living in Brazil in awareness of hiesho and differences between core body and peripheral temperatures.MethodsThe subjects of this study were 230 pregnant Japanese women living in Japan and 200 pregnant Brazilian women living in Brazil. Data was collected in June/July and November 2005 in Japan and from October 2007 to February 2008 in Brazil. The survey methods consisted of measurement of deep body temperatures and questionnaires.Results67.0% of Japanese women and 57.0% of Brazilian women were aware of hiesho, which showed a significant difference between the Japanese and Brazilian women (p = 0.034). The difference between forehead and sole temperatures was 2.0°C among Japanese and 2.8°C among Brazilians in June-July (p = 0.01). But in November the difference between those temperatures was 5.2°C among Japanese and 2.8°C among Brazilians (p < 0.001).ConclusionsThere are differences between Japanese and Brazilians
  • Evaluation of a reproductive health awareness program of adolescence in urban Tanzania-Aquasi-experimental pre-test post-test research
    Frida Madeni, Shigeko Horiuchi, Mariko Iida
    Reproductive Health 8(21) Jun. 2011
  • Evaluation of a reproductive health awareness program for adolescence in urban Tanzania-A quasi-experimental pre-test post-test research
    Frida Madeni, 堀内成子, 飯田真理子
    Reproductive Health 8 21 Jun. 2011 [Refereed]
    BackgroundSub-Saharan Africa is among the countries where 10% of girls become mothers by the age of 16 years old. The United Republic of Tanzania located in Sub-Saharan Africa is one country where teenage pregnancy is a problem facing adolescent girls. Adolescent pregnancy has been identified as one of the reasons for girls dropping out from school. This study's purpose was to evaluate a reproductive health awareness program for the improvement of reproductive health for adolescents in urban Tanzania.MethodsA quasi-experimental pre-test and post-test research design was conducted to evaluate adolescents' knowledge, attitude, and behavior about reproductive health before and after the program. Data were collected from students aged 11 to 16, at Ilala Municipal, Dar es Salaam, Tanzania. An anonymous 23-item questionnaire provided the data. The program was conducted using a picture drama, reproductive health materials and group discussion.ResultsIn total, 313 questionnaires were distributed and 305 (97.4%) were useable for the final analysis. The mean age for girls was 12.5 years and 13.2 years for boys. A large minority of both girls (26.8%) and boys (41.4%) had exper
  • Prophylactic interventions after delivery of placenta for reducing bleeding during the postnatal period (Protocal)
    Yaju Y, Kataoka Y, Eto H, Horiuchi S, Mori R
    Cochrane Database(9) 2011
  • Pregnant Wome's Awareness of senseitivity to cold(hiesho) and body temperature observational study:Comparison of Japanese and Brazilian women
    Sachiyo Nakamura, Sueri MT Ichisato, Shigeko Horiuchi, Taeko Mori, Masako Momoi
     4(278) 2011
  • Self-administered questionnaire versus interview as a screening method for intimate partner violence in the prenatal setting in Japan: a randomised controlled trial.
    Kataoka Y, Yaju Y, Eto H, Horiuchi S
    BMC pregnancy and childbirth 10 84 Dec. 2010 [Refereed]
  • Self-administered questionnaire versus interview as a screening method for intimate partner violence in the prenatal setting in Japan: A randomised controlled trial
    Kataoka Y, Yaju Y, Eto H, Horiuchi S
    BMC Pregnancy and Childbirth 84-90 Dec. 2010
  • Evaluation of the labor curve in nulliparous Japanese women.
    Suzuki R, Horiuchi S, Ohtsu H
    American journal of obstetrics and gynecology 203(3) 226.e1-6 Sep. 2010 [Refereed]
  • Intimate partner violence against Japanese and non-Japanese women in Japan: a cross-sectional study in the perinatal setting.
    Inami E, Kataoka Y, Eto H, Horiuchi S
    Japan journal of nursing science : JJNS 7(1) 84-95 Jun. 2010 [Refereed]
  • Evaluation of the labor curve in nulliparous Japanese women
    Ritsuko Suzuki, Shigeko Horiuchi, Hiroshi Ohtsu
    American Journal of Obstetrics and Gynecology 203(3) 226.e1-226.e6 May 2010
  • Intimate partner violence against Japanese and non-Japanese women in Japan : A cross-sectional study in the perinatal setting
    Eriko Inami, Yaeko Kataoka, Hiromi Eto, Shigeko Horiuchi
    Japan Academy of Nursing Science(7) 84-95 Jan. 2010
  • Evaluation of the labor curve in nulliparous Japnaese women
    Rituko Suzuki, Shigeko Horiuchi
    American Journal of Obsterics & Gynecology 203(3) 226. e1-6 Jan. 2010
  • Evaluation of a web-based graduate continuing nursing education program in Japan: A randomized controlled trial.
    Horiuchi S, Yaju Y, Koyo M, Sakyo Y, Nakayama K
    Nurse education today 29(2) 140-149 Feb. 2009 [Refereed]
  • A long-term monitoring of fetal movement at home using a newly developed sensor: an introduction of maternal micro-arousals evoked by fetal movement during maternal sleep.
    Nishihara K, Horiuchi S, Eto H, Honda M
    Early human development 84(9) 595-603 Sep. 2008 [Refereed]
  • Evaluation of web-based graduate continuing nursing education program in Japan:A Randomized controlled trial
    Horiuchi, Shigeko, Yaju, Yukari, Koyo, Miki, Sakyo, Yumi, Nakayama, Kazuhiro
    Nurse Education Today (Elsevier) 29 Aug. 2008
  • Evaluation of a web-based garaduate continuing nursing educaion program in Japan : A randomized controlled trial
    Shigeko Horiuchi, Yukari Yaju, Miki Koyo, Yumi Sakyo, Kazuhiro Nakayama
    Nurse Education Today (Elsevier)(29) 140-149 Aug. 2008
  • Independent Japanese midwives: a qualitative study of their practice and beliefs
    Yana Gepshtein, Shigeko Horiuchi, Hiromi Eto
    Japan Journal of Nursing Science 4(2) 85-93 Dec. 2007
  • The Physiological and Emotional Responses to the Care for Postpartum Uterine Contraction
     11(1) 10-18 Jun. 2007
  • Competencies of genetic nursing practise in Japan:A comparison between basic and advanced levels.
    Naoko Arimori, Satoko Nakagomi, Michiko Mizoguchi, Ninako Morita, Hiroto Ando, Akiko Mori, Shigeko Horiuchi, William L. Holzemer
    Japan Journal of Nursing Science 4(1) 45-55 May 2007 [Refereed]
  • Development of an evidence-based domestic violence guideline: supporting perinatal women-centered care in Japan
    Shigeko Horiuchi, Yukari Yaju, Yaeko Kataoka, Hiromi Grace Eto, Naoko Matsumoto
    Midwifery 25(1) 72-78 Apr. 2007 [Refereed]
  • Secondary publication in the Japan Journal of Nursing Science
    Arimori Naoko, Nakagomi Satoko, Mizoguchi Michiko, Morita Minako, Ando Hiroto, Mori Akiko, Horiuchi Shigeko, Holzemer William L
    JAPAN JOURNAL OF NURSING SCIENCE 4(1) 11-12 2007 [Refereed]
  • The applicability of women-centered care: Two case studies of capacity-building for maternal health through international collaboration
    Shigeko Horiuchi, Yaeko Kataoka, Hiromi Eto, Michiko Oguro, Taeko Mori
    Japan journal of nursing science 3(2) 143-150 Dec. 2006
  • [Domestic violence against women during pregnancy].
    Kataoka Y, Yaju Y, Eto H, Horiuchi S
    [Nihon koshu eisei zasshi] Japanese journal of public health 52(9) 785-795 Sep. 2005 [Refereed]
  • The development of infants' circadian rest-activity rhythm and mothers' rhythm.
    Nishihara K, Horiuchi S, Eto H, Uchida S
    Physiology & behavior 77(1) 91-98 Sep. 2002 [Refereed]
  • Transision of Mother's and Infants' Sleep Patterns During the 5th through 12th Weeks Postpartum.
    (28) 18-27 Mar. 2002
    Continuous sleep-logs kept by mothers were used to investigate mothers' and infants' sleep patterns from the fifth through twelfth weeks in the postpartum period. Subjects were twenty-two pairs of primiparae and their infants. Data described 1,104 days for the mothers and 1,147 days for their infants.We calculated sleep parameters: total sleep time (TST), wakefulness (AW), sleep efficiency, number of awakenings and total naptime. Means for each week were calculated from daily data. Parameters were analyzed by one-way repeated measures of analysis of variance.After the 5th and 6th weeks, mothers' TST increased from 354.4 minutes in week 5 to 418.1 minutes in week 11 and AW at night decreased from 81.2 minutes in week 5 to 36.8 minutes in week 12. The % AW at night decreased gradually; the increase in TST was seen especially after the 9th week.A gradual transition from interrupted sleep to non-interrupted sleep in the mothers was observed between 9 and 12 weeks postpartum. These results from continuous sleep-logs are similar to our previous findings based on intermittent polysomnographic measurements.There is no significant relationship between %AW at night and total n
  • Tutorial performance in problem-based learning -an analysis of tutor conference-
    (26) 21-30
    Problem-Based Learning(PBL) is a challenging new educational concept.The tutor's role as facilitator is essential to this concept.The purpose of this study was to clarify the performance of the tutor in supporting student learning.Our process, therefore, was to analyze interaction between students and tutors during PBL.The subjects were thirteen tutors.We analyzed the content of discussions during twenty tutor conferences.The study focused on tutorial performance, which included the content and objectives used in the PBL. The findings were as follows:Five categories were derived from the content analysis of transcribed discussion data and tutor's notes, (1)allowing students to decide the starting point, (2)allowing students to make their own rules, (3)understanding that the learning center is the student's own point of view, (4)expecting and supporting the progress of learning, and(5)encouraging and assuring student learning.The tutors used these standards of performance(categories 1 to 5)in all PBL group sessions.
  • Relationships Between Wakefulness of Mothers and Their Infants' Movements During Night Sleep of Postpartum 6 Weeks.
    (22) 42-51
    Relationships between wakefulness of mothers and their infants'movements during night sleep in postpartum period were studied under conditions in daily life. Subjects were ten primiparae, aged 23-31yrs(mean age, 26.8yrs), who had a normal course of pregnancy and delivery.Eight of their infants were breast-fed, and two were formula-fed.Mothers' polysomnograms, (EEG, EOG, EMG, and ECG)and actigrams of infants'legs were simultaneously recorded using Medilog 9000 at home in the 1st, 3rd and 6th postpartum weeks.Mothers' sleep stages and their infants' movements were visually scored by an epoch of one minute.The infants' movements were classified into four states, MOV0, MOV1, MOV2, and MOV3.We defined MOV0 as no activities during one epoch, MOV1 as less than 20 seconds activities, MOV2 as from 20 to 40 seconds activities and MOV3 as from 40 to 60 seconds activities. The average times of wakefulness on the mothers were 102.6min(SD=23.5), 84.8min(SD=52.8), and 79.4min(SD=40.5)for 1st, 3rd and 6th postpartum weeks, respectively.There were no significant differences among them. The mothers' wakefulness coincided with the infants' movements MOV3
  • On the Relationship Between the Acceptance of Menopause and Mental-Physical Complaints of Menopausal Women.
    (15) 44-55
    This investigation is about the relationship between the mental and physical complaints in the respective stages of pre-, peri- and post-menopausal periods and the acceptance of menopause and the influencing factors. The random sampling of the women aged 35-60 living in Tokyo was made with 304 effective answers. The average for age the last menstrual period was 50.7 years old. Many of them positively accepted the menopause. However, many in the pre-menopausal group replied that during the menopausal period mental and physical disorders developed. On the other hand, many in the post-menopausal group replied that those symptoms did not accompany. More than 90% of the subjects had some kind of simptoms. The group which was expecting the menopause soon had statistically significant instances of neuro-endocrine symptoms(irregular menstruation, hot fit, sensitive perception). The subjects who had many symptoms, had a sickness, had no job, had troubles in their daily lives and felt that the symptoms were painful and tried to get along with the symptoms. As the factors influencing the acceptance of menopause, age, the number of complaints, Selfesteem, attitude towar
  • Subjective Estimation of Sleep Patterns During Postpartum Period Compared with Pregnancy Periods.
    (16) 49-59
    The purpose of this study was to investigate women's subjective estimation of sleep during the early postpartum period and also to detect the changes in sleep patterns during pergnancy and the postpartum period. The questionnaire consisted of three major categories.Namely, “Factors related to falling asleep and during sleep, ““Factors related to awaking feeling, “and “Satisfaction resulting from sleep“ were developed.Eighty-six cases answered out of 100 postpartum women. The results were compared with a previous study of 289 pregnant cases. In terms of “influencing factors during falling asleep, “about half of the subjects complained of a shortage of sleep hours even though more than half of the subjects answered that “falling asleep“ was “good“ and “depth“ was “deep.“ Approximately 90 percent of the postpartum women answered “still sleepy“ and “tired feeling, “although feeling was good on awaking. As a whole, more than half of the subjects expressed feelings of dissatisfaction about their sleep. The cause of awaking was shifted from the women's physical factors to factors related to caring for the neonate. Most of the women dur
  • An Analysis of Emotional Experience of Primiparas During Labor.
    (13) 9-14
    During a course of delivery, primiparas have certain emotional experience. Purpose of this study is to analysis emotional experience of the primiparas during labor in regard to relationship between primiparas with the health team members such as nurses, midwives and obstetricians. Structured interview with 4 primiparas is carried out between 24 to 48 hours after the delivery. The emotional experiences are classified into two major categories namely, positive feeling and negative feeling. As a result, the expressed feeling of primiparas which classified under positive feelings are feeling of acceptance, fulfillment and satisfaction. The feelings classified under negative feeling are discrepancy between the expectation and reality, threatning and anger. Factors influenced on positive feeling are comfort measures given as a direct care by nurses, midwives. Negative feelings are induced by lack of communication between primiparas and health team members, in terms of lack of empathetic intuition into primiparas expection.

Conference Activities & Talks

  • Partnership Model of Global Collaboration:The Shared Value of “ Humanized Childbirth ”In Tanzania
    Yoko Shimpuku, Shigeko Horiuchi, Miwako Matsutani, Hiromi Eto, Yasuko Nagamatsu, Michiko Oguro, Mariko Iida, Yukari Yaju
    East Asian Forum of Nursing Scholars 17th International Conference Feb. 2014
  • Team-Based learning Collaborative
    Naoko Matsumoto, Toshiko Ibe, Shigeko Horiuchi, Hiromi Eto, Kuniko Sato, Kinya Tamaki
    Team-Based learning Collaborative Mar. 2013
    Trial of Team-Based learning in Imformation Literacy Program for Nurse managers
  • Humanization of Childbirth with Women-Centered Care (HC/WCC): Japanese Nurse-Midwives’ Application of the Concept to Global Health Research, Education, and Practice
    Shimpuku, Y Horiuchi, S
    10th Annual National Conference, Asian American Pacific Islander Nurses Association Mar. 2013
  • Process report of the collaborative project to develop the Master’s program in Midwifery in Tanzania: The seminar of “Humanized Childbirth”
    Shimpuku, Y, Horiuchi, S, Matsutani, M, Eto, H, Nagamatsu, Y, Oguro, M, Iida, M. Yaju,Y, Mori, T
    7th St. Luke’s Academia Feb. 2013
  • The Influence of feeding method on a mother's daily rhythem and on the development of her infant's Circadian Rest activitiy rhythem
    Sawa Kikuchi, Kyoko Nishihara, Hiromi Eto, Shigeko Horiuchi, Yoko Hoshi
    Congress of the European Sleep Research Sciety Sep. 2012
  • Starting a Midwifery Master’s programme in Tanzania: Lesson learned from the collaborative project between Tanzania and JapanConference (Port Louis, Mauritius) September 2012
    Shimpuku, Y, Horiuchi, S, Leshabari, S, Malima, K, Matsutani, M, Eto, H, Nagamatsu, Y, Oguro, M. Yaju
    th The East, Central, and Southern African College of Nursing the10th Scientific Conferece Sep. 2012
  • Women's perceptions on antenatal care related to traditional beliefs in rural area in Indonesia
    Yenita Agus, Horiuchi Shigeko
    15th East Asia Forum of Nursing Schlors (EAFONS) Feb. 2012
  • Infant's sleep development during the first 12 weeks under nocturnal co-sleep conditions
    H.Eto, S.Horiuchi, K. Nishihara
    20th Congress of the European Sleep Research Society Sep. 2010
  • Evidence-practice gap in material health care in Japan
    Yukari Yaju, Hiromi Eto, Yaeko Kataoka, Shigeko Horiuchi
    The 7th International Nursing Conference Oct. 2009
  • Invited Lecture : Increasing Nursing Care Demands & Expanding Regulations in an Aging Society : The Evidence Based Nursing
    Shigeko Horiuchi
    The 7th International Nursing Conference Oct. 2009
  • Considering “Decision Making ” as One of the Concepts of “Women-Centered Care ” During Pregnanncy in Japan
    Iida M, Horiuchi S, Arimori N
    5th International Shared Dicision Making Conterence Jun. 2009
  • Development and Evaluation of a Support Program for Pregnant Women who are Considering Prenatal Testing
    Tsuji, K, Arimori, N, Horiuchi, S, Yusa, H, Takeshita, N, Arita, M, Yoshino, M, Shioda, K, Sakakibara, Y, Sato, K
    21th Annual ISONG Conference Nov. 2008
  • Development and Evaluation of a Support Program for Pregnant Women who are Considering Prenatal Testing
    Horiuchi, S, Mori, A, Nakayama, K, Nakagomi, S, Miyo, K, Yoshino, M, Tsuji, K
    21th Annual ISONG Conference Nov. 2008
  • Characteristics of micro-arousals in pregnant women's sleep at naight:A comparison with non-pregnant women's sleep
    K. Nishihara, S. Horiuchi, H. Eto, M. Honda
    The 19th Europe Sleep Research Conference Sep. 2008
  • Characteristics of micro-arousals in pregnant women's sleep at night : A comparison with non-pregnant Women'S sleep
    HORIUCHI Shigeko
    The 19th Europe Sleep Research Conference Sep. 2008
  • Co-Sleeping :Infant Sleep Development in the First 12 Weeks
    HORIUCHI Shigeko
    The 11th World Association for Infant Metal Health Aug. 2008
  • Effects of Endortracheal suctioning and Respiratory Physical Therapy on Very-Low Birth- Weight Infants
    HORIUCHI Shigeko
    28th International Congress of Miedwives Jun. 2008
  • Childbirth Experiences of Immigrant women in Japan
    28th International Congress of Midwives Jun. 2008
  • Masters Education for Nurse-Midwives : Is it necessary?
