Research activity information

• Factors associated with health-related quality of life and physical health of women raising infants and toddlers in Japan

  Haruna Ishibashi, Sumihisa Honda, Wakako Fujita

  Background: Policies to support postpartum and child-rearing periods for women have been strengthened in Japan in recent years to combat the declining birth rate. However, the type of support required to improve the quality of life and health of these women remains unclear because of the insufficient research on new policies. Objectives: This study aimed to examine the self-reported health status of Japanese women raising infants and toddlers aged 3 months to 3 years and determine the factors associated with health-related quality of life and physical health. Designs: A cross-sectional observational study was conducted using self-administered questionnaires between March and November 2021. Methods: Two hundred and fifty-nine Japanese mothers (164 or 68.8% being first-time mothers) participated in a survey using self-administered questionnaires that included the Somatic Symptom Scale-8, 36-Item Short-Form Health Survey, and Health-Promoting Lifestyle Profile II. Results: The physical component summary scores of the participants were 49.2, 51.5, and 47.9 for those in their 20s, 30s, and 40s, respectively, all of which were below Japanese population norms in each age group. Employment (β = −1.57, p = 0.01), stress-coping skills (β = −0.50, p < 0.01), and optimistic thinking (β = −1.18, p < 0.01) were associated with fewer physical symptoms. Not being a first-time mother (β = 2.85, p = 0.01) and use of maternity-home services (β = 6.59, p = 0.02) were positively associated with the physical health. Moreover, the use of consultations or parenting classes provided by the local government (β = 3.36, p = 0.02), coping with stress (β = 0.81, p < 0.01), and optimistic thinking (β = 3.46, p < 0.01) were positively associated with the mental component summary score. Age of the youngest child (⩾1 year; β = 3.30, p = 0.03) and optimistic thinking (β = 1.60, p < 0.01) were positively associated with the role/social component summary. Conclusions: The physical quality of life of Japanese mothers raising children has declined to a level that cannot be improved through general self-care practices. Therefore, improving the content of health education is necessary, with a particular focus on the physical health of women raising children. The policy of child-rearing support, which is strengthening in Japan, such as childcare consultation, has a positive impact on the mental health of women during child-rearing.

  Corresponding, SAGE Publications, Jun. 2025, Women's Health, 21

  Scientific journal


• Factors Affecting Hand and Wrist Pain in Postpartum Women Raising Children

  Riho Nishida, Wakako Fujita

  Corresponding, Apr. 2025, Japanese journal of Maternal Health, 66(1) (1), 45 - 53, Japanese

  [Refereed]

  Scientific journal


• Influencing factors on pregnant women's dental check-up behavior

  Asuka Hara, Wakako Fujita

  Corresponding, Jul. 2024, Japanese journal of Maternal Health, 65(2) (2), 265 - 273

  [Refereed]


• A study of factors influencing the occurence of pressure ulcers, nerve damage, and hypothermia in gynecologic robotic surgery

  Mihara Miki, Ueno Kazumi, Fujita Wakako

  Last, 日本手術看護学会, Sep. 2023, Journal of Japan perioperative Nursing Academy, 19(1) (1), 208 - 213, Japanese

  [Refereed]


• Endogenous oxytocin levels in extracted saliva elevates during breastfeeding correlated with lower postpartum anxiety in primiparous mothers.

  Miyuki Nagahashi-Araki, Makoto Tasaka, Tsunehiko Takamura, Hiromi Eto, Noriko Sasaki, Wakako Fujita, Asuka Miyazaki, Kanako Morifuji, Naoko Honda, Tunetake Miyamura, Shota Nishitani

