産前ケア

産前ケアの講座内容について

 

今回は【産前ケアってなに？】という疑問から生まれる、様々な疑問に対して科学的に調べました。

 

産前ケアとはなにか？を調べるにあたって1番最初に感じた疑問は「産前ケアってなんのためにするの？」ということです。

それを調べる中で生まれた疑問は以下のようなものです。

以下の疑問に対して科学的に正確に答えられない人、気になる人の参考になる講座になります。

 

今回の講座はどんな業態、業種の人でも(鍼灸師、整体師、助産師、理学療法士、インストラクター、その他)受けられるように設計しています。

 

*この講座はオンラインのみです。

*産前ケアとは何かを考える講座で、手技について詳しくお伝えする講座ではありません。

 

お申し込みはこちらから

 

 

 

産前ケア

  1. 産前ケアの意義とは？
  2. 産前ケア事業の目的とは？
  3. 安産とは？
  4. 安産になるためには何をするべき？
  5. 胎児の姿勢が正常(屈位/前方後頭位)にならないとはどうして？
  6. 安産にならない要因とは？
  7. 切迫早産が起きる理由は？
  8. お腹が張るメカニズム(子宮収縮のメカニズム)とは？
  9. 妊娠中の不調のメカニズムとは？
  10. 骨盤ケアの意義とは？
  11. 一般の骨盤ケアとの違いとは？
  12. 産前ケアと骨盤ケアの違いとは？

骨盤のゆがみ

  1. 骨盤のゆがみとは？
  2. 一般、産前、産後のゆがみの定義の違いとは？
  3. 産前のゆがみで起こりうるトラブルとは？
  4. リラキシンと早産の関係とは？
  5. 骨盤ケアの手段とは？

まとめ

  1. 産前ケアでするべきことは？
  2. 産前ケアの手段 / 方法

 

講座のエビデンス

 

参考書籍

  1. 児頭回旋を極める: WEB動画でよくわかる　回旋異常のメカニズムとその対応
    https://amzn.to/4aR5rte
  2. 産後リハにおける腹部・骨盤へのアプローチ―腟・会陰部のケア,尿失禁,骨盤臓器脱,会陰・骨盤痛の予防のためのエクササイズ
    https://amzn.to/3JyDqL3
  3. ペリネイタルケア 2023年3月号 <特集>分娩時から始める骨盤底（ぺリネ）ケア（第42巻3号）
    https://amzn.to/3UvxoBk
  4. これからの切迫早産管理　長期安静・持続点滴はやめよう
    https://amzn.to/3Uy3Ym8
  5. 助産雑誌 2007年 03月号 [雑誌]
    https://amzn.to/49XFBma
  6. 体幹と骨盤の評価と運動療法 改訂版
    https://amzn.to/3UwxyIq
  7. 目醒める! 大腰筋 コアを鍛えて内面から身心を改善
    https://amzn.to/3UwToLV
  8. 骨盤と仙腸関節の機能解剖―骨盤帯を整えるリアラインアプローチ
    https://amzn.to/49X31rM

 

お申し込みはこちらから

 

参考文献

 

 

産前ケア

  1. Morino S, Ishihara M, Umezaki F, Hatanaka H, Yamashita M, Kawabe R, Aoyama T. The effects of pelvic belt use on pelvic alignment during and after pregnancy: a prospective longitudinal cohort study. BMC Pregnancy Childbirth. 2019 Aug 22;19(1):305. doi: 10.1186/s12884-019-2457-6. PMID: 31438891; PMCID: PMC6704663.
  2. Mens JM. Does a pelvic belt reduce hip adduction weakness in pregnancy-related posterior pelvic girdle pain? A case-control study. Eur J Phys Rehabil Med. 2017 Aug;53(4):575-581. doi: 10.23736/S1973-9087.17.04442-2. Epub 2017 Mar 1. PMID: 28251846.
  3. Ramírez SI. Prenatal Care: An Evidence-Based Approach. Am Fam Physician. 2023 Aug;108(2):139-150. PMID: 37590852.
  4. Komisaruk BR, Sansone G. Neural pathways mediating vaginal function: the vagus nerves and spinal cord oxytocin. Scand J Psychol. 2003 Jul;44(3):241-50. doi: 10.1111/1467-9450.00341. PMID: 12914587.
  5. 中村幸代, 堀内成子, and 柳井晴夫. "妊婦の冷え症と微弱陣痛・遷延分娩との因果効果の推定—傾向スコアによる交絡因子の調整—." 日本看護科学会誌 33.4 (2013): 4_3-4_12.
  6. Davenport MH, Nagpal TS, Mottola MF, Skow RJ, Riske L, Poitras VJ, Jaramillo Garcia A, Gray CE, Barrowman N, Meah VL, Sobierajski F, James M, Nuspl M, Weeks A, Marchand AA, Slater LG, Adamo KB, Davies GA, Barakat R, Ruchat SM. Prenatal exercise (including but not limited to pelvic floor muscle training) and urinary incontinence during and following pregnancy: a systematic review and meta-analysis. Br J Sports Med. 2018 Nov;52(21):1397-1404. doi: 10.1136/bjsports-2018-099780. Erratum in: Br J Sports Med. 2019 Jan;53(2):e1. Erratum in: Br J Sports Med. 2020 Mar;54(5):e3. PMID: 30337466.
  7. Phelan ST. Components and timing of prenatal care. Obstet Gynecol Clin North Am. 2008 Sep;35(3):339-53, vii. doi: 10.1016/j.ogc.2008.06.002. PMID: 18760223.
  8. Moos MK. Prenatal care: limitations and opportunities. J Obstet Gynecol Neonatal Nurs. 2006 Mar-Apr;35(2):278-85. doi: 10.1111/j.1552-6909.2006.00039.x. PMID: 16620256.