    HORIUCHI Shigeko
    28th International Congress of Midwives Jun. 2008
  • Masters Education for Nurse-Midwives : Is it necessary ?
    Hiromi Eto, Yaeko Kataoka, Shigeko Horiuchi, Akiko Mori, Naoko Arimori, Masako Momoi, Kumiko Nagamori, Kaoru Osumi, Sachiyo Nakamura
    28th International Congress of Midwives 2008 Jun. 2008
  • Effects of Endotracheal Suctioning and Respiratory Physical Therapy on Very-Low Birth-Weight Infants
    Yoshie Kondoh, Yoko Sato, Shigeko Horiuchi, Rika Fukui
    28th International Congress of Midwives 2008 Jun. 2008
  • Childbirth Experiences of Immigrant women in Japan
    Yukari Fujiwara, Shigeko Horiuchi
    28th International Congress of Midwives 2008 Jun. 2008
  • Follow-up Report on the Evaluation of Six Leaflets in Six Languages : Implications for Transcultural Midwifery Care in Japan.
    Yukari Fujiwara, Hiromi Suda, Shigeko Horiuchi
    Transcultural Nursing Society 33rd Annual Conference Sep. 2007
  • A long-term monitoring of fetal movement: Evoked maternal micro-arousals during sleep
    Kyoko Nishihara, Shigeko Horiuchi, Hiromi Eto, Makoto Honda
    21st Annual Meeting of the Associated Professional Sleep Societies Jun. 2007
  • A Tentetive study of causal model on the Japanese vision Decisional Conflicts Scale (DCS) by means of convariance structure analysis.
    Arimori N, Tsuji K, Yanai H, Doeda N, Oguro M, Horiuchi S
    4th International Shared Decision Makingn Conference May 2007
  • Evaluation of Capacity Building Program for Union of Myanmar Community Level Women’s Voluntary Groups
    Michiko Oguro, Hiromi Eto, Tsuchiya Madoka, Kaoru Oosumi, Shigeko Horiuchi
    International Council of Nurses, 2007 May 2007
  • Development of a Genetic Nursing Education Program about Prenatal Tests Using an e-learning System.
    Naoko Arimori, Satoko Nakagomi, Keiko Tuji, Michiko Aoki, Shigeko Horiuchi, Kazuhiro Nakayama, Akiko Mori, Kengo Miyo
    The 20th Annual International Society of Nurses in Genetics Conference May 2007
  • Capacity Building of Women Volunteer Group in Union of Myanmar: Material and Child Health in the Rural Regions 2003-2004
    Michiko Oguro, Hiromi Eto, Tsuchiya Madoka, Kaoru Oosumi, Shigeko Horiuchi
    4th International Multidesciplinary Conference in collaboration with the Global Network of the WHO Collaborating Centres of Nursing and Midwifery Development. Jun. 2006
  • Capacity Building of Women Volunteer Group in Union of Myanmar: follow up Evaluation in 2005
    4th International Multidesciplinary Conference in collaboration with the Global Network of the WHO Collaborating Centres of Nursing and Midwifery Development. Jun. 2006
    Capacity Building of Women Volunteer Group in Union of Myanmar: follow up Evaluation in 2005
  • Development Process: Clinical Guidelines for Domestic Violence Victims in Perinatal Clinical Settings
     Mar. 2003

Misc

  • 産後のボンディング障害、マタニティブルーズ、疲労感と唾液オキシトシン値との関連 予備研究
    宍戸 恵理, 周尾 卓也, 高畑 香織, 田所 由利子, 八重 ゆかり, 堀内 成子
    日本助産学会誌 32(3) 331-331 Feb. 2019
  • ローリスク妊婦における1時間の乳頭刺激による3日間の唾液オキシトシン推移
    高畑 香織, 堀内 成子, 田所 由利子, 周尾 卓也
    日本助産学会誌 32(3) 461-461 Feb. 2019
  • 産後のボンディング障害、マタニティブルーズ、疲労感と唾液オキシトシン値との関連 予備研究
    宍戸 恵理, 周尾 卓也, 高畑 香織, 田所 由利子, 八重 ゆかり, 堀内 成子
    日本助産学会誌 32(3) 331-331 Feb. 2019
  • ローリスク妊婦における1時間の乳頭刺激による3日間の唾液オキシトシン推移
    高畑 香織, 堀内 成子, 田所 由利子, 周尾 卓也
    日本助産学会誌 32(3) 461-461 Feb. 2019
  • オキシトシン受容体遺伝子の一塩基多型が唾液オキシトシン濃度と妊娠末期の子宮収縮に及ぼす影響
    高畑 香織, 田所 由利子, 周尾 卓也, 堀内 成子
    日本看護科学学会学術集会講演集 38回 [P1-3 Dec. 2018
  • オキシトシン受容体遺伝子の一塩基多型が唾液オキシトシン濃度と妊娠末期の子宮収縮に及ぼす影響
    高畑 香織, 田所 由利子, 周尾 卓也, 堀内 成子
    日本看護科学学会学術集会講演集 38回 [P1-3 Dec. 2018
  • 分娩誘発・陣痛促進のタイミングとリスク管理 安全で効果的な進め方 09 助産師にできる分娩誘発・陣痛促進のコツ
    増澤祐子, 増澤祐子, 宍戸恵理, 宍戸恵理, 堀内成子, 堀内成子
    ペリネイタルケア 37(8) 748‐752 Aug. 2018
  • 【分娩誘発・陣痛促進のタイミングとリスク管理 安全で効果的な進め方】 助産師にできる分娩誘発・陣痛促進のコツ
    増澤 祐子, 宍戸 恵理, 堀内 成子, 日本助産学会ガイドライン委員会
    ペリネイタルケア 37(8) 748-752 Aug. 2018
  • 周産期喪失を体験している女性と家族がバースプランを使用する意義
    北園 真希, 布施 明美, 関 千明, 蛭田 明子, 堀内 成子
    母性衛生 59(2) 345-354 Jul. 2018
    周産期緩和ケア(PPC)を提供している1施設におけるバースプラン(BP)使用実態と、周産期喪失におけるBPの使用意義を明らかにすることを目的とした。収斂デザインによる混合研究法を用いた。量的データの対象者は流死産・新生児死亡、妊娠期に子どもが致死的と診断されるなど、周産期喪失を体験している女性102名であった。BPに関する事前説明を69名が受け、33名は受けていなかった。BPを提出した42名は全員、事前説明を受けていた。事前説明を受けなかった場合は誰も提出しなかった。BPの事前説明の有無は、妊娠期間に医療者と関わる時間の長さ、子どもの状態、分娩方法と関連が認められた。35名のBPに基づく質的分析からは、【出産の支援】【親役割の遂行】【子どもの安楽】【望まないこと】が希望として抽出された。BPを提出するためには医療者からの事前説明が不可欠であった。BPは女性と家族が「希望を表明できる機会」と認識し、個別の願いや心情に基づいた希望を医療者と共有するための一助となることが示唆された。(著者抄録)
  • 早産児を出産した母親の産褥早期の母乳分泌を促す搾乳ケア:文献レビュー
    田中利枝, 田中利枝, 岡美雪, 北園真希, 北園真希, 丸山菜穂子, 堀内成子, 堀内成子
    日本助産学会誌 32(1) 15‐26-26 Jun. 2018
    目的 産科看護者に向けた、早産児の母親の産褥早期の母乳分泌を促す教育プログラムを開発する端緒として、母親の母乳分泌を促すための搾乳ケアについて探索する。対象と方法 PubMed、CINAHL Plus with Full Text、医学中央雑誌Web、Ver.5を用い文献検索を行った。さらにCochrane Libraryに掲載されている搾乳に関するレビューに用いられている文献を追加した。その中からタイトル、抄録、本文を参考に、早産児の母親の母乳分泌量をアウトカムとする文献を抽出し、Cochrane Handbook、RoBANS、GRADE Handbookを用い、文献の質の評価を行った。また、研究目的、方法、結果について整理し、母親の母乳分泌を促すための搾乳ケアを抽出した。結果 35文献が抽出され、介入研究24件、観察研究11件であった。無作為化、隠蔽化、盲検化に関する記述が不十分で、サンプルサイズが検討されていないなど、ランダム化比較試験の質は低く、交絡変数の検討が不十分なために非ランダム化比較試験の質も低かったが、観察研究から実践に活用可能と考えられるエビデンスが得られた。早産児を出産した母親の母乳分泌を促すための搾乳ケアでは、分娩後、可能な限り1時間以内に搾乳を開始すること、1日7回以上の搾乳回数、1日100分以上の搾乳時間を確保すること、手搾乳と電動搾乳の両方について十分な説明を行い、乳汁生成II期に入るまで電動搾乳に1日6回以上の手搾乳を追加すること、カンガルーケアを実施することが有用だとわかった。結論 今後は、産科看護者による早産児を出産した母親への搾乳ケアに関する実態把握を行い、母親の母乳分泌を促すための搾乳ケアが実践できるような教育プログラムを開発していく。(著者抄録)
  • 妊婦を対象としたふれて・感じる「Mama’s Touchプログラム」の実行可能性―オキシトシン・コルチゾールによる評価;予備研究―
    園田希, 園田希, 小川真世, 田所由利子, 高畑香織, 周尾卓也, 堀内成子, 堀内成子
    日本助産学会誌 32(1) 60‐72-72 Jun. 2018
    目的 唾液中オキシトシンおよび唾液中コルチゾールを「Mama's Touchプログラム」の評価指標とすることの実行可能性を検討することである。方法 妊娠38週台と妊娠39週台の計2回、プログラムに参加する介入群とプログラムに参加しない対照群の2群比較を実施した。プログラムは、対象者が乳児とその母親の関わりを観察し、抱っこやあやすなど実際に乳児と関わる60分間のプログラムである。両群とも、研究開始前(Pre)、研究開始後30分(Post 30)、研究開始後60分(Post 60)の3時点で唾液を採取した。唾液採取・オキシトシン濃度の解析およびコルチゾール濃度の解析・乳児とのふれ合いについて分析した。結果 妊娠38週台は介入群7名、対照群6名が研究に参加したが、妊娠39週台では介入群5名、対照群5名となった。オキシトシン濃度は、妊娠38週台、妊娠39週台ともにばらつきが大きいという結果であった。コルチゾール濃度は、妊娠38週台、妊娠39週台ともに両群ともPre- Post 30- Post 60と低下した。なかでも、妊娠39週台の介入群ではPre- Post 30で有意に低下していた(p=.044)。69検体(唾液量0.5mLから6.0mL)のうち、オキシトシン濃度は45検体(65.2%)で、コルチゾール濃度は全ての検体でduplicate assayにて解析できた。プログラムを実施した介入群では、乳児の発達や反応は個別性がありふれ合いの体験の内容に多様性があった。結語 唾液中オキシトシンおよび唾液中コルチゾールを「Mama's Touchプログラム」の評価指標とすることは、唾液採取法、生理学的解析、乳児とのふれ合いという点で実行可能性が確認された。今後は、対象数の拡大、無作為割り付き、乳児の月齢やふれ合いの内容の統一、母親からの教示を規定するという工夫、唾液採取量の増加などオキシトシン濃度解析可能検体数の増加に向けた改善が課題である。(著者抄録)
  • A feasibility and pilot study of the "Mama's Touch Program" for primiparas involving touching and holding infants using oxytocin and cortisol levels as evaluation indexes
    園田 希, 小川 真世, 田所 由利子, 髙畑 香織, 周尾 卓也, 堀内 成子
    Journal of Japan Academy of Midwifery 32(1) 60-72 Jun. 2018
    目的 唾液中オキシトシンおよび唾液中コルチゾールを「Mama's Touchプログラム」の評価指標とすることの実行可能性を検討することである。方法 妊娠38週台と妊娠39週台の計2回、プログラムに参加する介入群とプログラムに参加しない対照群の2群比較を実施した。プログラムは、対象者が乳児とその母親の関わりを観察し、抱っこやあやすなど実際に乳児と関わる60分間のプログラムである。両群とも、研究開始前(Pre)、研究開始後30分(Post 30)、研究開始後60分(Post 60)の3時点で唾液を採取した。唾液採取・オキシトシン濃度の解析およびコルチゾール濃度の解析・乳児とのふれ合いについて分析した。結果 妊娠38週台は介入群7名、対照群6名が研究に参加したが、妊娠39週台では介入群5名、対照群5名となった。オキシトシン濃度は、妊娠38週台、妊娠39週台ともにばらつきが大きいという結果であった。コルチゾール濃度は、妊娠38週台、妊娠39週台ともに両群ともPre- Post 30- Post 60と低下した。なかでも、妊娠39週台の介入群ではPre- Post 30で有意に低下していた(p=.044)。69検体(唾液量0.5mLから6.0mL)のうち、オキシトシン濃度は45検体(65.2%)で、コルチゾール濃度は全ての検体でduplicate assayにて解析できた。プログラムを実施した介入群では、乳児の発達や反応は個別性がありふれ合いの体験の内容に多様性があった。結語 唾液中オキシトシンおよび唾液中コルチゾールを「Mama's Touchプログラム」の評価指標とすることは、唾液採取法、生理学的解析、乳児とのふれ合いという点で実行可能性が確認された。今後は、対象数の拡大、無作為割り付き、乳児の月齢やふれ合いの内容の統一、母親からの教示を規定するという工夫、唾液採取量の増加などオキシトシン濃度解析可能検体数の増加に向けた改善が課題である。(著者抄録)
  • エビデンスに基づく助産ガイドライン 妊娠期・分娩期2016の概要(The outline of "Japan Academy of Midwifery: Evidence-based guidelines for midwifery care in pregnancy and childbirth-2016 edition")
    飯田 真理子, 片岡 弥恵子, 江藤 宏美, 田所 由利子, 増澤 祐子, 八重 ゆかり, 浅井 宏美, 櫻井 綾香, 堀内 成子, 日本助産学会
    日本助産学会誌 32(1) 73-80 Jun. 2018
    周産期を通して安全で快適なケアを提供するには助産実践指針が必要である。日本助産学会は健康なローリスクの女性と新生児へのケア指針を示した「エビデンスに基づく助産ガイドライン-妊娠期・分娩期2016」を刊行した。この2016年版は2012年版に新たに妊娠期の臨床上の疑問(Clinical Question、以下CQ)を13項目加え、既にある分娩期のCQ30項目には最新のエビデンスを加えた。このガイドラインでは助産実践を行う上で日常助産師が遭遇しやすい臨床上の疑問に答え、ケアの指針を示している。推奨は最新のエビデンスに基づいているため、ここに示している内容は現時点での"最良の実践"と考える。本ガイドラインに期待する役割は次の3つである:1)助産師がエビデンスに基づいたケアを実践し、女性の意思決定を支援するための指針としての役割、2)助産師を養成する教育機関において、日進月歩で進化していく研究を探索する意味を学び、知識やケアの質が改善している事実を学ぶ道具としての役割、3)研究が不足し充分なエビデンスが得られていない課題を認識し、研究活動を鼓舞していく役割。そして本稿においてガイドラインの英訳を紹介する目的は次の通りである:1)日本の助産師が編纂したガイドラインを世界に紹介・発信すること、2)日本の研究者が英語で本ガイドラインを引用する際の共通認識として用いること。2016年版では、合計43項目のCQに対して推奨を示しているが、次の6つに関しては産科領域で広く用いられているものの、医行為に関わるため推奨ではなく「エビデンスと解説」にとどめている:CQ1分娩誘発、CQ2卵膜剥離、CQ7硬膜外麻酔、CQ21会陰切開、CQ26会陰縫合、CQ28予防的子宮収縮薬投与。2012年版から推奨が改訂されたCQは次の通りである:CQ3乳房・乳頭刺激の分娩誘発効果、CQ9指圧、鍼療法の産痛緩和効果、CQ14指圧、鍼療法の陣痛促進効果。なお、本論文の一部は「エビデンスに基づく助産ガイドライン-妊娠期・分娩期2016」からの抜粋であり、推奨の部分は翻訳である。(著者抄録)
  • 分娩介助指導における熟練指導者にみられた臨床指導実践能力の特徴
    菱沼由梨, 堀内成子
    日本助産師学会抄録集 74th 31 May 2018
  • 医療介入を見極める乳腺炎診断アセスメントツール開発に向けた基礎調査
    長田知恵子, 堀内成子
    日本助産師学会抄録集 74th 33 May 2018
  • The relationships among women's perception of "women-centred care", maternity blues and postpartum depression
    飯田真理子, 堀内成子, 堀内成子, 永森久美子
    母性衛生 59(1) 81‐89 Apr. 2018
  • Hope of delivery using epidural anesthesia during labor compared with no anesthesia and delivery outcomes
    宍戸恵理, 宍戸恵理, 堀内成子, 堀内成子
    母性衛生 59(1) 112‐120 Apr. 2018
  • Conclusions from an Early Essential Newborn Care Seminar Held at a Health Facility in Tanzania
    福冨理佳, 五十嵐由美子, 新福洋子, 片岡弥恵子, 堀内成子
    聖路加国際大学紀要 4 58‐62 Mar. 2018
  • 妊娠後期女性におけるクラリセージ・ラベンダー精油,ジャスミン精油による足浴前後のオキシトシン・コルチゾールの変化:非無作為化臨床試験
    田所由利子, 堀内成子, 堀内成子, 高畑香織, 岡美雪, 周尾卓也, 片岡弥恵子, 八重ゆかり
    日本助産学会誌 31(3) 319-319 Feb. 2018
  • 明日から使える!冷え症ケアの「技」の実施と評価
    中村幸代, 毛利多恵子, 竹内翔子, 堀内成子, 飯田真理子, 中村幸代, 毛利多恵子, 竹内翔子, 堀内成子, 堀内成子, 飯田真理子
    日本助産学会誌 31(3) 380-380 Feb. 2018
  • 妊娠末期における陣痛発来のための乳頭刺激プロトコルおよび唾液オキシトシン測定の実行可能性
    高畑 香織, 堀内 成子, 田所 由利子, 周尾 卓也, 八重 ゆかり