  BACKGROUND: Breastfeeding in the early postpartum period is expected to have mental benefits for mothers; however, the underlying psychobiological mechanisms remain unclear. Previously, we hypothesized that the release of oxytocin in response to the suckling stimuli during breastfeeding would mediate a calming effect on primiparous mothers, and we examined salivary oxytocin measurements in primiparous mothers at postpartum day 4 using saliva samples without extraction, which was erroneous. Thus, further confirmation of this hypothesis with a precise methodology was needed. METHODS: We collected saliva samples at three time points (baseline, feeding, and post-feeding) to measure oxytocin in 24 primiparous mothers on postpartum day 2 (PD2) and 4 (PD4) across the breastfeeding cycle. Salivary oxytocin levels using both extracted and unextracted methods were measured and compared to determine the qualitative differences. State and trait anxiety and clinical demographics were evaluated to determine their association with oxytocin changes. RESULTS: Breastfeeding elevated salivary oxytocin levels; however, it was not detected to a significant increase in the extraction method at PD4. We found a weak but significant positive correlation between changes in extracted and unextracted oxytocin levels during breastfeeding (feeding minus baseline); there were no other significant positive correlations. Therefore, we used the extracted measurement index for subsequent analysis. We showed that the greater the increase in oxytocin during breastfeeding, the lower the state anxiety, but not trait anxiety. Mothers who exclusively breastfed at the 1-month follow-up tended to be associated with slightly higher oxytocin change at PD2 than those who did not. CONCLUSIONS: Breastfeeding in early postpartum days could be accompanied by the frequent release of oxytocin and lower state anxiety, potentially contributing to exclusive breastfeeding.

  Sep. 2022, BMC pregnancy and childbirth, 22(1) (1), 711 - 711, English, International magazine

  Scientific journal


• Nursing college students' perception of screening and the current methods of advocacy

  Wakako Fujita, Yuuna Takashita, Natsmi Taniguchi, Yui Honda, Misugi Yamagiwa, Mizuki Yosimura

  (公社)日本母性衛生学会, Jan. 2022, Japanese Journal of Maternal Health, 62(4) (4), 762 - 770, Japanese

  [Refereed]


• The impact of elevated blood lead levels in children on maternal health-related quality of life.

  Hokuto Nakata, Harukazu Tohyama, Wakako Fujita, Shouta M M Nakayama, Mayumi Ishizuka, John Yabe, Nosiku S Munyinda, Doreen Sakala, Kennedy Choongo, Shojiro Yamasaki, Natsumi Nagai, Takahiko Yoshida, Takeshi Saito

  Kabwe is a mining town in Zambia that has been ranked among "the ten most polluted places in the world" with previous findings of serious lead (Pb) pollution. In this study, we aim to examine the impact of childhood Pb poisoning on the health-related quality of life (HRQoL) of mothers in Kabwe. The HRQoL was assessed using the Short-Form 36 survey for 404 mothers coming from residences in 40 randomly selected standard enumeration areas (SEAs). Blood lead levels (BLLs) of the household members including the mothers themselves were measured. We found a significant positive correlation between the BLLs of the mothers and their children (R = 0.6385, p < 0.0001), while the BLLs of preschool-aged and school-aged children were significantly higher than those of their mothers and fathers. Using the data sets containing the BLLs of the household members, the age of the mothers, the household income, and the household SEA, we performed stepwise multiple linear regression analyses. The results showed significant negative associations between the representative BLL of household children and the BLL of preschool-aged children with the vitality and mental health scores of their mothers. Additionally, the BLL of school-aged children was only significantly associated with the mental health score of their mothers. By contrast, there was a significant negative association between the BLLs of the mothers with the social role functioning score. This suggests that elevated BLLs in children have a negative impact on the mental health conditions of their mothers regardless of the mothers' BLL.

  Elsevier BV, Sep. 2021, Chemosphere, 279, 130490 - 130490, English, International magazine

  [Refereed]

  Scientific journal


• Factors associated with self-rated health among mineworkers in Zambia: a cross-sectional study.

