Case Study on the Establishment and Operations of Maternity Homes by Midwives
Background : One percent of the total number of childbirths in Japan takes place at maternity homes or at the expecting mothers’ homes and are attended by midwives. As a solution to one of the issues in perinatal care, that is, the shortage of obstetricians, the independent midwives’ service that su...
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| Published in | Iryo To Shakai Vol. 21; no. 3; pp. 295 - 307 |
|---|---|
| Main Authors | , |
| Format | Journal Article |
| Language | Japanese |
| Published |
The Health Care Science Institute
2011
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0916-9202 1883-4477 1883-4477 |
| DOI | 10.4091/iken.21.295 |
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| Abstract | Background : One percent of the total number of childbirths in Japan takes place at maternity homes or at the expecting mothers’ homes and are attended by midwives. As a solution to one of the issues in perinatal care, that is, the shortage of obstetricians, the independent midwives’ service that support “normal deliveries” has been receiving renewed attention. Purpose : The purpose of the study is to elucidate the experience of opening and operating a maternity home from the perspective of the person who opened it. Methods : Five managers of maternity homes who either opened their own maternity homes or expanded their maternity services during the period 2003—2006 were interviewed. Results : By opening their own maternity homes, the midwives were able to provide the care that they had pursued, while also being relieved from a conflict-torn situation in which they were obliged to provide care that was unsatisfactory to them. The midwives expanded their services in stages corresponding to their family lives. As a member of the community where they live, they have been accepted by the people. The expansion of the business was a decision for their professional life that required special determination. With regard to maternity homes equipped with beds, the persistent issues are the initial funding and surviving in the business. Conclusion : By establishing and managing their own maternity homes, midwives were able to provide comprehensive perinatal care that was impossible to offer while they were working at hospitals, including services for the entire course of pregnancy to delivery and post-delivery. They gained trust from the society and expanded their business in stages corresponding to their family lives. |
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| AbstractList | Background : One percent of the total number of childbirths in Japan takes place at maternity homes or at the expecting mothers’ homes and are attended by midwives. As a solution to one of the issues in perinatal care, that is, the shortage of obstetricians, the independent midwives’ service that support “normal deliveries” has been receiving renewed attention. Purpose : The purpose of the study is to elucidate the experience of opening and operating a maternity home from the perspective of the person who opened it. Methods : Five managers of maternity homes who either opened their own maternity homes or expanded their maternity services during the period 2003—2006 were interviewed. Results : By opening their own maternity homes, the midwives were able to provide the care that they had pursued, while also being relieved from a conflict-torn situation in which they were obliged to provide care that was unsatisfactory to them. The midwives expanded their services in stages corresponding to their family lives. As a member of the community