    日本助産学会誌 31(3) 381-381 Feb. 2018
  • 搾乳モデル機器の開発
    長田 知恵子, 堀内 成子
    日本助産学会誌 31(3) 393-393 Feb. 2018
  • 妊婦が乳児とふれあう「Mama Touchプログラム」および唾液オキシトシン測定の実行可能性
    小川 真世, 園田 希, 田所 由利子, 高畑 香織, 周尾 卓也, 堀内 成子
    日本助産学会誌 31(3) 475-475 Feb. 2018
  • 育児支援プログラム「HUG Your Baby」の有用性 産後のアンケートとインタビューを通して
    柏原 由梨恵, 新福 洋子, 堀内 成子
    日本助産学会誌 31(3) 476-476 Feb. 2018
  • ローリスク初産婦における陣痛発来を目的とした乳頭刺激によるオキシトシンへの影響:準ランダム化比較試験
    高畑香織, 堀内成子, 堀内成子, 田所由利子, 丸山菜穂子, 周尾卓也
    母性衛生 58(3) 230-230 Sep. 2017
  • 妊娠28週以降の骨盤位の頻度と自然回転率
    東原 亜希子, 堀内 成子, 山中 美智子
    母性衛生 58(2) 371-379 Jul. 2017
    【目的】妊娠28週から分娩に至るまでの骨盤位の頻度および頭位への自然回転率の推移を探索する。【方法】診療録の後方視的調査を行った。選択基準は、1)日本人を含めたアジア人女性、2)2007年4月1日〜2015年3月31日の間に分娩に至ったもの、3)妊娠28週以降の単胎、4)外回転術を実施していないものとした。【結果】妊娠28週から分娩までの健診で胎位が確認できた2,112名の骨盤位の頻度を妊娠週数毎にみると、妊娠28週時点で24.2%、妊娠30週で17.4%、妊娠32週11.6%、妊娠34週7.6%、妊娠36週5.6%、分娩時5.4%であった。骨盤位から頭位への自然回転率は妊娠28週で82.2%、妊娠30週で72.8%、32週で58.6%、妊娠34週で37.3%、妊娠36週で10.2%であり、分娩に近づくにつれ下降していた。また、頭位への自然回転率には、分娩歴の差を認めなかった。【結語】骨盤位から頭位への自然回転率は、妊娠32週では58.6%であったが、妊娠34週では37.3%になっていた。従って、骨盤位のままでとどまるかどうかは、妊娠32週から34週の時期が境界になる可能性があった。(著者抄録)
  • 妊娠28週以降の骨盤位の頻度と自然回転率
    東原 亜希子, 堀内 成子, 山中 美智子
    母性衛生 58(2) 371-379 Jul. 2017
    【目的】妊娠28週から分娩に至るまでの骨盤位の頻度および頭位への自然回転率の推移を探索する。【方法】診療録の後方視的調査を行った。選択基準は、1)日本人を含めたアジア人女性、2)2007年4月1日〜2015年3月31日の間に分娩に至ったもの、3)妊娠28週以降の単胎、4)外回転術を実施していないものとした。【結果】妊娠28週から分娩までの健診で胎位が確認できた2,112名の骨盤位の頻度を妊娠週数毎にみると、妊娠28週時点で24.2%、妊娠30週で17.4%、妊娠32週11.6%、妊娠34週7.6%、妊娠36週5.6%、分娩時5.4%であった。骨盤位から頭位への自然回転率は妊娠28週で82.2%、妊娠30週で72.8%、32週で58.6%、妊娠34週で37.3%、妊娠36週で10.2%であり、分娩に近づくにつれ下降していた。また、頭位への自然回転率には、分娩歴の差を認めなかった。【結語】骨盤位から頭位への自然回転率は、妊娠32週では58.6%であったが、妊娠34週では37.3%になっていた。従って、骨盤位のままでとどまるかどうかは、妊娠32週から34週の時期が境界になる可能性があった。(著者抄録)
  • 混合研究法による助産師の心的外傷体験の実態 PTSD、レジリエンス、心的外傷後成長との関連
    麓 杏奈, 堀内 成子
    日本助産学会誌 31(1) 12-22 Jun. 2017
    目的 喜ばしい体験と同時に不測の急変に直面することのある助産師の心的外傷体験の実態を明らかにし、その心的外傷体験後の心的外傷後ストレス障害(Posttraumatic Stress Disorder:PTSD)発症リスクやレジリエンス、外傷後成長(Posttraumatic Growth:PTG)との関連を探索することである。対象と方法 全国の周産期関連施設と教育機関から、層別化無作為割り付け法で抽出した308施設1,198名の就業助産師に質問紙を郵送した。有効回答者681名(56.8%)のデータから混合研究法を用いて、量的データは統計学的分析を、質的データは自由記載の内容分析を行い、得られたカテゴリと各変数との関連を検討した。結果 心的外傷体験を記載した者は575名(84.4%)で、その内容は【分娩に関連した母子の不測な状態】【助産師の辛労を引き起こした状況】【対象者の悲しみとその光景】【自分に向けられた不本意な発言や苛酷な環境】の4つに分類された。【自分に向けられた不本意な発言や苛酷な環境】という直接外傷体験をした助産師の、日本語版改訂出来事インパクト尺度(Impact of Event Scale-Revised:IES-R)平均値が最も高く、またPTG平均値が最も低かった。さらに86名(15.0%)がその心的外傷体験を機に退職を検討していた。また、PTSDと就業継続意思(r=-.229)、サポートと就業継続意思(r=-.181)、PTSDとサポート得点(r=-.143)、PTGとサポート(r=.148)、PTGとレジリエンス(r=.314)は有意な関連を認めた(p<.001)。結論 直接外傷体験をした就業助産師はPTSD発症リスクが高かった。心的外傷体験をした助産師が職場内のサポートを得ることは、PTSD発症のリスクの低減、離職予防、さらにその助産師を成長させるポジティブな要素として働くことが示唆された。(著者抄録)
  • タンザニアにおけるJICA連携コースと国際協働論演習の相互学習効果(Reciprocal Learning Effects between the JICA Collaborative Course and the International Cooperation Seminar in Tanzania)
    新福 洋子, 堀内 成子, 長松 康子
    聖路加国際大学紀要 3 58-62 Mar. 2017
  • 語ることでもたらされること 周産期喪失後のグリーフ・カウンセリング
    石井 慶子, 堀内 成子, 堀内ギルバート 祥子, 蛭田 明子
    聖路加国際大学紀要 3 84-89 Mar. 2017
  • EBNのステップ The Power of habit
    堀内 成子
    日本遺伝看護学会誌 15(2) 21-26 Mar. 2017
  • 妊婦の冷え症が弛緩出血に及ぼす影響
    中村 幸代, 堀内 成子
    神奈川母性衛生学会誌 20(1) 84-84 Feb. 2017
  • 妊婦のセルフケアプログラム「冷え症改善パック」のマイナートラブルへの効果 ランダム化比較試験
    中村 幸代, 堀内 成子
    日本助産学会誌 30(3) 467-467 Feb. 2017
  • わが子がNICUに入院した母親へのケア ロールプレイによる看護職者教育プログラムの有用性の検討
    木村 晶子, 堀内 成子
    日本助産学会誌 30(3) 493-493 Feb. 2017
  • 助産師主導クリニックにおける多様な分娩体位の実践
    大林 薫, 仙波 百合香, 堀内 成子
    日本助産学会誌 30(3) 576-576 Feb. 2017
  • 冷え症改善プログラムの自己管理アプリケーションを使用した妊婦による評価
    中村 幸代, 堀内 成子
    日本看護科学会誌 36 60-63 Dec. 2016
    目的:冷え症改善プログラムを実施した妊婦による,自己管理ツールとして開発したWebアプリケーションの使用評価を分析することである.方法:対象は,冷え症改善プログラムを実施した妊婦60名である.Webアプリケーションには,レッグウォーマーの着用,エクササイズの実施,足裏のツボ押しの項目があり,対象者は4週間セルフ評価を実施した.データ収集は実施終了後の質問紙調査であり,リッカート尺度で,「1.全く思わない」〜「5.非常に思う」の5段階で評価した.結果:プログラム実施の継続に役立った:中央値4.0「やや思う」(四分位範囲0.7),自分自身の冷えの状態を認識することができた:中央値4.0(1.0),プログラムを意欲的に実施することができた:中央値4.0(1.0)であった.結論:妊婦によるWebアプリケーションの使用は,プログラムの継続やセルフケアに役に立ったという意見が多く得られた.(著者抄録)
  • 周産期喪失のケアに従事する看護者を対象とした認知行動理論に基づくコミュニケーションスキルプログラムの開発と評価
    蛭田 明子, 堀内 成子, 石井 慶子, 堀内ギルバート 祥子
    日本助産学会誌 30(1) 4-16 Jun. 2016
    背景と目的 患者のケアニーズを引き出し、患者中心のケアを提供するために、コミュニケーションは重要な鍵となる。しかし、周産期喪失は予期せずして起こり、患者の感情と自分自身の感情の双方に対処する難しさから、多くの看護者がコミュニケーションの難しさを経験する。本研究は、周産期に子どもを亡くした両親にケアを提供する看護者を対象に、認知行動理論に基づくコミュニケーションスキルプログラムを開発し、その有用性を評価することを目的とした。方法 一群による事前事後評価研究。対象は周産期喪失のケアに従事する看護師/助産師。プログラムのゴールは、対象者の態度・行動に変容が認められること。有用性の評価指標は、自己効力感、ケアの困難感、共感満足と共感疲労、コミュニケーションの変容とし、プログラム実施前、実施後、実施1ヵ月後の3時点で測定した。結果 47名の看護師/助産師が1日のプログラムに参加、内37名(78.7%)が1ヵ月後の質問紙まで終了した。(1)自己効力感は実施後有意に上昇し(p=.000)、1ヵ月後も実施前より有意に高かった(p=.000)。(2)ケアの困難感は実施後有意に減少し(p=.000)、1ヵ月後も有意に低かった(p=.000)。(3)共感満足と共感疲労は、実施前後で有意差はなかった。サブグループ解析により、実施前に自己効力感が低くケアの困難感が高い群(13名)では、共感疲労の要因である二次的トラウマが有意に減少した(p=.001)。(4)実施1ヵ月後のコミュニケーションの態度・行動の変容を感じている者が28名(75.7%)であった。結論 本プログラムは、看護者の自己効力感を高め、困難感を軽減することに機能し、その変化は1ヵ月後も持続していた。さらに、看護者の認知の変容をもたらし、コミュニケーションにおける態度・行動の変容をもたらしていることが示された。(著者抄録)
  • 生体インピーダンスによる妊婦の体水分と妊娠・分娩期の異常との関連 パス解析を用いた検討
    中田 かおり, 堀内 成子
    日本助産学会誌 30(1) 78-88 Jun. 2016
    目的 生体インピータンスによる妊婦の体水分と関連のある妊娠・分娩期の異常(切迫早産、妊娠高血圧症候群(PIH)、低出生体重等)を探索し、関連を検討する。対象と方法 妊娠26週から29週の健康な単胎妊婦を対象とした。データ収集は、妊娠26〜29週と妊娠34〜36週の妊娠中2回と、分娩終了後に実施した。生体インピーダンスの測定には、マルチ周波数体組成計を使用した。妊婦の体水分と関連のある生理学的検査値と妊娠・分娩経過に関するデータは、質問紙と診療録レビューにより収集した。変数間の関連は、パス解析により検討した。結果 研究協力の承諾を得られた340名の内、332名を分析対象とした。生体インピーダンスとの関連性が示唆された妊娠・分娩期の異常は、「切迫早産およびその疑い(妊娠26〜29週の測定後から妊娠34〜36週の測定まで)」(p<0.01)、「妊娠期の血圧上昇(妊娠34〜36週の測定後から分娩まで)」(p<0.05)、「低出生体重」(p<0.01)であった。「切迫早産およびその疑い」と「低出生体重」はレジスタンス(R)が高く体水分が少ないことが示唆され、「妊娠期の血圧上昇」はRが低く体水分が多いことが示唆された。パス解析の結果、「切迫早産およびその疑い」と「低出生体重」、「妊娠期の血圧上昇」の全てにRあるいはヘモグロビン値(Hb)からのパスを描くことができた。「切迫早産およびその疑い」と「低出生体重」は、RあるいはHbが高く体水分と血漿量が少ない可能性が示唆され、「妊娠期の血圧上昇」ではRが低くHbが高い、つまり体水分は増加しているが血漿量は増加していない、という可能性が示唆された。結論 体水分をあらわす指標と生体インピーダンスおよび、特定の妊娠・分娩期の異常との関連性が示唆された。しかし、異常の予測につながる指標の組み合わせは特定できなかった。今後、妊婦の生活やリスク発見後の対応を考えながら、妊娠期の健康につながる体水分評価指標の組み合わせや基準値を探索する、基礎研究が必要である。(著者抄録)
  • 鍼灸治療を受けた骨盤位の転帰と胎動の変化
    東原 亜希子, 堀内 成子
    日本助産学会誌 30(1) 120-130 Jun. 2016
    目的 胎児が骨盤位である妊婦が鍼灸治療を受けた際の治療経過を追跡し、特に治療に伴う胎動の変化を把握し、鍼灸治療と胎動との関連を探索した。対象と方法 妊娠28週から37週の鍼灸治療を希望する骨盤位妊婦を対象とし、治療前後の心身の反応、不定愁訴の変化、胎動について分析した。胎動の「数」は胎動記録装置(FMAM)を用い客観的指標として把握した。結果 初産婦11名、経産婦1名の計12名を分析対象とした。年齢の平均は32.7歳であった。12名全員、治療延べ24回中毎回「手足がぽかぽかと温かくなる」と答え、「リラックスして眠くなった」妊婦は治療24回中22回(91.7%)に生じ副作用は認められなかった。「足のつり」「イライラ感」が治療前に比べ治療後有意に頻度が減少した(「足のつり」z=-2.53、p=.011、「イライラ感」z=-2.00、p=.046、Wilcoxon符号付き順位和検定)。胎位変換した頭位群は8名(66.7%)、骨盤位のままだった骨盤位群は4名(33.3%)であった。骨盤位診断から治療開始までの日数は、頭位群平均8.6日、骨盤位群27.3日であり、頭位群の方が有意に短かった(t=-3.7、p=.02)。治療開始時期は、頭位群平均31.5週、骨盤位群34.1週であり、頭位群の方が統計的に有意に早い週数で始めていた(t=-2.4、p=.04)。客観的な胎動数の変化として、初回治療時の平均を、「治療前20分」「治療中」「治療後20分」で比較すると、「治療中」に有意差があり、頭位群173.71回/時、骨盤位群105.63回/時と頭位群の方が有意に多かった(t=2.78、p=.02)。対象毎にみると、頭位群では「治療前20分」に比べて、「治療中」または「治療後20分」に胎動が増加していた。結論 鍼灸治療は、手足が温まり、リラックスして眠くなることが生じ、副作用は認められなかった。「足のつり」「イライラ感」の頻度が治療後有意に減少した。胎位変換率は66.7%であり、頭位群は診断から平均8.6日以内に治療を始め、平均妊娠31.5週までに開始していた。胎動の変化として、頭位群は「治療中」または「治療後20分」に胎動増加が認められた。(著者抄録)
  • 生体インピーダンス法を用いた切迫早産およびその疑いのある妊婦の体水分に関する考察
    中田 かおり, 堀内 成子
    日本助産学会誌 29(3) 444-444 Mar. 2016
  • 助産師による自然に生じた会陰裂傷縫合の有効性と安全性の検討
    竹内 翔子, 堀内 成子, 永森 久美子, 山内 淳子, 八重 ゆかり
    日本助産学会誌 29(3) 449-449 Mar. 2016
  • 育児支援クラス"HUG Your Babyプレママ・パパクラス"の実践
    新福 洋子, 飯田 真理子, 麓 杏奈, 仙波 百合香, 永森 久美子, 田中 夢子, 堀内 成子
    日本助産学会誌 29(3) 469-469 Mar. 2016
  • 妊婦のセルフケアプログラム「冷え症改善パック」の有効性 ランダム化比較試験による検証
    中村 幸代, 堀内 成子, 深澤 洋子
    日本助産学会誌 29(3) 480-480 Mar. 2016
  • タンザニア農村部の思春期学生に対するリプロダクティブヘルス教育プログラム評価質問紙改善のための認知インタビュー
    川野 嘉子, 新福 洋子, 堀内 成子
    日本助産学会誌 29(3) 496-496 Mar. 2016
  • 聖路加JICA連携プログラム「タンザニア連合共和国母子保健支援ボランティア連携事業」の実践報告
    新福 洋子, 堀内 成子
    日本助産学会誌 29(3) 586-586 Mar. 2016
  • 都市部の助産師主導クリニックにおける産褥入院(ショートステイ)の意義
    大林 薫, 仙波 百合香, 堀内 成子
    日本助産学会誌 29(3) 623-623 Mar. 2016
  • 【産科領域に対する鍼灸マッサージ】 (PART1)妊婦にみられる症状のメカニズムと接遇の注意点 つわりと逆子を例に
    東原 亜希子, 堀内 成子
    医道の日本 75(1) 164-171 Jan. 2016
  • 【助産実践能力習熟段階(クリニカルラダー)レベルIII認証への期待】 CLoCMiP「レベルIII」認証制度の概要および初年度認証の振り返りと今後の予定
    堀内 成子, 江藤 宏美
    看護 68(2) 040-041 Jan. 2016
  • 助産師の心的外傷体験の実態 PTSD、レジリエンス、心的外傷後成長との関連
    麓 杏奈, 堀内 成子
    母性衛生 56(3) 220-220 Sep. 2015
  • 母乳栄養の支援 母児同床と2週間健診の影響
    浦嶋 由依, 堀内 成子, 畠山 藍, 仙波 百合香
    母性衛生 56(3) 275-275 Sep. 2015
  • 【助産師の将来構想】 日本助産師会ビジョン2025(案) すべての女性に助産師のケアを
    堀内 成子, 山本 詩子, 安達 久美子, 毛利 多恵子, 井本 寛子, 渕元 純子, 将来構想検討特別委員会
    助産師 69(2) 14-24 May 2015
  • 【ペリネイタル・ロスのケアを考える】 家族が望むペリネイタル・ロスのグリーフケア 人工死産の会から聞こえる声
    堀内 成子
    助産雑誌 69(3) 208-210 Mar. 2015
  • 【始まる!助産実践能力認証制度】 レベルIII認証を受けるには
    堀内 成子
    助産師 69(1) 22-24 Feb. 2015
  • 周産期喪失後のグリーフ・カウンセリング
    石井 慶子, 堀内 成子, 蛭田 明子, 堀内 祥子
    日本助産学会誌 28(3) 428-428 Feb. 2015
  • 大学院助産教育における国際協働の基礎 タンザニアでの学びと今後の展開
    新福 洋子, 堀内 成子, 長松 康子
    日本助産学会誌 28(3) 475-475 Feb. 2015
  • Risk factors for postpartum hemorrhage : a retrospective multivariate analysis
    前田 菜穂子, 片岡 弥恵子, 岡田 智恵, 堀内 成子, 江藤 宏美
    Health science research 27 29-34 Jan. 2015
    目的:経腟分娩の分娩後出血のリスク因子を検討することを目的とした. 研究方法:主にローリスクの分娩を扱う 1 か所の病院にて,医療記録から分娩後出血とリスク因子データを抽出したケースコントロール研究である.交絡因子を調整するため多重ロジスティック回帰分析を行った. 結果:対象者798名のうち,800ml以上の出血は35人(4.4%)であった.リスク因子として,児出生体重4,000g以上(OR34.4, 95% CI5.2-229.4),子宮筋腫(OR=4.7, 95% CI 1.2-18.1)に有意差が認められた. 結論:分娩後出血のリスク因子として児出生体重と子宮筋腫が明らかになった.これらの因子はスクリーニングに活用することができる.
  • Estimation of Causal Effects of Pregnant Women's Sensitivity to Cold (hiesho) on Uterine Inertia and Prolonged Labor : Adjustment of Confounding Factors by Propensity Scores
    中村 幸代, 堀内 成子, 柳井 晴夫
    日本看護科学会誌 33(4) 3-12 Dec. 2013
  • Record of a Nine-year Student Exchange Program between St. Luke’s College of Nursing and Villanova University College of Nursing
    (38) 71-75 Mar. 2012