  Mayumi Ohnishi, Backsion Tembo, Rieko Nakao, Emi Matsuura, Wakako Fujita

  BACKGROUND: This study aims to examine miners' working conditions and self-rated health status in copper mines in Zambia and to identify the conditions and factors necessary to improve the safety and health of mineworkers. METHODS: A cross-sectional study using a self-administered questionnaire was conducted anonymously among copper mineworkers in Zambia in 2015 and 2016. Five targeted mining companies among 33 were introduced by the Mineworkers' Union of Zambia. Study participants were recruited at the waiting space for underground work, waiting rooms of company clinics/hospitals, and/or at training sessions, which were places permitted by the target companies to perform data collection via convenience sampling. Bivariate analyses (e.g., t tests, Kruskal-Wallis tests, chi-square tests, or Cochran-Armitage tests) and logistic regression analysis were used to analyze differences in demographic characteristics and to compare their working conditions, health conditions, safety management at the workplace, and training opportunities by employment status. RESULTS: In total, 338 responses were analyzed. Regular employees had better working conditions, including higher incomes (P = 0.001), more likely to be guaranteed sickness insurance by the company (P < 0.001), paid holidays (P = 0.094), and sick leave (P = 0.064), although the difference was not statistically significant. Mineworkers' decreased self-rated health was determined by job category (adjusted odds ratio [AOR], 0.41; 95% confidence interval [CI], 0.21, 0.82; P = 0.012). Having experienced violence from the boss/manager (AOR, 0.54; 95% CI, 0.32, 0.91; P = 0.020) was negatively associated with better self-rated health in the crude odds ratio. CONCLUSIONS: Among mineworkers in Zambia, nonunderground work and not having experienced violence from their boss/manager contributed to increased self-rated health. From the perspective of psychological safety and human security, the management of safety and the working environment, including human resource management and preventing harassment/violence, should be assured, especially for underground mineworkers.

  Last, Feb. 2021, Tropical medicine and health, 49(11) (11), 1 - 11, English, Domestic magazine

  [Refereed]

  Scientific journal


• Current situation and challenges of the practical training of maternal nursing at Wakayama Medical University

  Yasuko Takeuchi, Wakako Fujita, Masako Yamaguchi

  和歌山県立医科大学保健看護学部, Mar. 2019, Bulletin of School of Health Science Wakayama Medical University, 15, 59 - 66, Japanese

  [Refereed]


• Adapting the Japanese Management Style at Musoshi Mine in Katanga, 1965-2004

  John Ngoy Kalenga, Wakako Fujita, Tetsuhiko Takai

  Japan Association for African Studies, Dec. 2018, Journal of African Studies, 94(94) (94), 9 - 20, English

  [Refereed]

  Scientific journal


• 札幌市産後ケア事業を利用した女性の認識

  野口真貴子, 高橋紀子, 藤田和佳子, 安積陽子, 高室典子

  (一社)日本助産学会, Dec. 2018, 日本助産学会誌, 32(2) (2), 178 - 189, Japanese

  [Refereed]


• Emotions of young females diagnosed with Polycystic Ovarian Syndrome (PCOS)

  山本千尋, 伊藤由美, 藤田和佳子, 大川加奈, 仲谷紗稀, 佐川正

  (公社)日本母性衛生学会, Jul. 2018, 母性衛生, 59(2) (2), 355 - 364, Japanese

  [Refereed]


• 発展途上国向けマイクロフォン式胎児心音計試作機の性能評価

  藤田 和佳子, 横濱 邦彦

  和歌山県立医科大学保健看護学部, Mar. 2018, 和歌山県立医科大学保健看護学部紀要, 14, 27 - 35, Japanese

  [Refereed]


• Questionnaire survey concerning education of ultrasonography for midwives working at in‐hospital midwifery clinics in Hokkaido

  秋元彩花, 伊藤由美, 藤田和佳子, 佐川正

  (公社)日本母性衛生学会, Jul. 2017, 母性衛生, 58(2) (2), 461 - 469, Japanese

  [Refereed]


• 北海道の助産師外来における超音波検査の使用に関する実態調査(A survey on the utilization of ultrasonography in 'in-hospital midwifery clinics' in Hokkaido, Japan)