産後の骨盤

  1. Parker EA, Meyer AM, Goetz JE, Willey MC, Westermann RW. Do Relaxin Levels Impact Hip Injury Incidence in Women? A Scoping Review. Front Endocrinol (Lausanne). 2022 Feb 4;13:827512. doi: 10.3389/fendo.2022.827512. PMID: 35185802; PMCID: PMC8855110.
  2. Daneau C, Houle M, Pasquier M, Ruchat SM, Descarreaux M. Association Between Pregnancy-Related Hormones and Lumbopelvic Pain Characteristics in Pregnant Women: A Scoping Review. J Manipulative Physiol Ther. 2021 Sep;44(7):573-583. doi: 10.1016/j.jmpt.2021.10.001. Epub 2021 Dec 9. PMID: 34895733.
  3. Daneau C, Abboud J, Marchand AA, Houle M, Pasquier M, Ruchat SM, Descarreaux M. Mechanisms Underlying Lumbopelvic Pain During Pregnancy: A Proposed Model. Front Pain Res (Lausanne). 2021 Dec 2;2:773988. doi: 10.3389/fpain.2021.773988. PMID: 35295430; PMCID: PMC8915559.
  4. Capobianco R, Cher D; SIFI Study Group. Safety and effectiveness of minimally invasive sacroiliac joint fusion in women with persistent post-partum posterior pelvic girdle pain: 12-month outcomes from a prospective, multi-center trial. Springerplus. 2015 Oct 5;4:570. doi: 10.1186/s40064-015-1359-y. PMID: 26543705; PMCID: PMC4627991.
  5. Wuytack F, Begley C, Daly D. Risk factors for pregnancy-related pelvic girdle pain: a scoping review. BMC Pregnancy Childbirth. 2020 Nov 27;20(1):739. doi: 10.1186/s12884-020-03442-5. PMID: 33246422; PMCID: PMC7694360.
  6. Wiezer M, Hage-Fransen MAH, Otto A, Wieffer-Platvoet MS, Slotman MH, Nijhuis-van der Sanden MWG, Pool-Goudzwaard AL. Risk factors for pelvic girdle pain postpartum and pregnancy related low back pain postpartum; a systematic review and meta-analysis. Musculoskelet Sci Pract. 2020 Aug;48:102154. doi: 10.1016/j.msksp.2020.102154. Epub 2020 May 5. PMID: 32560862.
  7. Hage-Fransen MAH, Wiezer M, Otto A, Wieffer-Platvoet MS, Slotman MH, Nijhuis-van der Sanden MWG, Pool-Goudzwaard AL. Pregnancy- and obstetric-related risk factors for urinary incontinence, fecal incontinence, or pelvic organ prolapse later in life: A systematic review and meta-analysis. Acta Obstet Gynecol Scand. 2021 Mar;100(3):373-382. doi: 10.1111/aogs.14027. Epub 2020 Nov 2. PMID: 33064839.
  8. Dunn G, Egger MJ, Shaw JM, Yang J, Bardsley T, Powers E, Nygaard IE. Trajectories of lower back, upper back, and pelvic girdle pain during pregnancy and early postpartum in primiparous women. Womens Health (Lond). 2019 Jan-Dec;15:1745506519842757. doi: 10.1177/1745506519842757. PMID: 30991911; PMCID: PMC6472169.
  9. Bjelland EK, Eberhard-Gran M, Nielsen CS, Eskild A. Age at menarche and pelvic girdle syndrome in pregnancy: a population study of 74 973 women. BJOG. 2011 Dec;118(13):1646-52. doi: 10.1111/j.1471-0528.2011.03099.x. Epub 2011 Sep 6. PMID: 21895953.
  10. Shiri R, Coggon D, Falah-Hassani K. Exercise for the prevention of low back and pelvic girdle pain in pregnancy: A meta-analysis of randomized controlled trials. Eur J Pain. 2018 Jan;22(1):19-27. doi: 10.1002/ejp.1096. Epub 2017 Sep 4. PMID: 28869318.
  11. 赤尾静香, et al. "産後女性における骨盤痛と骨盤アライメントの関連性." 理学療法学 Supplement Vol. 42 Suppl. No. 2 (第 50 回日本理学療法学術大会 抄録集). 日本理学療法士協会 (現 一般社団法人日本理学療法学会連合), 2015.