    〔Abstract〕 Student exchange programs between St. Luke’s College of Nursing in Tokyo, Japan and VillanovaUniversity College of Nursing in Pennsylvania, United States were held eight times from 2002 to 2010.Program participants were obliged to be a part of the future development of St. Luke’s Medical Center,which consists of St. Luke’s International Hospital and St. Luke’s College of Nursing. They were alsoexpected to understand the historical relationship between the Episcopal Church in the United States and St.Luke’s Medical Center, and to become bridges between Japan and the U.S. Four Japanese students and four U.S.students joined the exchange program alternately with the financial and operative support of the AmericanCouncil. This exchange program provided the participants from St. Luke’s College of Nursing with opportunitiesto observe the excellent nursing care practices in the U.S. as well as to recognize the positive aspects ofnursing in Japan through the comparison of nursing practices in the two countries. By drawing on thefeedback received from students who participated in the exchange program, it is hoped that St. Luke’sCollege of Nursing wi
  • Sensitivity to cold among pregnant women : An analysis of Brazilian women
    NAKAMURA Sachiyo, HORIUCHI Shigeko, MORI Taeko, MOMOI Masako
    J. Jpn. Acad. Midwif. 24(2) 205-214 Dec. 2010
    <B>Purpose</B> To analyze the body temperature of pregnant Brazilian women living in Brazil who are aware of <I>hiesho</I> (sensitivity to cold) and to analyze the characteristics of their accessory symptoms during pregnancy and daily activities.<B>Method</B> Subjects were 200 Brazilian women living in Brazil who were in the 20th or later week of pregnancy. Data was collected by measuring body temperature and through a paper questionnaire. The study took place between October 2007 and February 2008.<B>Results</B> 1. The average difference between forehead core temperature and core temperature of the sole of the foot among pregnant women aware of <I>hiesho</I> was 2.8°C and 2.0°C among pregnant women with no awareness of <I>hiesho</I>, a significant difference between the two groups (p=0.018). 2. In a comparison of awareness of <I>hiesho</I> and the scale for determining <I>hiesho</I>, among pregnant women aware of <I>hiesho</I>, 70.2% also met the scale for determining <I>hiesho</I>. Among pregnant women with no awareness of <I>hiesho</I>, 89.5% were determined not to have <I>hiesho</I>, also based on the scale for determining <I>hiesho</I> (Terasawa). 3. With regard to the relationship between <I>hiesho</I> among pregnant women and accessory symptoms/daily activities, no cause-and-effect relationship was observed between awareness of <I>hiesho</I> and <I>hiesho</I>-related pregnancy-associated troubles. There was a positive correlation between irregular living habits and <I>hiesho</I>-related pregnancy-associated troubles (β=0.41, p=0.049). Additionally, there was a positive correlation between irregular living habits and consumption of "unhealthy" foods through <I>hiesho</I>-related pregnancy-associated troubles (β=0.38, p=0.021).<B>Conclusions</B> 1. The difference between forehead core temperature and core temperature of the sole of the foot among pregnant women aware of <I>hiesho</I> and pregnant women with no awareness of <I>hiesho</I> was significantly large. Awareness of <I>hiesho</I> reflects temperature differences, which is an objective indicator. 2. Among pregnant women with no awareness of <I>hiesho</I>, the coincidence ratio with the scale for determining <I>hiesho</I> (Terasawa) was approximately 80%. 3. Among pregnant Brazilian women, there was no cause-and-effect relationship between differences in core temperature and awareness of <I>hiesho</I> on the one hand and <I>hiesho</I>-related pregnancy-associated troubles, irregular living habits and consumption of "unhealthy" foods on the other; daily activities have no impact on <I>hiesho</I>.
  • International Trends of Academic Journal Publication
    HORIUCHI S
    日本看護科学会誌 30(4) Dec. 2010
  • Establishment of Japan Academy of Midwifery, General Incorporated Association
    HORIUCHI Shigeko, TAKADA Masayo
    日本助産学会誌 24(1) Jun. 2010
  • Breastfeeding mothers identify attitudes and actions of healthcare professionals that resulted in confusion and anxiety about breastfeeding
    NAGAMORI Kumiko, DOEDA Narumi, KOBAYASHI Noriko, NAKAGAWA Yuka, HORIUCHI Shigeko, KATAOKA Yaeko, HISHINUMA Yuri, SHIMIZU Aya
    日本助産学会誌 24(1) 17-27 Jun. 2010
  • Intimate Partner Violence Screening and Intervention Practices of Health Care Providers in Japan.
    (36) 59-63 Mar. 2010
  • Development of a Health Education Strategey for Adolescents to Prevent Maternal Mortality in Liberia
    HORIUCHI Shigeko
     35 86-97 Mar. 2009
  • Report of the International Collaboration Research Workshop : Collaborative Research for Strengthening Community Health Nursing in Developing Countries : Action and Evaluation Research
    長松 康子, 堀内 成子, 平野 かよ子
    聖路加看護大学紀要(34) 31-35 Mar. 2008
  • New phase of midwifery issues
    HORIUCHI Shigeko
    日本助産学会誌 21(2) 1-3 Dec. 2007
  • Process Evaluation for Development of Capacity Building Program for Reproductive and Child Health at the Community Level in Union of Myanmar, PhaseII -2005~2006-
    Tsuchiya Madoka, Oguro Mihciko, Eto Hiromi, Osumi Kaoru, Horiuchi Shigeko
    Journal of St. Luke's Society of Nursing Research 11(1) 83-89 Jun. 2007
    Background: Since September 2003, a Women's health Volunteer Group (WVG) has been established in two villagesin Myanmar's central dry zone. The purpose of the group is to improve regional reproductive and child health,and training program has been given to women who fulfilled certain conditions. This human resources trainingprogram is divided into Phase I (foundation phase), Phase II (maintenance and continuation phase) and Phase III(independent phase) during the period from September 2003 to March 2008. The WVG is expected to become capableof conducting activities independently in four and a half years.Aim: To grasp the activities maintained and continued by the WVG in Phase II (September 2005-February 2006), inwhich the WVG received support from external parties, and to clarify the contents of support in Phase III.Method: We conducted focus group interviews with the WVG members who agreed to participate. Interviewswere held twice in each of the nutrition centers in two villages, where the WVG is based. The interview detailswere written down at the time of the interviews, and among them, we analyzed the discourse on WVG activities inProgram Phase II.Results: At v
  • Literature Review of International Nursing Cooperation/Collaboration with Educational Relationship Focused on Human Development.
    Yamazaki Yoshimi, Kajii Fumiko, Tashiro Junko, Suzuki Yoshimi, Hishinuma Michiko, Horiuchi Shigeko, Hirabayashi Yuko, Sakai Masako, Arimori Naoko, Hayashi Naoko, Eto Hiromi, Sakyo Yumi, Hayashi Akiko
    Journal of St. Luke's Society of Nursing Research 11(1) 38-44 Jun. 2007
    The purpose of this study was to identify, through an integrative literature review, the challenges to andstrategies for international nursing collaboration/cooperation among organizations seeking to promote the educationof nurses and enhance the capacities of nursing personnel. We searched for relevant articles using CINAHL andPubMed, without time restriction. We found 31 articles with the term INTERNATIONAL and COLLABORATIONor INTERNATIONAL and COOPERATION in their titles, and NURSING in their texts. Of these, 23 articles wereconcerned with collaborations for education and human resource development. We classified these articles into twocategories focusing on their collaborative processes, outcomes, challenges and strategies.Nine articles published between 1997 and 2005 were classified in the first category: international nursingcollaboration/cooperation between organizations in two developed countries. Major contents of collaboration in thiscategory were nursing student exchange programs and human resource development for practitioners. Commonchallenges observed here were budget management, language barrier, and evaluation of collaborative programs.Internet was
  • Consultation Services for Breastfeeding Mother-Baby Pairs.
    DOEDA Narumi, NAKAGAWA Yuka, TSUCHIYA Madoka, NAGAMORI Kumiko, KOBAYASHI Noriko, HORIUCHI Shigeko
    Bulletin of St. Luke's College of Nursing(33) 85-92 Mar. 2007
    Since September 2004, consultation services for breastfeeding mother-baby pairs at the clinic "Lukako". This project is sponsored by St. Luke's College of Nursing Research Center for Development of Nursing Practice and the Japanese Midwives Association, Tokyo branch. Consultation services for mothers and babies with breastfeeding difficulties when they are at home are provided by mainly graduate student nurse midwives at open clinic every Friday and home visiting at any time. In the just two years there were 289 consultations for 54 mother-baby pairs. From record review we recognized that the mothers had a variety of concerns : "lack of breast milk, " "soreness of breast, " "weaning, " "positioning and attachment, " "breast refusal, " etc. As for the impression of the mothers, "solving the problem, " "getting confidence in rearing baby, " and "want to continue coming to clinic". In addition to continuing the clinic and home visiting we are planning to expand our focus in three areas : 1) To support mothers who have something worrying them not early in the postpartum period but also through-out their nursing period ; 2), To provide services where there is a shortage of support systems and resources ; 3) To collaborate with hospitals, medical clinics to support mother-baby pairs and their families.
  • Report of the International Collaboration Research Workshop : Collaborative Research for Strengthening Community Health Nursing in Developing Countries : Action and Evaluation Research.