  秋元 彩花, 山川 絵里奈, 伊藤 由美, 藤田 和佳子, 佐川 正

  北海道産科婦人科学会, Mar. 2017, 北海道産科婦人科学会会誌, 61(1) (1), 23 - 32, English

  [Refereed]


• Tanzanian women's coping and understanding of labour: A qualitative study at the Amtulabhai Antenatal Clinic

  Wakako Fujita, Sebalda Leshabari, Ecstasy Danford Mlay, Kazutomo Ohashi

  Elsevier Ltd, 2017, International Journal of Africa Nursing Sciences, 7, 4 - 10, English

  [Refereed]

  Scientific journal


• 英語文献レビューによる先進国の助産師の業務範囲に関する調査

  松原芽郁, 大江美優, 太田百香, 秋元彩花, 伊藤由美, 藤田和佳子, 佐川正

  (公社)日本母性衛生学会, Apr. 2016, 母性衛生, 57(1) (1), 157 - 165, Japanese

  [Refereed]


• JICA「課題別研修母子保健(B)」におけるProject Cycle Management(PCM)手法学習への介入の成果―3か国(モロッコ,ブルキナファソ,ハイチ)の分析結果から―

  常田美和, 新川加奈子, 藤田和佳子, 高橋紀子, 佐藤洋子

  札幌保健医療大学, Mar. 2016, 札幌保健医療大学紀要, 2, 51 - 62, Japanese

  [Refereed]


• Quality of partogram monitoring at a primary health centre in Zambia

  Wakako Fujita, Lubinda Mukumbuta, Roy Chavuma, Kazutomo Ohashi

  Jan. 2015, MIDWIFERY, 31(1) (1), 191 - 196, English, International magazine

  [Refereed]

  Scientific journal


• Needs assessment survey to introduce 'Birth Companionship' in Mtwara, Tanzania

  FUJITA Wakako, Daniel NGUGI, MURAKAMI Mutsuko, OHASHI Kazutomo

  龍谷大学社会科学研究所, 2013, Annual bulletin of Research Institute for Social Science, 44(44) (44), 301 - 309, Japanese

  [Refereed]


• Quality of midwifery care during labor in Mwananyamala Hospital, Tanzania

  藤田和佳子, 大橋一友, 中園直樹

  (一社)日本国際保健医療学会, Jun. 2011, 国際保健医療, 26(2) (2), 119 - 129, Japanese

  [Refereed]

• 日本語も英語も通じない外国人妊産婦・家族への対応能力アップ～助産師のピアグループ「とらみど」の活動と退院時チェックリストを用いた取り組み

  ブラウン美由紀, 土屋さやか, 早瀬麻子, 藤田和佳子

  Last, Nov. 2024, 臨床助産ケア, 17(1) (1), 43 - 49, Japanese

  [Invited]

  Introduction commerce magazine


• 育児を行う産後早期女性の手や手首の痛みに影響する要因

  西田 里穂, 藤田 和佳子

  (公社)日本母性衛生学会, Sep. 2024, 母性衛生, 65(3) (3), 183 - 183, Japanese


• 日本国内の外国人母子援助に関わる看護職のCultural Competenceについての文献検討

  土屋 さやか, ブラウン 美由紀, 早瀬 麻子, 藤田 和佳子

  (公社)日本母性衛生学会, Sep. 2024, 母性衛生, 65(3) (3), 225 - 225, Japanese


• 育児を行う産後早期女性の手や手首の痛みに影響する要因

  西田里穂, 藤田和佳子

  2024, 母性衛生(CD-ROM), 65(3) (3)


• 日本国内の外国人母子援助に関わる看護職のCultural Competenceについての文献検討

  土屋さやか, ブラウン美由紀, 早瀬麻子, 藤田和佳子

  2024, 母性衛生(CD-ROM), 65(3) (3)