where they live, they have been accepted by the people. The expansion of the business was a decision for their professional life that required special determination. With regard to maternity homes equipped with beds, the persistent issues are the initial funding and surviving in the business. Conclusion : By establishing and managing their own maternity homes, midwives were able to provide comprehensive perinatal care that was impossible to offer while they were working at hospitals, including services for the entire course of pregnancy to delivery and post-delivery. They gained trust from the society and expanded their business in stages corresponding to their family lives. |
| Author | Murata, Kanako Taniguchi, Chie |
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| References | Hodnett ED, Gates S, Hofmeyr GJ, Sakala C. and Weston J (2011) Continuous Support for Women during Childbirth. Cochrane Database of Systematic Reviews. 2011, Issue 2. Art. No. : CD003766. DOI : 10. 1002/14651858. 佐藤千春（1997）『お産の民俗―特にその俗信集―』日本図書刊行会 Smith AHK, Dixon BA, and Page LA (2009) . “Health-Care Professionals’ Views about Safety in Maternity Services : A Qualitative Study,” Midwifery. 25 : 21-31. Francis A and van der Kooy B (2005) “Workshops : Working as an Independent Midwife with a Caseload,” MIDRS Midwifery Digest. 15 (4) : S16-S17. van der Kooy B (2005) “NHS Community Midwifery Model : Proposed by the Independent Midwives Association,” MIDRS Midwifery Digest. 15 (4) : S6-S8. Gamble J and Vernon B (2007) “Midwifery in Australia : Emerging from the Shadows,” in Midwifery : Freedom to Practise? : ed. by Reid L. 30-50 ; Philadelphia : Elsevier. Daellenbach R and Thorpe J (2007) “Independence in Practice : A New Zealand Case Study of Midwives in Partnership,” in Midwifery : Freedom to Practise? ; ed. by Reid L. 261-281 ; Philadelphia : Elsevier. 母性衛生研究会（2011）『わが国の母子保健―平成23年―』母子保健事業団 日本助産師会（2007）『助産所開業マニュアル改訂版』社団法人日本助産師会 柘植あづみ（1993）「質的社会調査の検討」横山紘一，長尾龍一編『ライブラリ相関社会科学1』265-285，新世社 野本寿美子（1998）『あたたかいお産―助産婦一代記―』晶文社 島一春（1981）『産小屋の女たち』健友館 中山まき子（2001）『身体をめぐる政策と個人―母子健康センター事業の研究―』勁草書房 石村朱美，高橋八重子，有岡美子，茂岡絵里，日高球実（2008）『院内助産院』日総研出版 恵美須文枝，柴田眞理子，森田輝，潮田千寿子（2003）「妊産婦ケアシステムに関する検討―文献からみた助産婦外来の実態について―」『東京保健学会誌』5（4）：194-199 大林道子（1989）『助産婦の戦後』勁草書房 Hatem M, Sandall J, Devane D, Soltani H and Gates S (2009) “Midwife-Led versus Other Models of Care for Childbearing Women,” Cochrane Database of Systematic Reviews. 2008, Issue 4. Art. No. : CD004667. DOI : 10. 1002/14651858. 母子衛生研究会（2011）『母子保健の主なる統計―平成22年度刊行』母子保健事業団 厚生労働省（2009）「平成20年保健・衛生業務報告（衛生行政報告例）結果（就業医療関係者）の概況」＜http://www.mhlw.go.jp/toukei/saikin/hw/eisei/08-2/index.html＞2010年8月3日アクセス Hobbs L (1997) The Independent Midwife. Cheshire : Books for Midwives Press. 関口允夫（1998）『理想のお産とお産の歴史』近代文芸社 白井千晶（1999）「自宅出産から施設出産への趨勢的変化―戦後日本の場合」『社会学年誌』（40）：125-139 山口理（2009）『いのちを伝えて―ある助産師の記録』岩崎書店 Waldenström U and Turnbull D (1998) A Systematic Review Comparing Continuity of Midwifery Care with Standard Maternity Services. British Journal of Obstetrics and Gynecology. 105 (11) : 11160-1170. 柘植あづみ（1999）『文化としての生殖技術―不妊治療にたずさわる医師の語り』松籟社 Walsh D and Downe SM (2004) “Outcomes of Free-Standing Midwife-Led Birth Centers : A Structured Review,” Birth. 31 (3) : 222-229. 西川麦子（2004）『ある近代産婆の物語―能登・竹島みいの語りより』桂書房 Stake ES (2006) “Cross-Case Analysis,” in Multiple Case Study Analysis ; ed. Stake E. 39-77 ; New York : The Guilford Press. 白井千晶（2009）「地域社会における助産師の職業キャリア形成の変化：日本における母子保健史の一考察として」『大妻女子大学人間関係学部紀要「人間関係学研究」』（11）：245-260 永沢寿美（1995）『産婆のおスミちゃん一代記』草思社 22 23 24 25 26 27 28 29 30 10 11 12 13 14 15 16 17 18 19 1 2 3 4 5 6 7 8 9 20 21 |