    UMEDA Maki, YAMAZAKI Yoshimi, KAJII Fumiko, HORIUCHI Shigeko, HIRANO Kayoko, ATSUTA Izumi, ETO Hiromi, SAKYO Yumi, ICHIKAWA Wakako, HAYASHI Akiko, TASHIRO Junko
    Bulletin of St. Luke's College of Nursing(33) 31-38 Mar. 2007
    This workshop at St. Luke's College of Nursing in November 2005 was a part of the research study 'Strengthe ning Community Health Nursing in Developing Countries : Action and Evaluation Research.' This study is composed of five research groups implementing their own projects in five different countries, and a research team at the college. The researchers presented progress reports and discussed with each other and three advisors from the U.K. and U. S. their results and future courses of action. Two major points were addressed. One, it was acknowledged that changes in relationships among key participants and partners during the conduct of the research projects affect their course and results. Two, evaluation criteria were needed. It was suggested that during the next years each research project should develop evaluation criteria to reflect the social and cultural backgrounds of the communities involved as well as actual project activities. And, it was proposed that the college team should initiate development of a model of effective collaboration for strengthening community health nursing in developing countries as a final product of the three year research program.
  • Toward prevention of academic misconduct
    HORIUCHI Shigeko
    日本助産学会誌 20(2) 97-99 Oct. 2006
  • Implementing and evaluating a new sibling preparation class for children and parents
    NAKAMURA Ayako, KATAOKA Yaeko, HORIUCHI Shigeko, TSUCHIYA Mayumi, TANAKA Shinobu, YAJIMA Chihiro
    日本助産学会誌 20(2) 85-93 Oct. 2006
  • 看護における国際協力と協働モデルの概念化 先進国間・先進国と開発途上国間の協働・協力研究の文献検討
    梶井 文子, 山崎 好美, 田代 順子, 鈴木 良美, 菱沼 典子, 堀内 成子, 平林 優子, 酒井 昌子, 有森 直子, 林 直子, 江藤 宏美, 佐居 由美, 林 亜希子
    聖路加看護学会誌 10(2) 46-46 Sep. 2006
  • Development of Capacity Building Program for Reproductive and Child Health at the Community Level in Union of Myanmer : Phase I 2003〜2004
    Oguro Michiko, Horiuchi Shigeko
    Journal of St. Luke's Society of Nursing Research 10(1) 46-53 Jun. 2006
    The author Oguro was sent to the Union of Myanmar by AMDA, A non-governmental organization. Since October 2003, the author was engaged in a program on human resource development in Women's health Voluntary Groups (WVGs). The WVGs aim to improve regional maternal and child health in two villages. The aim of this report is to describe the process of the development of the capacity building program. The program looks at reproductive and child health, and the behavior changes in WVGs focusing on the period from September 2003 to November 2004, which is defined as phase I . The program will be slated to continue until March 2008. The author and others planned the program based on the primary baseline survey, and set the objectives and methods in 1.set up the group, 2.training, and 3.starting activity. After selection of the members, trust was developed between WVGs/community and implementers through meetings and workshops, and the WVGs'capacity was built through training. Each member of the WVGs is in charge of approximately 15 households and the program is slowly being accepted by the villagers through these activities. The following activities were conducted by the WVGs up to November 2004 : (1) Management of The Family Plan Revolving Fund Program, which gives women who cannot afford birth control an interest-free loan, (2) Encouraging pregnant women and mothers of infants to have a regular checkup and vaccination, (3) Giving basic first aid, (4) Joining the community clinic, (5) Conducting health education. As the result of the development of the program that respects the WVGs spontaneity and the regional characteristics, the WVG members have been encouraged to participate. It was found that it is important to focus on the process of how they form the local organization. It was also found that the WVGs have changed their behavior and have empowered each, through the interaction with the implementers.
  • Synchronizing the Essence of People-Centered Care and Experiences of Women with Wisdom and Courage : St. Luke's College of Nursing 21st Century COE Program 5th International Relay Symposium
    Eto Hiromi, Horiuchi Shigeko, Sakyo Yumi, Ichikawa Wakako, Kajii Fumiko, Yamazaki Yoshimi, Hayashi Akiko, Umeda Maki, Tashiro Junko
    Journal of St. Luke's Society of Nursing Research 10(1) 68-74 Jun. 2006
    This paper summarizes the St. Luke's College of Nursing 21st Century COE Program, 5th International Relay Symposium titled "Sharing Wisdom, Courage and Experiences : Women Supporting Each Other in Society" and serves to compare the constructive concept of People-Centered Care, with the commonality of activities shared by the symposium panelists. This relay symposium was planned and carried out by the members of two projects, "Women-Centered Care" and "Development of a Practical Model for International Collaboration that Contributes to Everyone's Health", both of which are part of the research project, "Nursing for People-Centered Initiatives in Health Care and Health Promotion". Four symposium panelists presented their experience. They spoke about difficult issues and unforeseen events facing women, and how they have been giving women courage amidst difficulties through mutual support, wisdom, and experience. Ms. Oguro has been involved as a midwife in activities that aid women's groups in Myanmar aiming to improve maternal and child health. Ms. Ishii has conducted self-help groups for people who have experienced a miscarriage, stillbirth, or neonatal death and she has developed mutual-support activities to help people deal with the sadness of losing a child. Ms. Chonan has founded an NPO that supports non-Japanese women living in Japan who share similar problems concerning marriage, birth, and child-rearing in Japan. Dr. Puffet, as a specialist on international and family nursing, shared her experiences with capacity building with women in the Central Asia. Each panelist's experience was essentially different yet had in common the resulting empowerment of women. Their activities implied the significance of collaboration between medical professionals and citizens, which indicated the changes and growth towards the structure of a smoother alliance. This symposium gave us a chance to reconfirm the elements of People-Centered Care that we realized from our COE activities. They are : compassion, learning from life experiences, words of mutual understanding, creation of useful health information, connections from different points of view, and decision-making.
  • Women-centered care in midwifery : Reconsidering the application of the episiotomy
    TSUJI Keiko, OGURO Michiko, DOEDA Narumi, NAKAGAWA Yuka, HORIUCHI Shigeko
    日本助産学会誌 20(1) 7-15 Jun. 2006
  • Synchronizing the Essence of People-Centered Care and Experiences of Women with Wisdom and Courage.
     10(1) 68-74 Jun. 2006
    This paper summarizes the St. Luke's College of Nursing 21st Century COE Program, 5th InternationalRelay Symposium titled “Sharing Wisdom, Courage and Experiences: Women Supporting Each Other inSociety“ and serves to compare the constructive concept of People-Centered Care, with the commonality ofactivities shared by the symposium panelists.This relay symposium was planned and carried out by the members of two projects, “Women-CenteredCare“ and “Development of a Practical Model for International Collaboration that Contributes toEveryone's Health“, both of which are part of the research project, “Nursing for People-Centered Initiativesin Health Care and Health Promotion“.Four symposium panelists presented their experience. They spoke about difficult issues and unforeseenevents facing women, and how they have been giving women courage amidst difficulties through mutualsupport, wisdom, and experience.Ms. Oguro has been involved as a midwife in activities that aid women's groups in Myanmar aiming toimprove maternal and child health.Ms. Ishii has conducted self-help groups for people who have experienced a miscarriage, stillbirth, orneonatal deat
  • Development of Capacity Building Program for Reproductive and Child Health at the Community Level in Union of Myanmar Phase I 2003~2004.
     10(1) 46-53 Jun. 2006
    The author Oguro was sent to the Union of Myanmar by AMDA, A non-governmental organization.Since October 2003, the author was engaged in a program on human resource development in Women'shealth Voluntary Groups (WVGs). The WVGs aim to improve regional maternal and child health in twovillages.The aim of this report is to describe the process of the development of the capacity building program. Theprogram looks at reproductive and child health, and the behavior changes in WVGs focusing on the periodfrom September 2003 to November 2004, which is defined as phase I . The program will be slated to continueuntil March 2008.The author and others planned the program based on the primary baseline survey, and set the objectivesand methods in 1.set up the group, 2.training, and 3.starting activity. After selection of the members, trustwas developed between WVGs/community and implementers through meetings and workshops, and theWVGs'capacity was built through training. Each member of the WVGs is in charge of approximately 15households and the program is slowly being accepted by the villagers through these activities. The followingactivities were conducted by the WVGs up to N
  • A report of the bioethics study group:Care of life from the viewpoint of identity.
    (32) 20-27 Mar. 2006
    The Bioethics Study Group, formed in 2000, has been conducting case study meetings once every month. In 2003 the group selected the topic Search for Spiritual Care and reported their findings in issue No.30 (2004) of this Bulletin. In 2005 we continued the Search, focusing particularly on the topic of identity. This report summarizes the discussions introduced by seven members based on cases from eachmember's special area of nursing. These cases are: 1) A conflict of identity between parents and medical professionals concerning decisions about their baby's treatment. 2) A mother's identity crisis when faced with the death of her baby due to an abnormal chromosome. 3) The case of a mother who had difficulties with identity due to a problematic pregnancy and childbirth. 4) The identity of a patient who lost her self-respect and suffered depression. 5) The case of a terminal-stage patient who regained his identity with the assistance of a student nurse. 6) The case of a husband with terminal cancer whose reconciliation with his wife and family was aided by home care. 7) The identity problem of an elderly person with dementia. These discussions did not follow any
  • Development of a graduate program in women's health and midwifery education and utilizing of international exchange agreement.
    (32) 28-36 Mar. 2006
    St. Luke's College of Nursing (SLCN) has expanded its graduate program by adding a Women's Health and Midwiferycourse in April 2005. There were major challenges both within the college and with other institutions in developing this new program. There are two courses, one for academic researchers and one for advanced practitioners. Permission to implement the program was granted with the understanding that, in addition to completing the master's course, those advanced practitioners who wish to qualify to sit for the national midwifery exam must also enroll in the specified courses necessary to take the exam. In the interest of developing midwifery education in the master's program, in August 2004 we invited faculty from our sister school, Oregon Health & Science University (OHSU) School of Nursing, and held a seminar. This was easily accomplished due to the International Exchange Agreement between OHSU and SLCN. The seminar included the introduction and comparison of the midwifery programs at each institution, an educational lecture, observing training at the college, and visiting a birth center. In February of the following year we visited OHSU. In order to pr
  • Experiences of expectant first-time fathers attending small group participative childbirth education class
    NAGAMORI Kumiko, HORIUCHI Shigeko, ITO Kazuhiro
    J. Jpn. Acad. Midwif. 19(2) 28-38 Dec. 2005
    PurposeThis paper aims to describe the experiences of the expectant first-time fathers, who attended small group participative childbirth education classes during the process of pregnancy, childbirth, and child-rearing, and also tries to explore the meaning of the classes to them.Subject and methodSemi-structured interviews were conducted with six expectant first-time fathers, who attended small-group participative childbirth classes. Three interviews with each expectant father were conducted after the classes ended. Qualitative and descriptive analyses based on the phenomenological approach were used for four of six expectant fathers' interviews.ResultsThis study found that attending small group participative child birth classes meant to the expectant first-time farthers: (i) restructuring the perception of pregnancy and childbirth within themselves to tackle their own problems, (ii) satisfaction in the process of sharing their experience as a couple, (iii) building confidence in the process of becoming parents, and (iv) understanding the changes of their life after the birth of the children, which they couldn't consider before.ConclusionThe expectant first-time fathers who attended the childbirth classes shared their anxiety and problems with other participants who were in similar circumstances of impending childbirths. The expectant fathers listened to the experiences of those who already became parents, developed new ideas about pregnancy and childbirth and mentally prepared themselves for the birth. This was a collaborative work of couples that attended the childbirth classes who felt satisfied with the birth experiences. However, it is also concluded that the expectant fathers found themselves unprepared for the postnatal life, although they actively participated to the childbirth education classes.
  • Evaluation of the self-managing team as a management system by team members
    KATAGIRI Masumi, HUKUI Toshiko, HORIUCHI Shigeko
    J. Jpn. Acad. Midwif. 19(1) 43-51 Jun. 2005
  • Difficulties and Fruitfulness of Randmized Controlled Trials in Nursing Research
    HORIUCHI S
    Journal of Japan Academy of Nursing Science 25(2) 116-118 Jun. 2005
  • Care for Mothers of Stillborn Babies : Self-help Meetings to Encourage Their Psychological Growth
    Miyamoto Nagisa, Ota Naoko, Horiuchi Shigeko
    Journal of St. Luke's Society of Nursing Research 9(1) 45-54 Jun. 2005
    The purpose of this study was to describe the process of self-help meetings for mothers of stillborn babies. In addition, the feelings that were expressed during the self-help meetings were categorized. Nursing professionals collaborated with mothers who experienced a stillborn baby and created a self-help group named WAIS(With the Angles in the Sky). The purpose of the group was to foster psychological support for mothers who shared the same experiences. Preparations began in June 2004 and the group was started in September 2004. The group met, once a month for three months, through December. Twelve mothers attended the meetings. Every self-help meeting lasted 4 hours. The mothers would talk; they shared their story with tears in their eyes and spoke openly and freely from their heart about their lost babies. The WAIS staff had over 1 year of experience with other similar self-help meetings and recognized the feelings expressed in the self-help group. Seven categories of meanings were identified : (1) The bitter experience of having a stillborn baby, (2) Their feelings for their husband, (3) Their feelings for their family and others, (4) The experience of the self-help activities, (5) Daily living after loss of the baby, (6) Their feelings for a role of facilitator, (7) Expectations for the hospital and nursing staff. For these mothers the self-help meetings meant a safe place in which they could open their hearts to feelings of grief, sorrow and isolation. The members experienced the same kind of loss and grief so they shared the same feelings and as a result they were able to heal themselves and they changed their lives. They wanted to make use of their experience for the benefit of others. This in turn led to increased self-esteem and encouraged their psychological growth. The successful key point is that the nursing professional has to be a good collaborator with people who are empowered by self-help meetings.
  • A Study of Factor and Causal Model Structure Analyses Related to E-Learning Neeeds of Professional Nurses
    OKUBO Nobuko, KAMEI Tomoko, KAJII Fumiko, HORIUCHI Shigeko, HISHINUMA Michiko, TOYOMASU Keiko, NAKAYAMA Kazuhiro, YANAI Haruo
    Journal of Japan Academy of Nursing Science 25(1) 31-38 Mar. 2005
  • Educational programs of international health and nursing in United Kingdom and Japan:A survery report.
    TASHIRO Junko, SAKAI Masako, SAKYO Yumi, HORIUCHI Shigeko, SUZUKI Yoshimi
    Bulletin of St. Luke's College of Nursing(31) 56-61 Mar. 2005
    This survey was a portion of the lager study for development of educational programs enabling Japanese nurses to fully participate in international cooperation for international development. International cooperation for global development is in demanded from Japan as a developed country. The authors visited and conducted interviews with two educational programs : "Tropical Nursing" at London School Health and Tropical Medicine, University of London and "International Health" at Department of Nursing, Midwifery and Community Health designed for graduate nurses at Glasgow Caledonian University. The authors collected information about : history and philosophy of educational program, degree or qualification after completion, targeted students, goals of course, students' background, jobs of graduates. In addition, the authors collected the same information on an international health program Japanese nurses attending and entitled "Health System Management" provided by National Institute of Public Health in Japan. "Tropical Nursing" is designed by using knowledge base and skills of tropical medicine and public health. "International Health" from an experienced nurse is designed to provide global perspectives for graduate nursing and health sciences students. In Japan, "Health System Management" provides both Japanese health professions as well as trainees from developing countries rich contents and learning environment. However, the number of nurses able to attend is limited. Currently, a number of nurses is working for development of nursing in developing host countries, and demands for appropriate competencies for international cooperation is great. The authors identify that new international program designed for Japanese nurses should be developed in the near future in order to responding to their continuing learning needs.
  • A report from the International workshop about the study findings: 'Design of educational programs for Japanese nurse whose mission is to transfer nursing knowledge in developing countries'.