• 妊婦の歯科健診受診行動に関する影響要因

  原 明日香, 藤田 和佳子

  (公社)日本母性衛生学会, Sep. 2023, 母性衛生, 64(3) (3), 186 - 186, Japanese


• 助産師による「外国の方向けの退院時チェックリスト」の効果的な使用方法に関する質的分析

  ブラウン 美由紀, 土屋 さやか, 早瀬 麻子, 藤田 和佳子

  (公社)日本母性衛生学会, Sep. 2023, 母性衛生, 64(3) (3), 216 - 216, Japanese


• 助産師による「外国の方向けの退院時チェックリスト」の効果的な使用方法に関する質的分析

  ブラウン美由紀, 土屋さやか, 早瀬麻子, 藤田和佳子

  2023, 母性衛生(CD-ROM), 64(3) (3)


• 助産教育の新たな挑戦 明日の助産師を育むために全国各地の個性豊かな教育現場を紹介します!(第1回) ハイリスク助産診断・ケア学 長崎大学大学院修士課程リプロダクティブヘルス分野助産師養成コース

  藤田 和佳子

  (株)メディカ出版, Apr. 2022, ペリネイタルケア, 41(4) (4), 379 - 381, Japanese


• 乳幼児を育てる母親の心身の健康と健康意識・ライフスタイルの関連

  石橋 陽菜, 藤田 和佳子

  (一社)日本助産学会, Mar. 2022, 日本助産学会誌, 35(3) (3), 305 - 306, Japanese


• 札幌市産後ケア事業を利用した女性の認識

  野口 真貴子, 高橋 紀子, 藤田 和佳子, 安積 陽子, 高室 典子

  (一社)日本助産学会, Feb. 2018, 日本助産学会誌, 31(3) (3), 304 - 304, Japanese


• スーダン共和国ハルツーム州シャルガニール郡の村落助産師に対する研修活動

  藤田和佳子

  (一社)日本助産学会, Feb. 2018, 日本助産学会誌, 31(3) (3), 354 - 354, Japanese


• 助産師の電話トリアージに関する英語文献レビュー

  大川加奈, 藤田和佳子, 伊藤由美, 佐川正

  看護総合科学研究会, Jul. 2017, 看護総合科学研究会誌, 18(1) (1), 50 - 50, Japanese


• タンザニアの公立病院分娩室における助産業務の実態

  藤田和佳子, MNZAVA Emelda

  看護総合科学研究会, May 2015, 看護総合科学研究会誌, 16(1) (1), 56 - 56, Japanese


• 落合雄彦 編著『アフリカ・ドラッグ考―交錯する生産・取引・乱用・文化・統制―』昇洋書房，2014年，242頁，￥3,000＋税

  藤田 和佳子

  Japan Association for African Studies, 2014, アフリカ研究, 2014(85) (85), 53 - 54, Japanese


• 海外便り Viva! Midwives! : アフリカ初のICM大会に参加して

  藤田 和佳子

  日本助産師会出版, 01 Nov. 2011, 助産師 : 日本助産師会機関誌, 65(4) (4), 28 - 30, Japanese

• アフリカの女性とリプロダクション-国際社会の開発言説をたおやかに超えて-

  落合 雄彦, 宮脇 幸生, 中村 香子, 椎野 若菜, 近藤 英俊, 藤田 和佳子, 三輪 敦子, 金田 知子, 落合 雄彦

  Joint work, 晃洋書房, Feb. 2016, ISBN: 4771026963

  


• 来て！助産師さん

  土屋さやか, 安藤仁美, 岡山真理, 川内恵美子, 丹治恵実, 早瀬麻子, 藤田和佳子, ブラウン美由紀, 山之内智子

  Joint translation, クオリティケア, Dec. 2015, Japanese, イギリスのJennifer Worthが2002年に出版しべストセラーとなった"Call the midwives: A True Story of the East End in the 1950s"の日本語訳である。, ISBN: 9784904363515

• Factors Affecting Hand and Wrist Pain in Postpartum Women Raising Children

  西田里穂, 藤田和佳子

  The 65th Annual Meeting of Japan Society of Maternal Health, Oct. 2024, Japanese

  Oral presentation


• Literature Review on Cultural Competence of Nursing Professionals in Assisting Foreign Mothers and Children in Japan

  土屋さやか, ブラウン美由紀, 早瀬麻子, 藤田和佳子

  The 65th Annual Meeting of Japan Society of Maternal Health, Oct. 2024, Japanese

  Poster presentation


• Qualitative analysis of midwives' effective use of the 'discharge checklist for foreign nationals'.

