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1 原 著 Relationship between Urinary Incontinence and Childbirth Among Women who Have Given Birth within the Last Three Years The Role of Midwives in the Prevention and Improvement of Urinary Incontinence Yoshie Kawachi Key Words urinary incontinence, midwife, childbirth, obgtetric care, prevention Ⅰ. はじめに. Ⅱ. 研究方法 1. 用語の定義 Gunma Prefectural College of Health Sciences Vol. No.

2 2. 調査対象 3. 調査方法 4. 倫理的配慮 5. 調査期間 6. 回収率,.. 7. 分析方法 SPSS.J BMI BMI BMI Vol. No.

3 p Ⅲ. 結果 1. 対象者の属性および出産に関する状況 n Vol. No.

4 2. 尿失禁に関する実態 尿失禁の関連要因..... t.p. t.p.t. p.t.p. t.p. t.p p..p..p. =.....p..p..p..p..p..p. Vol. No.

5 t p..... BMI p.p. t.p.bmit. p.t.p. t.p.t. p.t.p. p p.p. Wald p ExpB BMI p..p..p.bmi Vol. No.

6 .p.. p..p..p..p..p bmi.... t p..... BMI p.p. Ⅳ. 考察 1. 対象者の属性および出産に関する状況..... p BMI.... BMI p. p. ( Wald p ExpB BMI p. p. Vol. No.

7 ..... WHO 尿失禁に関する実態 Vol. No.

8 尿失禁の関連要因 BMI Vol. No.

9 4. 尿失禁予防と改善に向けた助産師の役割と課題 BMI WHO Ⅴ. 結論 BMI Ⅵ. おわりに Vol. No.

10 謝辞 要 旨,.SPSS.J. BMI Abstract The present study aimed to determine the current childbirth conditions of women who have given birth within the last three years, investigate the relationship between urinary incontinence and factors related to childbirth (obstetric care) and daily life, and identify the roles and challenges midwives face in the prevention and improvement of urinary incontinence. A self-administered questionnaire survey was conducted on mothers who had visited the health center for infant health checkups in city A, G prefecture. A total of, questionnaires were administered, with a response rate of.%. Data were analyzed using chi-square tests, t-tests, and logistic regression analysis. The results showed a high rate (.%) of women with a history of urinary incontinence in the first two months after childbirth. In addition, the relationships between urinary incontinence and factors related to a history of urinary incontinence before, during, and after pregnancy were identified. Specifically, the experience of not being able to take a rest until three weeks after childbirth, vacuum extraction or forceps delivery, and BMI were related to urinary incontinence. The roles and challenges midwives face in the prevention and improvement of urinary incontinence include consideration of childbirth practices that minimize the burden on the pelvic floor. 文献 RichardJ. Millard ) -... ) -. WHO. ) -. ) -. Vol. No.

11 . -. ) QOL -. ) -. Rortveit, G., Daltveit, AK. et al.urinary incontinence after vaginal delivery or cesarean section, Engl J Med,, -. Rortveit, G., Daltveit, AK. et al.vaginal delivery parameters and urinary incontinence:the Norwegian EPINCONT study, Am J Obstet Gynecol,, -,. ) -. ) -. ) EBHC -,. ) WHO -MC. Vol. No.

Yamagata Journal of Health Sciences, Vol. 16, 2013 Tamio KEITOKU 1 2 Katsuko TANNO 3 Kiyoko ARIMA 4 Noboru CHIBA 1 Abstract The present study aimed to

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