| References_xml | – reference: 永沢寿美（1995）『産婆のおスミちゃん一代記』草思社 – reference: 山口理（2009）『いのちを伝えて―ある助産師の記録』岩崎書店 – reference: 大林道子（1989）『助産婦の戦後』勁草書房 – reference: 柘植あづみ（1993）「質的社会調査の検討」横山紘一，長尾龍一編『ライブラリ相関社会科学1』265-285，新世社 – reference: van der Kooy B (2005) “NHS Community Midwifery Model : Proposed by the Independent Midwives Association,” MIDRS Midwifery Digest. 15 (4) : S6-S8. – reference: Hatem M, Sandall J, Devane D, Soltani H and Gates S (2009) “Midwife-Led versus Other Models of Care for Childbearing Women,” Cochrane Database of Systematic Reviews. 2008, Issue 4. Art. No. : CD004667. DOI : 10. 1002/14651858. – reference: Francis A and van der Kooy B (2005) “Workshops : Working as an Independent Midwife with a Caseload,” MIDRS Midwifery Digest. 15 (4) : S16-S17. – reference: 関口允夫（1998）『理想のお産とお産の歴史』近代文芸社 – reference: 西川麦子（2004）『ある近代産婆の物語―能登・竹島みいの語りより』桂書房 – reference: 日本助産師会（2007）『助産所開業マニュアル改訂版』社団法人日本助産師会 – reference: Waldenström U and Turnbull D (1998) A Systematic Review Comparing Continuity of Midwifery Care with Standard Maternity Services. British Journal of Obstetrics and Gynecology. 105 (11) : 11160-1170. – reference: 石村朱美，高橋八重子，有岡美子，茂岡絵里，日高球実（2008）『院内助産院』日総研出版 – reference: 母子衛生研究会（2011）『母子保健の主なる統計―平成22年度刊行』母子保健事業団 – reference: Walsh D and Downe SM (2004) “Outcomes of Free-Standing Midwife-Led Birth Centers : A Structured Review,” Birth. 31 (3) : 222-229. – reference: 佐藤千春（1997）『お産の民俗―特にその俗信集―』日本図書刊行会 – reference: 白井千晶（2009）「地域社会における助産師の職業キャリア形成の変化：日本における母子保健史の一考察として」『大妻女子大学人間関係学部紀要「人間関係学研究」』（11）：245-260 – reference: 島一春（1981）『産小屋の女たち』健友館 – reference: Gamble J and Vernon B (2007) “Midwifery in Australia : Emerging from the Shadows,” in Midwifery : Freedom to Practise? : ed. by Reid L. 30-50 ; Philadelphia : Elsevier. – reference: Stake ES (2006) “Cross-Case Analysis,” in Multiple Case Study Analysis ; ed. Stake E. 39-77 ; New York : The Guilford Press. – reference: Hodnett ED, Gates S, Hofmeyr GJ, Sakala C. and Weston J (2011) Continuous Support for Women during Childbirth. Cochrane Database of Systematic Reviews. 2011, Issue 2. Art. No. : CD003766. DOI : 10. 1002/14651858. – reference: 白井千晶（1999）「自宅出産から施設出産への趨勢的変化―戦後日本の場合」『社会学年誌』（40）：125-139 – reference: 恵美須文枝，柴田眞理子，森田輝，潮田千寿子（2003）「妊産婦ケアシステムに関する検討―文献からみた助産婦外来の実態について―」『東京保健学会誌』5（4）：194-199 – reference: 野本寿美子（1998）『あたたかいお産―助産婦一代記―』晶文社 – reference: 母性衛生研究会（2011）『わが国の母子保健―平成23年―』母子保健事業団 – reference: Hobbs L (1997) The Independent Midwife. Cheshire : Books for Midwives Press. – reference: 厚生労働省（2009）「平成20年保健・衛生業務報告（衛生行政報告例）結果（就業医療関係者）の概況」＜http://www.mhlw.go.jp/toukei/saikin/hw/eisei/08-2/index.html＞2010年8月3日アクセス – reference: Smith AHK, Dixon BA, and Page LA (2009) . “Health-Care Professionals’ Views about Safety in Maternity Services : A Qualitative Study,” Midwifery. 25 : 21-31. – reference: 柘植あづみ（1999）『文化としての生殖技術―不妊治療にたずさわる医師の語り』松籟社 – reference: Daellenbach R and Thorpe J (2007) “Independence in Practice : A New Zealand Case Study of Midwives in Partnership,” in Midwifery : Freedom to Practise? ; ed. by Reid L. 261-281 ; Philadelphia : Elsevier. – reference: 中山まき子（2001）『身体をめぐる政策と個人―母子健康センター事業の研究―』勁草書房 – ident: 2 – ident: 4 doi: 10.1002/14651858.CD004667.pub2 – ident: 12 – ident: 10 – ident: 16 – ident: 14 – ident: 28 – ident: 7 doi: 10.1002/14651858.CD003766.pub3 – ident: 24 – ident: 9 – ident: 20 – ident: 26 – ident: 22 – ident: 17 – ident: 3 – ident: 5 – ident: 1 – ident: 18 doi: 10.1111/j.1528-1157.1999.tb02002.x – ident: 11 – ident: 19 – ident: 13 – ident: 15 – ident: 29 – ident: 30 – ident: 6 – ident: 8 – ident: 21 – ident: 27 – ident: 25 – ident: 23 |
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| Title | Case Study on the Establishment and Operations of Maternity Homes by Midwives |
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