  ブラウン美由紀, 土屋さやか, 早瀬麻子, 藤田和佳子

  The 64th Annual Meeting of Japan Society of Maternal Health, Oct. 2023, Japanese

  Oral presentation


• Influencing factors on pregnant women's dental check-up behavior

  原明日香, 藤田和佳子

  The 64th Annual Meeting of Japan Society of Maternal Health, Oct. 2023, Japanese

  Oral presentation


• The concern for advanced maternal age: a retrospective cohort study of pregnancy complication a tertiary hospital in Japan

  Yoriko Kotoku, Asuka Miyazaki, Wakako Fujita, Hiromi Eto

  33th ICM Triennial Congress, Jun. 2023


• A qualitative study of the changing needs of women and the role of the independent midwife

  Wakako Fujita, Karin Ohmura, Mizuki Niki, Chiharu Fukushima, Saki Nakahira

  33th ICM Triennial Congress, Jun. 2023, English

  Poster presentation


• 乳幼児を育てる母親の心身の健康と健康意識・ライフスタイルの関連

  石橋 陽菜, 藤田 和佳子

  第36回日本助産学会学術集会, Mar. 2022, Japanese

  Oral presentation


• Nursing care and Impact on Gynecological Robot-Assisted Surgery Using Magic Beds at Nagasaki University Hospital

  Miki Mihara, Wakako Fujita, Kazumi Ueno

  The 10th Annual Meeting of Japan Society of Gynecologic Robotic Surgery, Jan. 2022

  Oral presentation


• Young women's perception of cervical cancer screening and the current method of advocacy in Japan

  Y Takashita, N Taniguchi, Y Honda, M Yamagiwa, M Yoshimura, W Fujita

  32nd ICM Virtual Triennial Congress, Jun. 2021, English

  Poster presentation


• Matero Level1 Hospitalにおける入院時胎児心拍数モニタリングに関する予備調査

  藤田和佳子, 三好康広

  第39回日本国際保健医療学会西日本地方会, Mar. 2021, Japanese

  Oral presentation


• Challenges of the health professionals concerning the support for mother and child with intercultural background 1st report

  Yasuko Takeuchi, Wakako Fujita, Atsuko Ishii

  日本国際保健医療学会 第38回西日本地方会, Mar. 2020, Japanese

  Others


• マイクロフォン式胎児心音計試作機の性能評価

  藤田 和佳子

  第6回看護理工学会学術集会, Oct. 2018, Japanese, Domestic conference

  Poster presentation


• 札幌市産後ケア事業を利用した女性の認識

  野口真貴子, 高橋紀子, 藤田和佳子, 安積陽子, 高室典子

  第32回日本助産学会学術集会, Mar. 2018, Japanese, Domestic conference

  Oral presentation


• スーダン共和国ハルツーム州シャルガニール郡の村落助産師に対する研修活動

  藤田 和佳子

  第32回日本助産学会学術集会, Mar. 2018, Japanese, Domestic conference

  Oral presentation


• Developmemnt of a Birth Preparation Program for Tanzanian Primigravidae at Amtulabhai Antenatal Clinic

  Wakako Fujita

  31st ICM Trinnial Congress, Jun. 2017, English, International conference

  Poster presentation


• Increasing the skills and knowledge of community midwives in Sharg Elneel, Sudan

  Wakako Fujita

  31th ICM Triennial Congress, Jun. 2017, English, International conference

  Oral presentation


• Quality of monitoring during labour in developing country-A case in a health centre in Lusaka, Zambia

  Wakako Fujita

  International Conference on Impact of Global Issues on Women and Children, Manipal University, India, Jan. 2017, English, International conference

  [Invited]

