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Experiences of perinatal women and public healthcare providers in a community affected by the great east Japan earthquake and tsunami: Concerns that must be considered for the mental healthcare of perinatal women in postdisaster settings
International Journal of Disaster Risk Reduction ( IF 5 ) Pub Date : 2020-07-19 , DOI: 10.1016/j.ijdrr.2020.101767
Natsuko Kobayashi , Harumi Nemoto , Moe Seto , Shosuke Sato , Saya Kikuchi , Nami Honda , Tomomi Suzuki , Kineko Sato , Junichi Sugawara , Kiyoshi Ito , Ryoma Kayano , Norio Ozaki , Charles W. Beadling , Ilan Kelman , Fumihiko Imamura , Hiroo Matsuoka , Hiroaki Tomita

Particular support needs of perinatal women in a disaster have been difficult to grasp through preexisting quantitative epidemiological studies. This study aimed to extract concerns that must be considered for perinatal women's mental healthcare in postdisaster settings based on lessons from the Great East Japan Earthquake. Narrative messages regarding protective and risk factors for mothers' mental health from a representative population of mothers who had given birth and all official maternal caregivers, in a coastal town devastated by the catastrophe were subjected to qualitative analyses. Eight concerns were extracted as specific support needs: (1) improve information pathways, (2) maintain access to medical services, (3) sufficiently equip necessary items for perinatal women and children, (4) implement hygienic facilities, (5) prevent mothers from feeling diffidence, (6) encourage mothers to focus on positive aspects of being pregnant or taking care of their babies, (7) provide dedicated paths for relief supply distribution and dedicated rooms for mothers and children in shelters, and (8) resume usual healthcare activities as soon as possible. The comprehensive survey of the affected community presented concerns that needed to be considered for perinatal women's mental health in postdisaster settings.



中文翻译:

在东日本大地震和海啸影响的社区中,围产期妇女和公共卫生保健提供者的经历:灾后环境中围产期妇女的心理保健必须考虑的问题

通过现有的定量流行病学研究难以把握围产期妇女在灾害中的特殊支持需求。这项研究旨在根据东日本大地震的教训,提取出灾后环境中围产期妇女的心理保健必须考虑的问题。在遭受灾难的沿海城市中,来自有代表性的已分娩母亲和所有正式的产妇护理人员的母亲关于心理健康的保护和危险因素的叙述性信息进行了定性分析。提取了八个关注点作为特定的支持需求:(1)改善信息途径,(2)保持获得医疗服务的机会,(3)为围产期妇女和儿童充分配备必要的物品,(4)实施卫生设施,(5)防止母亲感到不安,(6)鼓励母亲专注于怀孕或照顾婴儿的积极方面,(7)为救济物资分配提供专用路径,并为庇护所中的母亲和儿童提供专用房间;以及(8)尽快恢复日常保健活动。对受灾社区的全面调查显示,在灾后环境中,围产期妇女的心理健康需要加以考虑。

更新日期:2020-07-19
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