    KAJII Fumiko, YAMAZAKI Yoshimi, TASHIRO Junko, HORIUCHI Shigeko, HIRABAYASHI Yuko, ARIMORI Naoko, SAKAI Masako, HISHINUMA Michiko, ETO Hiromi, SAKYO Yumi, ARAI Chouko, HIRANO Kayoko, YOSHINO Yae, INAOKA Mitsuko, HIRAGA Keiko, YAMADA Takumi, ICHIHASHI Tomiko, HONMA Satsuki, NIKAIDOU Noriko, KONISHI Yoshiko, SUZUKI Satomi, OHNO Natsuyo
    Bulletin of St. Luke's College of Nursing(31) 17-25 Mar. 2005
    This article describes the January 24-25, 2004 international workshop proceedings held at St. Luke's College of Nursing. The purpose of the workshop was to share the 2002 and 2003 findings, from the research study titled 'Design of Educational Programs for Japanese Nurses whose Mission is to Transfer Nursing Knowledge in Developing Countries' with three international advisors. The focus of the research was to develop graduate, continuing and postgraduate programs in order to prepare those Japanese international nursing collaborators who engage in technical transfer activities in developing countries. Three groups conducted this research. Groups one and two focused on 'Personn el development Program' and 'Basic Nursing Educational Program'. Group three focused on the Process of Technical Transfer. Each of the groups presented their findings and proposed preliminary educational guidelines or educational programs. The members of the workshop provided additional suggestions and ideas for the final year of this study in 2004.
  • Crisis : Midwife manpower shortage in clinics : How did this happen? Can we solve it?
    堀内 成子
    日本助産学会誌 18(2) 2-3 Dec. 2004
  • The lived experiences of reproduction for woman who has hereditary characteristics : a phenomenological study
    NAKAGOMI Satoko, HORIUCHI Shigeko, ITO Kazuhiro
    日本助産学会誌 18(2) 44-62 Dec. 2004
  • Approaches towards the smart use of methods in evidence-based medicine
    MAEDA Naomi, SATO Taiko, OSUMI Kaoru, YAJU Yukari, HORIUCHI Shigeko
    J. Jpn. Acad. Midwif. 18(2) 94-106 Dec. 2004
  • Japan Journal of Nursing Science(JJNS)への投稿のすすめ
    江藤 宏美, William Holzemer, 田代 順子, 堀内 成子, 菅田 勝也, 片田 範子, 萱間 真美, 村嶋 幸代, 野嶋 佐由美, 真田 弘美, 大西 和子, 鈴木 志津枝
    日本看護科学学会学術集会講演集 24回 611-611 Dec. 2004
  • Competency of Genetic Nursing Practice in Japan : A Comparison between Basic & Advanced Levels
    ARIMORI Naoko, NAKAGOMI Satoko, MIZOGUCHI Michiko, MORITA Minako, ANDO Hiroko, MORI Akiko, HORIUCHI Shigeko, HOLZEMER William L
    Journal of Japan Academy of Nursing Science 24(2) 13-23 Jun. 2004
    The purpose of this study was to survey experienced genetic health care provider's perceptions of the level of practice competency required for Basic Level and Advanced Level Genetic Nursing. Basic level refers to the general nurse and the advanced level refers to the genetic nurse. The respondents who agreed to participate in the study were 491 nurses and physicians who were involved in genetic care in 113 institutions of 40 prefectures. The questionnaire we developed was comprised of 89 items in seven areas of competency for genetic nursing. The respondents were asked to assign the competency items to one of the following nursing levels: (a) General Nurse; (b) nurse who specializes in Genetic Nursing; or (c) not appropriate for the nurse. Data were collected from January to March 2001. The Delphi Method was used to explore areas of agreement regarding competency fit among the respondents. Three iterations of the survey, resulting in a response rate of 60%(295 respondents), provided sufficient clarity for assigning levels of competence. <BR>Respondents selected the following areas of competence for the General Nurse: living support, psychological support and identifying client's needs. For the Genetic Nurse they selected: provision and exchange of appropriate genetic information among health care providers, reference and collaboration with other institutions and helping clients to understand their conditions and characteristics. As a result, competency of the Basic Level and the Advanced Level were clarified in Genetic Nursing. The results help provide directions for the furtherance of genetic education in nursing in Japan.
  • Safety management for independent midwives
    ETO Hiromi, ARIMORI Naoko, HORIUCHI Shigeko, KATAOKA Yaeko, NOGUCHI Makiko, IMAMURA Tomoko
    日本助産学会誌 18(1) 56-61 Jun. 2004
  • Evaluation of the Peer Counseling Seminar
    WATANABE Junichi, HORIUCHI Shigeko, KOYOH Miki, TAKEUCHI Chieko, KATAGIRI Masumi, TAKAMURA Hisako
    思春期学 = ADOLESCENTOLOGY 22(1) 167-174 Mar. 2004
  • The needs survey on E-learning lectures in the professional Nurses who work in Health, Medical, Welfare and Educational Institutions.
    KAMEI Tomoko, KAJII Fumiko, HORIUCHI Shigeko, HISHINUMA Michiko
    Bulletin of St. Luke's College of Nursing(30) 66-73 Mar. 2004
    In 2002, St. Luke's College of Nursing faculty began exploring the possibility of delivering e-learningin higher education to nurses who had completed their basic nursing education. It was deemed importantto understand the e-learning situations and problems both in Japan and abroad.The purpose of this survey was to understand the learning needs and interests of nurses workingin health, medical, welfare, and educational institutions in Japan for the eventual development ofcourses including learning materials to be used in an e-learning program scheduled for 2005.A survey to determine educational interests and needs was developed and sent by post to a randomstratified sample of nurses in Japan. Included in the survey were public health nurses, midwives,and nurses working in health, medical, welfare and educational institutions, and companies. Excludedwere nurses working in clinics, public health centers and other institutions. Eligible institutions numbered810 with a total of 3,466 nurses. For the most part, each institution was asked to choose fivenurses to respond to the survey. Agencies with small numbers of nurses were sent one survey form.The response ra
  • A report of the bioethics study group : search for spiritual care.
    NISHIMURA Tetsuro, HORIUCHI Shigeko, ITO Ryuko, OSAKO Tetsuya, SHIMOEDA Keiko, MATSUMURA Chizuka, IBA Noriko, AOKI Mikiko, ARIMORI Naoko, KATSURAGAWA Junko, KAWACHI Kanako, NAKAGOMI Satoko, NODA Yoko
    Bulletin of St. Luke's College of Nursing(30) 48-56 Mar. 2004
    The Bioethics Study Group was formed in the year of 2000 by a group of graduate students of this college, T. Nishimura the instructor of the bioethics course being an advisor. The Group met once amonth and each participant took his/her turn presenting a case study relating one's own field of nursing.This report, after a brief sketch of the work up to 2003, summarizes the discussions on Search forSpiritual Care the Group devoted in 2003.In the beginning is described a view on “Spirituality“ and “Spiritual Care“ in general and follow thediscussions based on the cases six members introduced of each one1s special area.The following are the topics of the discussions; (1) advanced medicine and spiritual care in thearea related to assisted reproduction, (2) in child health nursing area, about spiritual care for amother and her child based on literature reviews related to the growth of children, (3) in adult nursingarea, about spiritual care in finding the meaning of life through diet, (4) in psychiatric nursingarea, about spiritual care for a patient to regain eagerness for life, (5) in home nursing area, abouta difficulty of spiritual care for a patient who
  • Barriers to the development of the midwifery model : Problems of hospital care systems, as seen by midwives
    HORIUCHI Shigeko, MORI Akiko, EMISU Fumie, FUJIMOTO Eiko, KISHIDA Sachi, NAITOH Kazuko, IWASAWA Kazuko
    日本助産学会誌 17(1) 47-53 Jun. 2003
  • Characteristics of Theses and Dissertations at St.Luke's College of Nursing Graduate School: The First Twenty Years.
    ARIMORI Naoko, IBA Noriko, SUZUKI Satori, MATSUMOTO Naoko, ITO Kazuhiro, HORIUCHI Shigeko, YOKOYAMA Miki, OIKAWA Ikuko, SIRAKI Kazuo, HISHINUMA Michiko, OZAWA Michiko
    Bulletin of St. Luke's College of Nursing(29) 59-72 Mar. 2003
    The purpose of this study was to describe characteristics of masters' theses and doctoral dissertationsduring the first twenty years of the Graduate School to make that a basis from whichto discuss the future of the Graduate School. A total of 278 masters' theses and 24 doctoral dissertationswere studied. Major analysis items included: student specialty, year of submission,source of data, study design, method of data gathering, type of quantitative analysis, type ofqualitative analysis and inclusion of a statement describing ethical considerations.Care receivers (child and adult patients) were the source of data for more than half the masters'theses. Of all studies, 70% were descriptive. Interview was the most frequently used datagathering method, followed by questionnaire and observation. Regarding data analysis, 205 usedqualitative analysis, 128 used quantitative analysis and 55 used both. 80% of the theses includeda statement describing ethical considerations. Care receivers (child and adult patients) were the source of data for 80% of doctoral dissertations. For the preliminary studies, qualitative descriptive design was most frequently used (6studies).
  • Experience of Graduates and Their Views about the Graduate School for the Future: St. Luke's College of Nursing Graduate School 1980~2000
    OZAWA Michiko, OIKAWA Ikuko, YOKOYAMA Miki, ITO Kazuhiro, SIRAKI Kazuo, HORIUCHI Sigeko, IBA Noriko, ARIMORI Naoko, SUZUKI Satori
    Bulletin of St. Luke's College of Nursing(29) 47-58 Mar. 2003
    St. Luke's College of Nursing Graduate School has celebrated its 20th anniversary. Theobjective of this study was describe characteristics of the graduates of the first 20 yearsand learn their ideas about graduate education in order to take them into consideration inour discussions of the future orientation and policies of the Graduate School. In July 2001we mailed questionnaires to the 299 graduates (278 master's graduates and 21 doctoralgraduates). Slightly more than one-third provided data for our study.The findings refer to both groups, with some detail presented for master and doctoralgraduates separately.・Of the graduates, 80% entered graduate school as private persons and 20% were takingofficial leave from their employers or receiving other support from them.・Motivations for entering graduate school included: improvement of research ability, study in a field or theme of particular interest, improvement of ability in a special nursingfield and motivation to learn more. More than 90% reported that these objectiveswere achieved.・Their present occupations are : 70% in education-related positions; 20% in clinical settings. They wish to continue in their fields.
  • Appropriate fetal monitoring during labor in the management of low risk pregnancies : An evidence based guideline
    YAJUU Yukari, HORIUCHI Shigeko
    日本助産学会誌 16(2) 6-15 Feb. 2003
  • Developing the academy of midwifery through research-based orientation
    HORIUCHI Shigeko
    J. Jpn. Acad. Midwif. 16(1) 58-66 Aug. 2002
  • Evidence-based Guidelines for Use of Electronic Fetal Monioring (EFM) : Appropriate Use of Electronic Fetal Monitoring in Low Risk Pregnancies
    Yaju Yukari, Horiuchi Shigeko
    Journal of St. Luke's Society of Nursing Research 6(1) 34-43 Jun. 2002
    Objectives : Electronic fetal monitoring (EFM) with the cardiotocography is widely used monitoring methods in most of hospitals in developed countries. In Japan, most obstetric units are equipped with EFM and EFM monitoring becomes a routine procedure in many units. Despite its prevalence, the effectiveness and safety of its usage are questionable. Some literature pointed out the false positive rate and increase of mechanical delivery as a result. The purpose of this study was to identify evidence based application criteria and usage of EFM. Quality assessment on the practice guidelines for labor and delivery management involving EFM was implemented. The guidelines for use of EFM in low risk deliveries were compared and evaluated. Methods : Practice guidelines for the management of labor were collected by electronic database search and from references of the retrieved guidelines. The collected guidelines were evaluated based on two kinds of checklists and quality of evidence included in the guidelines. Results : The most well-designed, and evidence-based guideline with the highest quality was the guideline The Use of Electronic Fetal Monitoring' developed by the Royal College of Obstetricians and Gynaecologists followed by Fetal Health Surveillance in Labour' developed by the Society of Obstetricians and Gynecologists Canada. In those guidelines, the routine use of EFM for low risk labor was not recommended, instead they recommended the intermittent auscultation. Conclusions : In low risk pregnancies intermittent auscultation is the first choice for fetal monitoring on both admission screening and throughout labor. The routine use of EFM must be limited to high risk pregnancies. The use of EFM during labor needs to be considered based on the risk factors of mother and fetus in each case.
  • Evaluation of the Revised Curriculum by Three Graduating Classes (1999-2001)
    OZAWA Michiko, MORI Akiko, KUSHIRO Wakako, MOMOI Masako, KATAGIRI Kazuko, HORIUCHI Shigeko, ONJOJI Yasuko, KIKUTA Fumio
    Bulletin of St. Luke's College of Nursing(28) 39-49 Mar. 2002
    In 1995 a revised curriculum was implemented at St.Luke's College of Nursing, beginning with first year students. Changed aspects included promoting self-learning ability and integrated learning, and sequencing of curriculum subjects. Evaluations were obtained from students from the first three classes to experience the new curriculum.An evaluation questionnaire was given and collected on the day before graduation day. Students responded to questions about the relation between a senior-level course called “Integrated Nursing ・ Nursing ResearchⅡ“ and the already completed subjects, the sequencing of subjects in the curriculum, satisfaction level and evaluation of classes, educational system and educational support.Four major findings were identified. ① That students identified the relevance of many courses for “Integrated Nursing ・ NursingResearchⅡ“ was interpreted as confirming the integrity of the curriculum.②The revised curriculum put general educational subjects in the first year in light of their importance as a foundation for nursing but evaluations from students indicated that they hoped for nursing subjects from the first year. The problem fo
  • 女性のリプロダクティブ・ヘルスに関する認識の比較:マラウイと日本
    (28) 106-115 Mar. 2002
  • A Comparison of Reproductive Health Knowledge Between Malawi and Japanese Women
    NASORO Fortunate Ethel, ARIMORI Naoko, MORI Akiko, HORIUCHI Shigeko
    Bulletin of St. Lukes’ College of Nursing 28, 106-115(28) 106-115 Mar. 2002
    The purpose of this study was to compare the knowledge and understanding of reproductive health of women and adolescents in Malawi and Japan with the goal of promoting safe motherhood by preventing unwanted pregnancy and induced abortion. Documents and interviews provided data for this study. Significant issues warranting interventions were observed in the two countries. These are lack of adequate reproductive health knowledge, social problems and gender imbalance. We found out that these three are the main contributors to unwanted pregnancy, hence induced abortion. The results suggest that midwives in the two countries have a significant responsibility in promoting reproductive health education with adequate follow-up for the promotion of safe motherhood. High rates of unprotected sex are a threat to the promotion of safe motherhood. During the study we also realized the importance of increasing the awareness of the different cultures and exchanging ideas from the two countries.
  • The coexistence humanistic midwifery & the technology model of medicine within hospital and community
    HORIUCHI Shigeko
    日本助産学会誌 15(2) Feb. 2002
  • The practical skills and resposibilities that a midwife should have
    平澤 美恵子, 松岡 恵, 江角 二三子, 園生 陽子, 堀内 成子, 村上 睦子
    日本助産学会誌 15(1) 43-59 Aug. 2001
  • Creating the Theory of Nursing Policy to meet the Public Needs
    MURASHIMA Sachiyo, YASUDA Miyako, HASHIMOTO Maki, HORIUCHI Shigeko, KATADA Noriko, HISATSUNE Setsuko
    Journal of Japan Academy of Nursing Science 21(2) 81-89 Aug. 2001
  • Nurses' attitude and knowledge about sexual assault
    KATAOKA Yaeko, HORIUCHI Shigeko
    J. Jpn. Acad. Midwif. 15(1) 14-23 Aug. 2001
    The purpose of this study was to examine nurses' attitudes toward sexual assault, general knowledge of sexual assault, and comprehension of nursing care for survivors, and explored the relationship between these aspects and personal characteristics of the nurse.<BR>379 nurses working on obstetric/gynecologic (OBGY), surgery, and emergency room units at 11 hospitals and 1 clinic participated in this survey. The Rape Supportive Attitude Scale (RSAS) was translated by the author. The Test of General Knowledge of Sexual Assault and the Comprehension Test of Nursing Care for Rape Survivors were author-developed. Factor analysis of the RSAS yielded four factors:(1) image of the rape victim and justification of assailants, (2) some rape is induced by women and is their responsibility, (3) women's sexual preferences, (4) men desire rape.<BR>As a result, three personal characteristics of nurses were correlated with the dependent variables: being a midwife, working in OBGY and interest in nursing care for rape survivors. Midwives had more favorable attitudes toward survivors (RSAS), higher general knowledge of sexual assault, and greater knowledge of nursing care.<BR>The above findings, together with the findings that 71% of respondents were interested in nursing care for survivors but few had the chance to learn, indicate that an educational program that focuses on the nursing care for rape survivors should be planned for nurses.
  • Collaboration Between a Project in Northeast Brazil and the Department of Maternal Infant Nursing and Midwifery at St.Luke's College of Nursing from 1996 to 2000.