  Keynote oral presentation


• Nurse Robots or Nursing Robots? Preparedness on Nursing for Ultra Aging Society in Japan

  Colley N, Fujita W, Takahashi N, Kangasniemi M, Abe Y, Ishimura G, Ozaki M, Date H

  19th EAFONS, Mar. 2016, English, International conference

  Poster presentation


• Use of Traditional Birth Attendants in Africa

  Tsuneta M, Takahasi N, Fujita W, Sato Y

  19th EAFONS, Mar. 2016, English, International conference

  Poster presentation


• 独立行政法人国際協力機構（JICA）母子保健コース研修の成果と課題

  常田美和, 佐藤洋子, 高橋紀子, 藤田和佳子

  第11回ICMアジア太平洋地域会議助産学術集会, Jul. 2015, Japanese, International conference

  Poster presentation


• タンザニアの公立病院分娩室における助産業務の実態

  藤田和佳子, Emelda Mnzava

  第18回看護総合科学研究会学術集会, Nov. 2014, Japanese, Domestic conference

  Oral presentation


• タンザニア・ムツワラにおける立会い出産に関するニーズ調査

  藤田和佳子, ダニエル・ングギ, 村上睦子

  日本アフリカ学会第51回学術大会, May 2014, Japanese, Domestic conference

  Oral presentation


• Mothers’ perceptions of Childbirth care in Rural Tanzania

  Wakako Fujita, Kazutomo Ohashi, Yukina Takahashi

  International Conference Interprofessional Partnership: Improvement for Global Health Outcomes, Chieng Mai University, Thailand, Sep. 2012, English, International conference

  Oral presentation


• 2. アフリカにおける女性中心の出産への課題

  藤田和佳子, 大橋一友

  第49回日本アフリカ学会, May 2012, Japanese, Domestic conference

  Oral presentation


• To make a good collaboration for achieving Millennium Development Goals (MDG) 5 between Zambia and Japan

  Wakako Fujita, Mutsuko Murakami, Yoshiko Tsukada, Masanori Abe, Kazutomo Ohashi

  29th Triennial Congress of the International Confederation of Midwives, Durban, South Africa, Jun. 2011, English, International conference

  Poster presentation


• 「アフリカ母子保健看護管理コース」フォローアップ研修の効果的なあり方の検討～ザンビア・ルサカでの事例から

  藤田和佳子, 村上睦子, 束田吉子, 阿部将典, 大橋一友

  第48回日本アフリカ学会, May 2011, Japanese, Domestic conference

  Oral presentation

• Japan Academy of Nursing Science

  Jun. 2024 - Present


• JAPAN ASSOCIATION FOR AFRICAN STUDIES


• JAPAN SOCIETY OF MATERNAL HEALTH


• JAPAN ACADEMY OF MIDWIFERY


• JAPAN ASSOCIATION FOR INTERNATIONAL HEALTH

• Implementation research to improve the quality of fetal heart rate monitoring in Zambia

  藤田 和佳子

  Japan Society for the Promotion of Science, Grants-in-Aid for Scientific Research, Grant-in-Aid for Scientific Research (C), Nagasaki University, Apr. 2022 - Mar. 2026, Principal investigator


• Investigation of the Relationship between the Non-Reassuring Pattern of CTG and Maternal Risk Factors at a Referral Hospital in Zambia

  藤田 和佳子

  Japan Society for the Promotion of Science, Grants-in-Aid for Scientific Research Grant-in-Aid for Early-Career Scientists, Grant-in-Aid for Early-Career Scientists, Apr. 2019 - Mar. 2023, Principal investigator