リラキシン

  1. Kobayashi M, Sekine H, Ogawa Y, Toyama S, Komukai Y, Nakamura M, Mitanda R, Hayashi M, Kobayashi M, Hori T. Relaxin contributes to the elevation of monocytic myeloid-derived suppressor cells in peripheral blood of pregnant canines. J Reprod Immunol. 2023 Feb;155:103778. doi: 10.1016/j.jri.2022.103778. Epub 2022 Nov 26. PMID: 36455400.
  2. Goldsmith LT, Weiss G, Steinetz BG. Relaxin and its role in pregnancy. Endocrinol Metab Clin North Am. 1995 Mar;24(1):171-86. PMID: 7781625.
  3. Vrachnis N, Grigoriadis C, Siristatidis C, Vlachadis N, Balakitsas N, Mastorakos G, Iliodromiti Z. The Janus face of maternal serum relaxin: a facilitator of birth, might it also induce preterm birth? J Matern Fetal Neonatal Med. 2015;28(18):2187-91. doi: 10.3109/14767058.2014.981804. Epub 2014 Nov 18. PMID: 25363010.
  4. Petersen LK, Hvidman L, Uldbjerg N. Normal serum relaxin in women with disabling pelvic pain during pregnancy. Gynecol Obstet Invest. 1994;38(1):21-3. doi: 10.1159/000292438. PMID: 7959320.
  5. Aldabe D, Ribeiro DC, Milosavljevic S, Dawn Bussey M. Pregnancy-related pelvic girdle pain and its relationship with relaxin levels during pregnancy: a systematic review. Eur Spine J. 2012 Sep;21(9):1769-76. doi: 10.1007/s00586-012-2162-x. Epub 2012 Feb 4. PMID: 22310881; PMCID: PMC3459115.
  6. Albert H, Godskesen M, Westergaard JG, Chard T, Gunn L. Circulating levels of relaxin are normal in pregnant women with pelvic pain. Eur J Obstet Gynecol Reprod Biol. 1997 Jul;74(1):19-22. doi: 10.1016/s0301-2115(97)00076-6. PMID: 9243195.
  7. Hansen A, Jensen DV, Larsen E, Wilken-Jensen C, Petersen LK. Relaxin is not related to symptom-giving pelvic girdle relaxation in pregnant women. Acta Obstet Gynecol Scand. 1996 Mar;75(3):245-9. doi: 10.3109/00016349609047095. PMID: 8607337.
  8. MacLennan AH. The role of the hormone relaxin in human reproduction and pelvic girdle relaxation. Scand J Rheumatol Suppl. 1991;88:7-15. PMID: 2011710.
  9. Vøllestad NK, Torjesen PA, Robinson HS. Association between the serum levels of relaxin and responses to the active straight leg raise test in pregnancy. Man Ther. 2012 Jun;17(3):225-30. doi: 10.1016/j.math.2012.01.003. Epub 2012 Jan 30. PMID: 22284767.
  10. Weiss G, Goldsmith LT, Sachdev R, Von Hagen S, Lederer K. Elevated first-trimester serum relaxin concentrations in pregnant women following ovarian stimulation predict prematurity risk and preterm delivery. Obstet Gynecol. 1993 Nov;82(5):821-8. PMID: 8414331.
  11. 第一生理, et al. "レラキシンと子宮筋弛緩." J. Smooth Muscle Res 27 (1991): 67-74.
  12. Goldsmith LT, Weiss G. Relaxin in human pregnancy. Ann N Y Acad Sci. 2009 Apr;1160:130-5. doi: 10.1111/j.1749-6632.2008.03800.x. PMID: 19416173; PMCID: PMC3856209.
  13. Bryant-Greenwood GD, Yamamoto SY, Lowndes KM, Webster LE, Parg SS, Amano A, Bullesbach EE, Schwabe C, Millar LK. Human decidual relaxin and preterm birth. Ann N Y Acad Sci. 2005 May;1041:338-44. doi: 10.1196/annals.1282.054. PMID: 15956731.
  14. Bain E, Heatley E, Hsu K, Crowther CA. Relaxin for preventing preterm birth. Cochrane Database Syst Rev. 2013 Aug 16;(8):CD010073. doi: 10.1002/14651858.CD010073.pub2. PMID: 23949874.
  15. Sherwood OD. Relaxin's physiological roles and other diverse actions. Endocr Rev. 2004 Apr;25(2):205-34. doi: 10.1210/er.2003-0013. PMID: 15082520.
  16. Challis JRG, Matthews SG, Gibb W, Lye SJ. Endocrine and paracrine regulation of birth at term and preterm. Endocr Rev. 2000 Oct;21(5):514-50. doi: 10.1210/edrv.21.5.0407. PMID: 11041447.
  17. Pachuliya, O., Bespalova, O., Butenko, M., Milyutina, Y., Tral, T., & Tolibova, G. (2021). “Relaxin-dependent” way of implementing spontaneous preterm labor in multiple pregnancies: The involvement of placental relaxin 2. Journal of obstetrics and women's diseases. https://doi.org/10.17816/jowd60946.
  18. Vrachnis N, Grigoriadis C, Siristatidis C, Vlachadis N, Balakitsas N, Mastorakos G, Iliodromiti Z. The Janus face of maternal serum relaxin: a facilitator of birth, might it also induce preterm birth? J Matern Fetal Neonatal Med. 2015;28(18):2187-91. doi: 10.3109/14767058.2014.981804. Epub 2014 Nov 18. PMID: 25363010.
  19. Garibay-Tupas JL, Okazaki KJ, Tashima LS, Yamamoto S, Bryant-Greenwood GD. Regulation of the human relaxin genes H1 and H2 by steroid hormones. Mol Cell Endocrinol. 2004 Apr 30;219(1-2):115-25. doi: 10.1016/j.mce.2004.01.004. PMID: 15149733.
  20. Winkler M, Rath W. Zur Rolle von Zytokinen bei Weheninduktion, Zervixreifung und Blasensprung [The role of cytokines in the induction of labor, cervical ripening and rupture of the fetal membranes]. Z Geburtshilfe Neonatol. 1996;200 Suppl 1:1-12. German. PMID: 16764118.
  21. Masini E, Nistri S, Vannacci A, Bani Sacchi T, Novelli A, Bani D. Relaxin inhibits the activation of human neutrophils: involvement of the nitric oxide pathway. Endocrinology. 2004 Mar;145(3):1106-12. doi: 10.1210/en.2003-0833. Epub 2003 Nov 20. PMID: 14630720.
  22. Bryant-Greenwood GD, Yamamoto SY, Sadowsky DW, Gravett MG, Novy MJ. Relaxin stimulates interleukin-6 and interleukin-8 secretion from the extraplacental chorionic cytotrophoblast. Placenta. 2009 Jul;30(7):599-606. doi: 10.1016/j.placenta.2009.04.009. Epub 2009 May 20. PMID: 19467703.
  23. Bryant-Greenwood GD, Kern A, Yamamoto SY, Sadowsky DW, Novy MJ. Relaxin and the human fetal membranes. Reprod Sci. 2007 Dec;14(8 Suppl):42-5. doi: 10.1177/1933719107310821. PMID: 18089609.
  24. Weiss G, Goldsmith LT. Mechanisms of relaxin-mediated premature birth. Ann N Y Acad Sci. 2005 May;1041:345-50. doi: 10.1196/annals.1282.055. PMID: 15956732.