    HORIUCHI Shigeko, ARIMORI Naoko, KATAGIRI Masumi, OKAMURA Haruko, MOMOI Masako, MORI Akiko, MITSUHASHI Yasuko, MORI Taeko
    Bulletin of St. Luke's College of Nursing(27) 26-34 Mar. 2001
    This report traces international cooperation for a project between Brazil and the Department of Maternal infant Nursing and Midwifery at St. Luke's College of nursing over the past five years. As one of our goals as members of the WHO Collaborating Center for Nursing Development in Primary Health Care, we are searching for effective strategies to ensure safe motherhood.The Maternal and Child Health Improvement Project in Northeast Brazil was launched in April 1996, and will be carried out though march 2001 in the State of Ceara. This project is collaboration between the Government of the Federal Republic of Brazil and the Government of Japan with the purpose of improving health conditions in Northeast Brazil. One of the objectives of the project is to improve maternal and child health services and to promote health education activities at the community level by including the training of community - based health personnel.The initial survey revealed that cesarean section rates were high and there was much artificial intervention. In addition, laboring women did not receive humanistic care. It was felt that delivery related care, including care at the primary level, Would
  • Research Trends and Issues : An Analysis of Studies Published in the Journal of Academy of Midwifery from 1987 to 2000
    NOGUCHI Mayumi, HORIUCHI Shigeko, MITSUHASHI Yasuko, TAGA Yoshiko
    日本助産学会誌 14(2) 59-65 Feb. 2001
  • Evidence-Based Nursing and Literature Database : Development a Database to Support Nursing Practice and Research
    MIYO Kengo, HORIUCHI Shigeko, TSURU Satoko, ISHIGAKI Kyoko, ETO Hiromi, KASHIWAGI Kimikazu, SANADA Hiromi, MATSUMOTO Naoko, YANAGIDA Masahiro, YAMADA Masako
    医療情報学連合大会論文集 20 208-209 Nov. 2000
  • Night Sleep and Infant's Temperament during First Four Month after Delivery
    ETO Hiromi, HORIUCHI Shigeko
    日本助産学会誌 14(1) 24-34 Aug. 2000
  • An Intelligence Network and Support for Research : a JANS Concept
    HORIUCHI S, TSURU S, MIYO K, SANADA H, ISHIGAKI K, YAMADA M, KASHIWAGI K, YANAGIDA M, ETO H
    Journal of Japan Academy of Nursing Science 20(1) 44-48 Mar. 2000
  • Threat of Technology
    HORIUCHI Shigeko
    日本助産学会誌 13(1) Nov. 1999
  • Participation in the Second International Conference of the Global Network of WHO Collaborating Centers for Nursing and Midwifery.
    (25) 81-86 1999
    The Second International Conference of the Global Network of WHO Collaborating Centres for Nursing and Midwifery was held in Korea this past year.St.Luke's College of Nursing joined in the poster session in the “Expo Nursing Edu“which focused on nursing education, specifically education for nursing specialists.The midwifery curriculum and master and doctoral courses were introduced in the poster session.Information exchange and discussion at this session gave us an opportunity to learn more about the current status of education in universities in various countries and territories.Throughout the conference, we found opportunities for collaboration within the global network, regional offices, countries and centers.We also gained a greater understanding of global and regional viewpoints, and we obtained information and recommendations as to our role as a member of the WHO Collaborating Centres.
  • Quality of Cares During Pregnancy, Delivery and Postpartum Periods Evaluated by Women
    HORIUCHI Shigeko, SHIMADA Keiko, SUZUKI Miyako, MOHRI Taeko, TANIGUCHI Michie, TAGA Yoshiko, MIYAZATO Kuniko
    日本助産学会誌 11(1) 9-16 Dec. 1997
    本研究はケアの受け手である女性が妊娠・分娩・産褥期のケアをどのように評価しているか実態を明らかにすることを目的として行った。6都府県26施設 (助産所・個人医院・総合病院・大学病院) に入院中の正常褥婦1,065名に質問紙が配布され, 有効回答は816名 (76.6%) から得られた。測定用具は, 研究者らが開発した自記式質問紙であり, 信頼性・妥当性の検討を行った。その結果, 妊娠・分娩・産褥期のすべてのケア得点が最も高かったのは助産所であり, いずれも低得点であったのは総合病院でケアを受けた褥婦であった。ケアの満足度についても, 最も高かったのは助産所であり, 次に個人医院, 大学病院, 総合病院の順であった。これらの各期のケア得点と全期間のケアに対する満足度は助産所の得点が, 他の施設に比べて有意な差で高得点であった。顧客の再来・他者への紹介については, 助産所が最も高く, 次いで, 個人医院, 総合病院, 最後は大学病院であった。この施設間の平均値には, 有意な差が認められた。ケアの満足度を予測する変数としては, 妊娠・分娩・産褥期のケア得点であり, 同様に, 顧客の再来・他者への紹介を予測する変数としても, 先述の各期のケア得点が選ばれた。
  • Quality Assessment of Intrapartum Care : The Care Perceived by Mothers and Midwives
    KISHIDA Sachi, FUJIMOTO Eiko, MORI Akiko, HORIUCHI Shigeko, IWASAWA Kazuko, EMISU Fumie, NAITO Kazuko, SUZUKI Setsuko
    日本助産学会誌 10(1) 20-28 Dec. 1996
  • Development of Questionnaire to Measure the Quality of Nursing Care for Patients and Nurses : A Study of Validity and Reliability
    HORIUCHI Shigeko, OTA Kikuko, KOYAMA Mariko, MORI Akiko, KOMATSU Hiroko, OKAYA Keiko, TAKADA Sanae, IBE Toshiko, IWASAWA Kazuko, IIZUKA Kyouko, SHIMIZU Kimiko, YAMADA Masako, MINAMI Hiroko, HOLZEMER W. L
    Journal of Japan Academy of Nursing Science 16(3) 30-39 Nov. 1996
    The present study was designed to develop questionnaires to measure the quality of nursing care from viewpoints of nurses and patients and to examine the validity and reliability of the instruments.<BR>Subjects were patients who were able to fill in the questionnaire form by themselves and nurses working at the same wards (46 wards) in 9 medical institutions located in Tokyo and 3 prefectures. An effective response was received from 626 patients and 742 nurses. The questionnaires used in the study were self-report instruments (2nd version) designed to assess the quality of nursing care, consisting of 39 question items in 11 subscales for patients (QNCQ-PT) and 43 question items in 11 subscales for nurses (QNCQ-NS). Both types of questionnaires included 4 Likert scales from disagree to strongly agree.<BR>Results of testing for the validity of QNCQ-PT supported construct validity, concurrent validity and predictive validity. Reliability tests also showed internal consistency and stability, which was examined using the test-retest method, of QNCQ-PT as a whole.<BR>Validity tests of QNCQ-NS supported construct validity. Reliability tests also showed internal consistency and stability, which was examined using the test-retest method, of QNCQ-NS as a whole.<BR>The above findings indicate that QNCQ-PT and QNCQ-NS have enough reliability and validity for practical use.
  • Report on the 1st Academic Lecture
    宮里 和子, 園生 陽子, 毛利 多恵子, 堀内 成子
    日本助産学会誌 9(1) 62-64 Dec. 1995
  • Comparative Study of Electric Fetal Monitoring and Intermittent Auscultation
    HAKU Mari, ATOGAMI Fumi, ARIMORI Naoko, HORIUCHI Shigeko
    日本助産学会誌 9(1) 11-22 Dec. 1995
  • Evaluation of the 1994 Revised Curriculum by Graduating Senior Students of St.Luke's College of Nursing, Class of 1999, after Completion of the Baccalaureate Program.
    (26) 133-143
    This report identifies levels of student satisfaction with the revised curriculum(begun in 1995), as well as their satisfaction with the arrangement of subjects and the correlation among them.A survey by questionnaire was conducted just before graduation using 57 graduating seniors as subjects.The content of the questionnaire included the following:(1)what subjects contributed to their writing the paper for Comprehensive Nursing/Nursing Research II;(2)what was the degree of satisfaction with the curriculum and reason(s);and (3)how did the students assess the classes taken, the educational facilities and equipment.The 10 question items were selected from the survey done in 1997 by Bennese Bunkyosoken(Educational Survey Corporation)The results were:(1)the subjects studied significantly contributed to writing the Comprehensive Nursing/Nursing Research II(graduation paper);(2)the correlation between each subject taken and the Comprehensive Nursing/Nursing Research II was significantly strong;(3)the degree of student satisfaction with the entire curriculum was approximately 80%;and(4)the student responses concerning overall satisfaction with the classes in the program as well as the
  • Pregnant women:A comparison of Ghanaian Japanese experiences duri
    Boateng-Botwe, Iris,Eto, Hiromi,Momoi, Masako,Horiuchi, Shigeko
    (26) 111-116
    The purpose of this study was to compare the experiences of pregnant women in Ghana and Japan with the ultimate goal of exploring ways to improve maternal and child care.We interviewed 28 pregnant women in three Maternity Homes and in one hospital in Japan and obtained their informed consent to participate in the study.Following collection of this data, discussions were held with midwives who are owners of maternity homes, practitioners, and researchers.The data was gathered from May through July in 1999.The mean age of the pregnant women interviewed was 30 years, and their ages ranged from 17 to 43 years.There were 10 primipara and 18 multipara.The study compared three aspects of the pregnant women's experiences in Ghana and Japan:issues related to the individual, environment, and institution.We found that pregnant women were motivated in their self-care by the interventions of midwives, which were not only directed toward solving their medical problems, but also toward encouraging adaptation to motherhood.Our results suggested that midwives have significant responsibility in promoting good maternal and child health in these two countries.
  • The New Curriculum at St. Luke's Callege of Nursing(1995 edition)
    (22) 113-121
  • Participation in the IEC Workshop on Adolescent Sexual Health. -A Challenge to Protect Reproductive Health / right in Latin America and Caribbean Region-
    (23) 69-80
    In order to explore the possibility of new global activity in nursing/midwifery to be performed by the WHO Collaborating Center for Nursing Development in Primary Health Care at St.Luke's College of Nursing, the center sent two faculty members to attend the IEC Workshop on Adolescent Sexual Health held in November 1996in Mexico.The two representatives took part as resource persons and reported to the workshop on the activities of nurses and midwives for adolescent sexual health in Japan.During the session, they obtained information on the actual situation of adolescent sextual health in Latin America and Caribbean region and the novel strategies which were carried out in cooperation between governmental and non-governmental organizations.The workshop also provided a good opportunity for international communication and information exchange with health workers in the region about adolescent sexual health. By participating in the workshop, we obtained firsthand information on various aspects of cooperation in international health.
  • A Study of Nursing Systems in Transition in Developed Countries.
    (23) 49-68
    The present study was designed to investigate nursing systems in other countries in comparison with the current system in Japan, and thereby assess how nursing personnel should be in order to improve the quality of nursing.The study focused on the actual situation of the nursing system and licensed practical nurses(LPNs)or second-level nurses similar to LPNs in other countries. The survey was conducted in regard to six countries considered to be advanced in the development of nursing activities and likely to provide usueful suggestions for the future direction of nursing in Japan:Australia, Canada, France, Sweden, the United Kingdom and the United States.Questionnaires were sent to the heads or staff of a total of 29 organizations, including WHO Collaborating Centers and professional organizations for nursing, in these countries.Nineteen organizations responded(response rate:65.5%), and an effective response with completed questionnaire forms was obtained from 15 organizations.In addition, an interview survey was conducted on three nursing administration and education experts in the United States in order to acquire clear understanding of the actal state of nursin
  • An Experiment in a New Method of Nursing Education -the Problem-Based Learning for Prenatal Nursing-
    (23) 29-39
    At the opening of lectures in 1995 on the Science of maternity Nursing in the Special Subjects of Nursing, a problem-based learning was tried as a new educating method in the unit if “Prenatal Nursing.“In the present paper, reviewing the introduction/implementation of the method, subjects in the future are described. This process contained two major flows, one was the training of tutors in problem-based learning, including participanting the workshop held at McMaster University, and the other was the preparation for the class at the introduction of the new educational method, such as the overall subject composition and the development of teaching materials of prenatal nursing and resources, etc.according to the procedures of the problem-based learning. As the results of the actual implementation, various different reactions in comparison with the lecture method were observed both in tutors and students. As the subjects hereafter, the following three points have been clearly elucidated, that is, in order to proceed the problem-based learning under the present condition that it is not in the comprehensive curriculum, to prevent the overload and conflict
  • An Experiment in Midwifery Education -A New Method to Reinforce the Ability to Diagnose -
    (24) 60-65
    In our midwifery program, the goal is to prepare students who can integrate knowledge, diagnose individually, and plan uniqe care.During the theoretical component of our program, students acquired knowkedge through lectures.The students had not yet had the opportunity to gain experience in the clinical setting.When students tried to understand a real phenomenon, like that of childbirth, they had difficulty.We, therefore, developed a new teaching method to assist the student in achieving our goal. In order to reinforce the ability to diagnose, we planned no lectures, but instead, planned the review of many paper patiens.We developed simulated practices in the classroom, lectures by specialists, and practices in hospitals and birth centers where case studies were reviewed to help students conceptualize real cases. In this paper, we will describe the process of how we considered this new teaching method and how we applied it in our program.
  • Nursing Systems in Relation to Licenced Practical Nurses in Overseas Countries.
    (24) 43-59
    With the coming of an aging society associated with a low birth rate, the people of Japan are facing major changes in their health care system.Including a shift to community-based health care.The present study was designed to investigate the actual situation of nursing practice and the educational background of nursing personnel, including registered nurses(RNs), licensed practical nurses and similar second-level nurses(LPNs) and auxiliary nursing personnel(ANP), in other countries and to analyze the situation in relatation to the health care system. A questionnaire survey was conducted on medical and health care facilities, including general hospitals, clinics and nursing homes selected with the cooperation of WHO collaborating centres for nursing/midwifery development located in various countries.Information about facilities in countries having no WHO collaborating centres was obtained from participants in a seminar hosted by the International Nursing Foundation of Japan.Self-report questionnaire used in the survey mainly consisted of questions concerning (1)the type and number of health personnel working in the facilities, (2)educational preparation, qualificatio

Awards & Honors

  • Aug. 2018 Oxytocin response following breast stimulation in pregnancy: A systematic review

Research Grants & Projects

  • Development and dissemination of the Oxycontin activation program for promoting tailor-made childbirth and child rearing experience
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (A)
    Project Year: Apr. 2017 - Mar. 2021  
  • The effect of CBT based communication skill training program for nurses and midwives in perinatal loss care: A randomized controlled trial
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Project Year: Apr. 2015 - Mar. 2019  
  • Mama Touch Program to Stimulated Mother-Baby Bonding for First-time Pregnancy
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Challenging Exploratory Research
    Project Year: Apr. 2016 - Mar. 2018  
    The purpose of this study was to clarify the psychological and physiological changes of women in the third trimester of pregnancy who had no experience of interacting with infants. A randomized control trial with two groups was conducted: a) the intervention group experienced the actual interaction with infants; b) the control group only watched a DVD movie of infants. Low-risk Japanese primipara women at 38 weeks gestation were enrolled in the study yielding 38 women allocated to intervention group and 42 women to the control group. While there were no pre or post differences for cortisol or oxytocin levels between the two groups, there was a significant pre and post difference in cortisol levels within each group. Also, after the intervention the state-anxiety was significantly decreased and the approach score was significantly increased intervention group.
  • Sleep disturbances on a pregnant woman and influences on her fetus and infant--------For early findings of postpartum depression state
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Project Year: Apr. 2015 - Mar. 2018  
    We have been developing a system of fetal movement acceleration measurement (FMAM). This system consists of two channels of fetal and maternal movements. This study examined whether the FMAM system is useful to see maternal sleep disturbances and influences of fetal movement during a pregnant woman’s sleep on maternal sleep. The subjects were eighteen healthy pregnant women at 24-36 gestational weeks. We recorded fetal and maternal movement signals simultaneously.At the results,maternal time in bed, and maternal waking time were similar to those of our previous polysomnographic studies. The number of synchronized fetal-maternal movements corresponded to that of maternal micro-arousals.This study suggest that the FMAM system is useful to see a pregnant woman’s sleep disturbance, especially relationships with her fetus. Further studies of fetal-maternal synchronization from late pregnancy to early postpartum are needed to investigate postpartum depression state.
  • Research for spread of systematic reviews and development of infrastructure in midwifery care
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Project Year: Apr. 2015 - Mar. 2018  
    As part of human resource development in midwifery and of the promotion of understanding the Cochrane activity, we held seminars named ‘the St. Luke’s Cochrane School’ annually (twice a year) through the study period. The numbers of participants were around thirty per each seminar. Two of the participants in the seminar recognised the necessity of the randomised controlled trial and conducted the trials evaluating the effectiveness of midwifery care, respectively. Another participant of the seminar conducted the questionnaire survey on midwifery care policy. Further, we completed the protocol of the Cochrane systematic review on homeopathy for reducing blood loss in the third stage of labour.
