The Observation And Discussion Of Nursing Mode During Delivery In Japan

Normal labour is a special physiological course.There is muchdifference in expectation of delivery nursing due to the difference inthe nation, people, culture background and custom, but the expectationof the safety of the labour in woman and fetus is the same. In the premise of the respection of the culture background ofdifficulties, as a medical researcher of Japan-China ShiChuan, I have achance to observe the Japanese labour nursing as the Chinese midwifeangle of view and explore some rule as the reference to improve thequality of labour nursing. Objection: In the recent years, with the progress and developmentof the medical science, operation and anaesthesia technology, and themore expectation of the safety of delivery in woman and fetus, the rateof cesarean section is increasing in the world, and is above theexemplary limit of WHO, 15%. The gynecology and obstestic doctorsare working hard to decrease the rate of cesarean section in the world.To decrease the rate of cesarean section, first, we shoud strengthen thesuit labor nursing system;second, we shoud strengthen midwife's skill,responsibility and attitude;Third, we shoud strengthen health cultureto provide lying-in woman and her family numbers with morescientific choice. During the studying in labour room in Japan, Iobserve not only the whole process of labour, but also the Japanesemid-wife` skill, responsibility, and attitude, which is the aim of thisresearch task.Method: With the guide of Japanese tutor from 2005.8.8 to2005.9.30 in obstestic department of a medical college, I haveobserved and made a research about the whole labour course byvagina.Result: Concrete observation the nursing method and delivermethod: envorinment neatness, the application of warding equipment,the complementarity of food and water, dealing with ordure, the breathguide, the abdomen pressure guide, alleviating the labour ache, thedeliver guesture, the accompany and sustain of her family numbers,the ethic problem, lying-in woman's confidence and spirit aid,labour-aid mode and mid-wife' skill, ability, responsibility and attitude.The nursing quality of labour is valued by the labour course, thelying-in woman's feeling of security and comfort and the midwife'sability, responsibility and attitude. Although there is different whenentering in hospital the deliver courses are all well-off and lying-inwomen and fetus are safety. Iying-in women have been felling safeand comfort in the whole deliver course and is content for mid-wife'stechnology skill, responsibility and attitude. Among the 6 lying-inwoman, 4 cases is dealed with episiotomy, 1 cases is dealed withforceps delivery and 2 cases happened postpattum hemorrhage, whichprobably happen in the delivery course. Mid-wife have discussed withlying-in women and her family numbers when lying-in womanentering in hospital. Lying-in woman have learned the condition andsigned when there is difference in delivery course.Discussion: It is demanded by WHO that we shoud decrease therate of cesarean section, which is lower than 15% by strenghtheningdelivery nursing and improving the ability of mid-wife. The level ofdelivery nursing is well in the medical department in ShanLi Collegein Japan and can represent the level of nursing in Japan, Which isaccordant in the advance level in China. Although 6 lying-in woman isfew and there is no stastic difference. It can provide reference valueand significant meaning.Conclusion: By observing 6 lying-in woman's delivery nursingby vagina delivery, the nursing strategy of "Insuring the lying-inwoman's safety and conformt is correct;The mid-wife's skill,responsility and attitude are important to reduce the rate of cesareansection. From the whole level, there is not much difference betweenChina and Japan. The difference is the imbalance development ofdelivery nursing. Another difference is that we are late in culturingmidwife and atandardizing management. We can decrease thedifference only if we pay much attention and work hard on it.