{"created":"2023-05-15T09:08:33.636447+00:00","id":16178,"links":{},"metadata":{"_buckets":{"deposit":"1b3fd19c-c4a2-43c4-bd32-824b50af2076"},"_deposit":{"created_by":15,"id":"16178","owners":[15],"pid":{"revision_id":0,"type":"depid","value":"16178"},"status":"published"},"_oai":{"id":"oai:sapmed.repo.nii.ac.jp:00016178","sets":["1658:1766:1847"]},"author_link":["30769","30770","30767","30768"],"item_7_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2011-03","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"51","bibliographicPageStart":"47","bibliographicVolumeNumber":"13","bibliographic_titles":[{"bibliographic_title":"札幌医科大学保健医療学部紀要 = Bulletin of School of Health Sciences Sapporo Medical University"},{"bibliographic_title":"Bulletin of School of Health Sciences Sapporo Medical University","bibliographic_titleLang":"en"}]}]},"item_7_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"本研究の目的は、会陰損傷と産科的要因の関連を明らかにすることである。対象者は、地域周産期母子医療センターに認定されているA病院における正常経過の経腟分娩1055例。データは診療録、助産録、分娩台帳から収集し、調査内容は、産婦年齢、既往分娩回数、分娩体位、妊娠週数、児の出生体重と頭囲、子宮口が全開大してから児娩出までの分娩第2期の所要時間などである。対象者を会陰損傷なし群と会陰損傷あり群に分け、産科的要因との関連について統計学的に分析した。分析の結果、会陰損傷なし群は60名(5.7％)、会陰損傷あり群は995名(94.3％)であった。産科的要因との関連を比較した結果、既往分娩回数と分娩第2期所要時間に有意差がみられた。会陰損傷なし群は会陰損傷あり群より経産婦が多く、分娩第2期所要時間が短いことが明らかになった。これらのことから、分娩介助者が会陰の伸展性と児の娩出スピードをどのように判断し、分娩第2期所要時間を管理するかが会陰損傷に影響することが示唆された。","subitem_description_type":"Abstract"}]},"item_7_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"30769","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Yoshiko, HAYASHI"}]},{"nameIdentifiers":[{"nameIdentifier":"30770","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Keiko, MASAOKA"}]}]},"item_7_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.15114/bshs.13.47","subitem_identifier_reg_type":"JaLC"}]},"item_7_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"札幌医科大学保健医療学部"}]},"item_7_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1344-9192","subitem_source_identifier_type":"ISSN"}]},"item_7_version_type_15":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"林, 佳子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"正岡, 経子"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-09-11"}],"displaytype":"detail","filename":"n134491921347.pdf","filesize":[{"value":"1.2 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"n134491921347.pdf","url":"https://sapmed.repo.nii.ac.jp/record/16178/files/n134491921347.pdf"},"version_id":"850fcd1f-4750-4130-9ef7-7fed66451533"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"会陰損傷","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"経腟分娩","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"既往分娩回数","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"分娩第2期所要時間","subitem_subject_language":"ja","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"経腟分娩における会陰損傷発生の関連要因　第1報　産科的要因別の比較","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"経腟分娩における会陰損傷発生の関連要因　第1報　産科的要因別の比較","subitem_title_language":"ja"},{"subitem_title":"Factors influencing perineal trauma during vaginal delivery Part 1 A comparison of obstetric factors","subitem_title_language":"en"}]},"item_type_id":"7","owner":"15","path":["1847"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2019-09-11"},"publish_date":"2019-09-11","publish_status":"0","recid":"16178","relation_version_is_last":true,"title":["経腟分娩における会陰損傷発生の関連要因　第1報　産科的要因別の比較"],"weko_creator_id":"15","weko_shared_id":-1},"updated":"2023-12-13T02:53:06.696515+00:00"}