  • Relationship between intimate partner violence and infant abuse using structural equation modeling: A prospective cohort study
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (B)
    Project Year: Apr. 2013 - Mar. 2018  
    The aim of this study was to identify the structure of relationships between intimate partner violence and infant abuse. Study participants were 319 women (mothers) and 203 their partners (fathers). Three factors, sleep disorder, IPV and bonding disorder, had a stronger correlation between parents’ abusive behaviors. Two types of model were guided by hypothesis A and B. According to multiple group analysis (model A), each parent’s bonding disorder (T1) affected abusive behavior (T2). Especially, in the father’s model, IPV (T1) affected IPV (T2), and IPV (T2) affected abusive behavior (T3). In model B, mother’s IPV (T1) also affected father’s IPV (T2).
  • The Effect of Aromatherapy and Nipple Stimulation on Oxytocin Release
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (B)
    Project Year: Apr. 2014 - Mar. 2017  
    Oxytocin level changes between before and after the foot bath infused with ①clary sage and lavender essential oils (n = 27), ②jasmine essential oil (n = 26), ③no essential oil (n = 25) and feasibility of the study protocol were examined in pregnant women. Oxytocin level significantly increased after the foot bath① (p = .035), although significant differences were not observed in the foot bath② and ③.Oxytocin level had large variance and the cause is required to be clarified. 22 low-risk primiparas (intervention group) at the end of pregnancy performed self-breast stimulation with 1 hour per day for 3 days. The control group as usual care was 20 women. The saliva oxytocin level on the third day was significantly higher in the intervention group and the frequency of uterine contractions during the experiment was also significantly increased in the intervention group. Repeated breast stimulation for spontaneous onset of labor led to increased oxytocin levels.
  • Randomised controlled trial using smartphone website vs leaflet to support antenatal perineal massage practice for pregnant women
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Challenging Exploratory Research
    Project Year: Apr. 2014 - Mar. 2016  
    In Japan, the rate of pregnant women who practice antenatal perineal massage was only 15.1%.The aim of this study was to develop and evaluate a smartphone website and a leaflet to support antenatal perineal massage practice for primiparous women.Methods:In a randomised control trial, 161 primiparous women were randomly assigned to a smartphone website group (n = 81) or a leaflet group (n = 80). Data analysis were by per protocol analysis and intention to treat analysis. Findings:Of the 161 women participants, 47 in the smartphone website group and 49 in the leaflet group completed all questionnaires. Primary outcome was continuance rate (three times a week over a three week period) of antenatal perineal massage practice. The rates by a per protocol analysis were 51.1% in the smartphone website group and 51.0% in the leaflet group, respectively. There was no significant difference between the groups.
  • RCT to Assess the Effectiveness of a Self-Care Program for Pregnant Women for Relieving Hiesho
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Project Year: Apr. 2013 - Mar. 2016  
    Objective:To assess differences in improvement of hiesho (sensitivity to cold) through a randomized controlled trial (RCT) of one group that used a self-care program (the Home Care Package Program for Relieving Hiesho) and another that did not. Results:Findings for 140 pregnant women, 73 in the experimental group and 67 in the control group, were analyzed. Participants’ body temperatures were measured after completion of the program for four weeks and compared to their temperatures before starting the program. Compared to the control group, arm skin temperature was 3.0°C (p<0.001) higher and leg skin temperature was 1.93°C (p=0.02) higher among the experimental group, significantly higher compared to the control group.
  • Implementation and evaluation of an educational transcultural nursing program for perinatal nursing staff in the multicultural society
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Project Year: Apr. 2013 - Mar. 2016  
    This research is to implement and assess ‘the program to train perinatal nurses to nurture a multicultural sensitivity’, which enables nurses to accommodate patients from diverse backgrounds.The research method consists of three steps; the program development based on programs we have previously built: the main survey: and publications of the results at both domestic and international academic conferences after analyzing the data.At the same time, the researcher regularly organized and held a workshop named ‘Healthcare Cafe’ to raise a consciousness of a care for foreign patients. The researcher believes the program and the workshop have encouraged nurses to learn different languages and cultures and also made a change in minds and attitudes towards foreigners. Accordingly, it has improved the medical care system for foreign patients.
  • Prevalence and clinical features of restless legs syndrome among Japanese pregnant women
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Challenging Exploratory Research
    Project Year: Apr. 2013 - Mar. 2016  
    Aims: To determine the prevalence of restless legs syndrome (RLS) among Japanese pregnant women, and clarify correlation between RLS and clinical outcomes. Methods: RLS screening was conducted using the Johns Hopkins Telephone Diagnostic Interview for low-risk 140 and high-risk 81 pregnant women in their third trimester. Blood test and biochemistry results, and delivery outcomes were compared between the RLS group and the control group. Results: RLS was experienced by 22 (15.7%) of the 140 women, and 14 (17.3%) of the 81 women. No significant difference was found for hemoglobin, serum ferratin, serum folate levels and delivery outcomes between the RLS group and the control group. Conclusion: The prevalence of RLS was high in Japanese pregnant women whose pregnancy courses were good with no complications.
  • Development of a SDM Educational Program for Nursing Professionals
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (B)
    Project Year: Apr. 2012 - Mar. 2016  
    The objective of this research is to develop a SDM educational program for nursing professionals. Methods: There are 3 steps for the development of this educational program: 1)Confirmation of the SDM concept and determination of the research design,2)Determination of the objectives and goals of the program and examination of the outcomes,3)Creation of the educational program with case study materials. The members of the program committee include nursing professionals who are interested and involved in the decision-making support, a lawyer, and a nursing informatics specialist. Results: 1.The goal of this program is to let the trainees to be able to conduct SDM with utilization of Ottawa Personal Decision-Making Guide, for clients who have reproduction related conflicts 2.The outcome was evaluated with SDM evaluation scale before and after attending the program, and the process evaluation questionnaire was taken for each trainee.
  • Narratives for Bereaved Parents Who Have Experienced the Crisis of Perinatal Loss and Then Reconstructed Their New Family
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Project Year: Apr. 2011 - Mar. 2015  
    The purpose of this study was to develop a support tool for bereaved parents who have lost their babies due to perinatal loss. We interviewed 31 fathers and mothers. Although all couples have their own unique stories, there were common factors that encourage forming a new family that includes the child who is no longer present in bodily form. The factors were to ;1) get their own support from others outside the family who show respect, sympathy and consideration other than those inside the family, 2) be able to anticipate the fluctuation of each other’ s feeling due to deep sorrow, 3) be in a comfortable state as a family where-in their deceased child exists with them. We made two narratives in leaflets format, one is for a couple and the other is for the grandparents of the deceased child.
  • Relationships between fetal brain development and maternal state on stress: Using an original system for recording fetal movement
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Project Year: 2011 - 2013  
    Fetal movement which is a biological indicator of fetal well-being is thought to become an index of neurological development. In the present study, we examined to demonstrate a process of fetal neurological development using an original system for recording and analyzing fetal movement during long term. Eleven pregnant women under daily life conditions participated in the study. At the results, number of fetal movement from gestational 24 to 32 weeks increased with individual differences on development, and decreased at gestational 36 weeks. Ultradian rest-activity rhythm of fetal movement started in gestational 28 weeks. This study continues for a pregnant woman under stressful conditions.
  • Exploring maternal hydration status for safe and healthy pregnancy outcomes
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Scientific Research (C)
    Project Year: 2011 - 2013  
    This prospective cohort study explored indices for evaluating maternal hydration status. The indices included bioimpedance values that were evaluated using a multifrequency bioelectrical impedance analyzer. Data from 332 participants, who were healthy singleton pregnant women, were analyzed. Higher resistance (R) values or higher hemoglobin (Hb) values, suggesting lower hydration status and lower plasma volumes, were found in a "suspected preterm labor (SPTL)" and a "low birth weight (LBW)" groups. Lower R values and higher Hb values, suggesting higher hydration status and lower plasma volumes, were found in a "elevated blood pressure after 34-36 weeks of gestation through to delivery (EBP)" group. Possible correlations of indices, related to maternal hydration status, with negative pregnancy outcomes were found in this study. Future studies are needed to explore the indices for evaluating maternal hydration status and for indicating healthy pregnancy outcomes.
  • Evaluation of program to improve mental and physical health
    Ministry of Education, Culture, Sports, Science and Technology:Grants-in-Aid for Scientific Research(基盤研究(B))
    Project Year: 2011 - 2013  
    This study evaluated mental and physical health during the postpartum period and after they had participates in a program designs to improve women's health.The subjects were 135 mothers two-six months after delivery who participates in a postpartum program.They two hour weekly program,included;aerobic exercise,communication skills, and self-care, and last four consecutive weeks.There was statistical significance(p<.001)for changes in total points for poor physical condition,improvement at the 4th session,and the effect continued until one month after program completion.A significant difference(p=0.002)was found for changes in total points for subjective well-being.
  • Sustainable development of novice researchers program which will contribute evidence based midwifery in Tanzania
    Japan Society for the Promotion of Science:Grants-in-Aid for Scientific Research Grant-in-Aid for Challenging Exploratory Research
    Project Year: 2011 - 2013  
    This study was focused on sustainable development of novice researchers who will contribute evidence based midwifery for the promotion of maternal child health in Tanzania.In the first year we developed the curriculum of new midwifery master's program,which had been developed collaboratively,was accepted by the Muhimbili university.In the second year we conducted a survey to evaluate midwives' perceptions of the general concept of ' humanized Childbirth based on the women-centered care'.Completing the entire program were 104 participants.Participants understood of the concept and perceptions had changed. The seminar motivated them to improve care for their patients.The third year we interviewed midwives to describe their expectations for professional development.Sixteen midwives participated in this interviews.The results showed that although they experienced a number of barriers to access higher education,their desire to learn to be a good help of mothers and infants.
  • A newly developed home-monitoring system of fetal movement during sleep in pregnant women with high risk pregnancy for reducing their anxiety.
    Ministry of Education, Culture, Sports, Science and Technology:Grants-in-Aid for Scientific Research(基盤研究(B))
    Project Year: 2008 - 2010  
    We developed a small capacitive acceleration sensor of fetal movement with high output power, FMAM (Fetal Movement Acceleration Measurement)recorder and an automatic analysis system of fetal movement. The recorder (290g, 77mm X 27mm X 140mm) consists of two sensors (one for fetal movement ; one for maternal movement), a biological amplifier, and an SD card drive. We can record fetal movement during continuous 40 hours.The subjects were nine normal pregnant women (29-39 yr) who gave written informed consent. They recorded fetal movement once every four weeks from 20 to 36 gestation weeks. The number of fetal movement during maternal sleep showed weekly variation with individual differences. In the automatic analysis system of fetal movement, there were a few problems in artifacts coming from the mother, especially her respiration. We could record fetal movement of two pregnant women with high risks who had experienced stillbirth. The number of their fetal movement distributed within a rage of fetal movement of the pregnant women with low risks. When they saw analysis figures of their fetal movement, they felt safe of their fetal well-being.The pregnant women were able to easily record fetal movement using the FMAM recorder at night by themselves. The FMAM recorder is promising for a long term monitoring of fetal movement. It will be necessary to collect more data on normal pregnant subjects and to improve the system of analysis to exclude maternal artifacts.
  • Developing Bereavement Care : Helping families who have experienced stillborn birth bond and part with their baby
    Ministry of Education, Culture, Sports, Science and Technology:Grants-in-Aid for Scientific Research(基盤研究(B))
    Project Year: 2005 - 2007  
    Aims : The aim of this study is to assess the practicality of providing a mother who has experienced stillbirth with a booklet called Living with Grief and the Angel Kit, which includes keepsakes and preparations for parting with baby. We hope to further develop bereavement care aids by assessing this trial.Background : In Japanese culture, there is a history of concealment and denial of loss baby ; mothers must deal with a great deal of anguish. Some of the professions misunderstand knowledge western culture is a big difference from Eastern Asian Culture. In addition, midwifery education for perinatal loss, including stillbirth, is insufficient.Methods : Data were collected by cross-sectional survey questionnaire in 10 maternity hospitals in Tokyo between mid-July 2006 and mid-Sep 2007.Eligible participants had been hospitalized for the term stillbirth here means the death of a fetus 12 weeks or older. One hundred women were asked to use the booklet Living with Grief. One hundred women were asked to use both the booklet and the Angel Kit. The first 6 months of the study, only the trial for the booklet, Living with Grief was carried out, and the last 6 months of the study, the trial was carried out for both the booklet and the Angel Kit.Results: We gathered 22 women of used booklet living with Grief and 21 women used both booklet and the Angle Kit. The evaluations of the booklet are the 97.6% of [very helpful and helpful].The booklet brought for the mother and family to impression [Appreciations / Inspiration] [Help relief and acceptance] [Easy to understand loss experience] [Regret].The Angel kit brought mothers[Help in case of need] [Appropriate thing for keep in good memory during hospital] [Appropriate to the guide for the memory after discharge] [Pretty, cute and as like alive human baby] [The place where the baby were] [Receive to heartfelt feeling from peer] [Not to feel isolation] and [The role of tool in order to easy to communicate nursing/midwifery staff].Conclusion : Both of booklet called Living with Grief and the Angel Kit are good enough for help. The characteristic assessment outcome respectively, the booklet helped mothers to recognition and emotional domain ; the Angel kit helped them to emotional and behavioral domain for grief work.
  • Development and Evaluation of the Guideline for Victims of Sexual Violence
    Ministry of Education, Culture, Sports, Science and Technology:Grants-in-Aid for Scientific Research(基盤研究(B))
    Project Year: 2002 - 2004  
    The guideline is designed to assist nurses and other health care providers to identify potential victims of domestic violence (hereafter referred to as "DV") in women during the perinatal period in clinical settings of perinatal care including hospitals, clinics, and midwifery offices, and to refer them to appropriate institutions/support organizations for proper interventions toward protection and recovery of women.A total of 2,392 articles were retired through electric searches of medical and nursing database by April 2004. Manual searches of the references in given articles were included. Researches selected 665 articles which were suitable for the content of this guideline. In principle, the literature on abuse against children, elderly and males, and qualitative research were excluded. For critical appraisal, 545 articles were selected. Finally, 157 articles were selected as evidence.Utilizing this guideline in clinical settings hopefully promotes detection and protection and safety of DV victim-women, and collaboration with appropriate support organizations.
  • Difficulties in childbearing related to change in sleep patterns amon mothers and children
    Ministry of Education, Culture, Sports, Science and Technology:Grants-in-Aid for Scientific Research(基盤研究(B))
    Project Year: 1997 - 1999  
    We investigated to the difficulties in childbearing relate to change in sleep patterns among mothers and children.The research consists of five parts, as following;1) In order to find out changes in sleep patterns from ninth and twelfth weeks in postpartum period, we analyzed Polysomnograph from 10 primiparae. Polysomnographic recordings (EEG, ENG, EOG) of the mothers were made using a Medilog 9200 recorder at home during one night. When infants have obtained their circadian sleep-wake rhythm, mother's sleep fluctuated between interrupted sleep similar to the early postpartum sleep and non-interrupted sleep similar to recovery sleep after sleep deprivation. In addition, there was high synchronization between their wakefulness and their infants' movements2) In order to investigate mothers' sleep-wake patterns between 5 and 12 weeks in the postpartum period, we analyzed continuous sleep logs. Data from 18 mothers and their infants were analyzed for each postpartum week. There were significant differences in total sleep time and wake time at night. Wake time at night gradually decreased from the fifth to the twelfth week. A transition from interrupted sleep to non-interrupted sleep was observed from the ninth to twelfth week of postpartum.3) Actigraphic recordings for the mothers and their infants during 24 hours were made using Actiwach (Mini-Mitter Co.) for the third, sixth, ninth, and twelfth weeks. The subjects were seven primiparae and their infants. Mothers' wakefulness during night sleep in the postpartum from Week 3 to 12 relates to the process of their infants' circadian sleep-wake rhythm4) We evaluated the effect of the "foot bath" for pregnant women experiencing low back pain. A degree of reduction of the strength of pain in the experimental group was greater than that in control group. The "foot bath" that was taken before going to bed was noted to reduce the strength of pain and increased the relaxation.5) We interviewed 21 mothers from three to twelfth weeks in postpartum periods about difficulties of childbearing. They felt "tight felling" "big discrepancy between realistic and ideal childbearing" "uncertainty the best way in childbearing" and "loss of control" during first four weeks.

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