  2019年8月にマテロレベル1病院で予備調査を実施した。入院時、現地の助産師により胎児心拍数聴取を含むルーチンの診察がなされた後に、産婦に対して研究の説明と同意確認を行い、18名の産婦から協力を得た。モバイルCTG（分娩監視装置）を20-30分間装着し、入院時の母体ハイリスク因子に関する情報を収集した。2020年度は、2-3月と5月に本調査を予定したいたものの、新型コロナウイルス感染症の拡大により、計画通りに本調査を実施することができなかった。例数が少ないものの、予備調査で得られたデータを分析し、以下のことが明らかになった。 CTG判定は、正常波形（レベル1及びレベル2）が66.7％、異常波形（レベル3以上）が33.3％であった。異常波形は全てレベル3であった。WHOパルトグラムの基準に照らすと、分娩活動期（子宮口開大度4センチ以上）が、分娩潜伏期（子宮口開大度4センチ未満）に比べて、有意に異常波形の割合が高かった（P<0.05）。また、異常波形を示した活動期の事例は全て破水を伴っていた。うち、2事例は羊水混濁を呈していた。 母体のハイリスク因子は、活動期の事例では、『破水』に加えて『BMI25以上の肥満』、『潜伏期遷延』が該当した。潜伏期の事例では、『HIV陽性妊婦』『35歳以上の高齢妊婦』『前回帝王切開』『羊水過多の診断』の全てを合併している事例と『10代の若年妊婦』であった。 以上のことから、2つのことが考察できた。1つは、活動期の破水事例に対して、現行のトラウベを用いた間歇的聴取では、胎児心拍数の異常を発見できていないことが明らかになった。活動期の破水事例には、胎児心拍数低下のリスクが高く、入念な胎児心拍数モニタリングが必要なことが示唆された。また、妊婦健診ですでに得られている母体ハイリスク情報が、入院時の胎児の健康状態の査定に活かせていない課題が明らかになった。


• Development of fetal monitoring device connecting smartphone and teaching materials for developing countries

  Fujita Wakako, Yokohama Kunihiko

  Japan Society for the Promotion of Science, Grants-in-Aid for Scientific Research Grant-in-Aid for Challenging Exploratory Research, Grant-in-Aid for Challenging Exploratory Research, Apr. 2016 - Mar. 2019, Principal investigator

  We made an experimental fetal heart monitoring machine using a microphone in collaboration with the company and conducted a performance evaluation to fifty pregnant women. We compared the quality of auscultation among three type of fetal heart monitoring machine such as Pinard stethoscope, Ultrasound Doppler and Microphone. The advantage of the Microphone was that the sound became loud even in the early term of pregnancy. However, there were some cases which degraded sound quality due to distortion or noise. Further more, the shape of the experimental device using a microphone was a small box type that must be attached with one hand. This made it difficult to search the best point of fetal heart rate by palpation using both hands. In order to overcome these demerits, we need more consideration for setting an superior impedance-matched microphone,signal processing mechanism or improving the shape of the device.


• Required contents and methods of birth preparation program in Tanzania: Baseline survey at Amtulabhai Antenatal Clinic

  Fujita Wakako, LESHABARI Sebalda, MLAY Danford Ecstasy, MAKOLI Beatrice

  Japan Society for the Promotion of Science, Grants-in-Aid for Scientific Research Grant-in-Aid for Research Activity Start-up, Grant-in-Aid for Research Activity Start-up, Hokkaido University, 29 Aug. 2014 - 31 Mar. 2016

  In developing countries, the information provided to pregnant women during the antenatal period is mainly limited to the recognition of danger signs and complication readiness. Much less attention has been paid to the amount pregnant women know about the normal labor process.This study aimed to investigate mothers' knowledge of the normal labor process and potential coping strategies. We interviewed 20 pregnant women at Amtulabhai Antenatal Clinic in Dar es Salaam. The mothers did not have a clear understanding of the mechanism and process of labor. Consequently, some undesirable incidents (such as premature birth or precipitate labor) occurred. All of the mothers had favorable views of a birth preparation class involving an explanation of the mechanism of labor and information about how to cope with labor pain and relaxation techniques through an audio-visual teaching method in their local language, Kiswahili.

• 日本NGO連携無償資金協力事業 ザンビア・ムワプラ地区SMAG研修

  認定NGO法人ロシナンテス

  Advisor, 23 Jul. 2021 - 31 Oct. 2021