キム チュウアイ

Objective: This review aims to identify the effectiveness of non-pharmacological interventions in preventing iron deficiency anemia in pregnant women with a normal course of pregnancy. Introduction: The global prevalence of anemia among pregnant women is 36.5%, posing risks to women and fetuses. This underscores the need for effective prevention; however, the effectiveness of non-pharmacological approaches in preventing pregnancy anemia remains unclear. Inclusion criteria: This review will encompass experimental and quasi-experimental studies on the following approaches to prevent anemia during pregnancy: recommendations for dietary supplements, oral iron supplements (over the counter), provision of supplements to promote iron absorption, participation in anemia prevention education, and provision of information. There will be no restrictions on the duration or frequency of intervention, and longitudinal intervention studies will be included. In studies with a control group, the comparator may be usual care or pharmacological interventions; in studies without, it may involve no intervention, temporal comparisons, or baseline periods without non-pharmacological interventions. Evaluation of hemoglobin, hematocrit, and ferritin will be included as primary outcomes. Low birth weight, preterm birth, amount of blood loss at delivery, small for gestational age, and Apgar scores will be included as secondary outcomes. Methods: A search will be conducted of MEDLINE (Ovid), Embase, CINAHL (EBSCOhost), Scopus, Australian New Zealand Clinical Trials Registry, Cochrane Central Register of Controlled Trials, and ICHUSHI-Web. Researchers will screen studies, extract data, assess the quality of studies, and analyze the data in accordance with the JBI guidance for systematic reviews of effectiveness. GRADE will be used to assess the certainty of the findings. Review registration number: PROSPERO CRD42022344155

日本で出産する中国人女性に対する産後期の異文化ストレス要因の減少と産後うつ症状の予防を目的とする看護介入プログラムの有効性を評価した。2016年8月〜2017年7月に38名(平均31.2±4.8歳)がプログラムに参加した。プログラムはマタニティクラス、会話カード、ソーシャルネットワークグループで構成された。データは妊娠末期に質問票により収集し、患者の基本情報、ストレスレベル、うつ症状、認知評価を入手した。ストレスレベル、うつ症状、社会的支援は出産後の入院中および出産後初月(T3)に評価した。介入後、全参加者がプラスの認知評価を示した。8名にはいくつかのマイナス評価も認めた。T3において、36名の参加者が異文化のストレス要因によるストレス経験を報告しなかった。介入後、うつ病を示唆するスコアを示した患者は介入前のスコアを維持した(21.1%)。T3において産後うつ症状を示した8名のうち、7名は異文化のストレス要因の経験を報告しなかったが、妊娠のストレス要因の経験を報告した。以上から、本プログラムは日本で出産する中国人女性における産後うつ症状の予防に有効である可能性が示された。

The purpose of this mixed-method design study was to examine factors contributing to depression among immigrant Chinese women (primipara and multipara) (n = 22) delivering a child for the first time in Japan. Data were obtained just after hospital discharge by using the Edinburgh Postnatal Depression Scale (EPDS), the Social Support Scale, a new scale to measure cross-cultural stressors in the postpartum setting and a visual analogue scale for stress and a demographic survey. The average EPDS score was 9.0 (SD ± 3.7) at 1-3 weeks postpartum; yet, more than half of the subjects (n = 12; 54.5%) were high risk for depression (EPDS ≥ 10). Low household income and primiparous status were associated with depression scores. New mothers with depression also reported more general stress and more cross-cultural stress in the postpartum setting, although social support appeared to mediate cross-cultural stressors. Semi-structured interviews were held with two immigrant women at high risk for depression; these new mothers described additional stress because they could not follow Zuoyuezi, an important postpartum Chinese tradition, in the Japanese hospital. These findings suggest that immigrant Chinese women are at higher risk for postpartum depression when they give birth for the first time in Japan.