腰痛・骨盤痛

  1. Gutke A, Lundberg M, Östgaard HC, Öberg B. Impact of postpartum lumbopelvic pain on disability, pain intensity, health-related quality of life, activity level, kinesiophobia, and depressive symptoms. Eur Spine J. 2011 Mar;20(3):440-8. doi: 10.1007/s00586-010-1487-6. Epub 2010 Jul 1. PMID: 20593205; PMCID: PMC3048223.
  2. Albert HB, Godskesen M, Westergaard JG. Incidence of four syndromes of pregnancy-related pelvic joint pain. Spine (Phila Pa 1976). 2002 Dec 15;27(24):2831-4. doi: 10.1097/00007632-200212150-00020. PMID: 12486356.
  3. Damen L, Buyruk HM, Güler-Uysal F, Lotgering FK, Snijders CJ, Stam HJ. The prognostic value of asymmetric laxity of the sacroiliac joints in pregnancy-related pelvic pain. Spine (Phila Pa 1976). 2002 Dec 15;27(24):2820-4. doi: 10.1097/00007632-200212150-00018. PMID: 12486354.
  4. Kogstad O, Biørnstad N. Bekkenløsning. Patogenese/etiologi/definisjon/epidemiologi [Pelvic girdle relaxation. Pathogenesis, etiology, definition, epidemiology]. Tidsskr Nor Laegeforen. 1990 Jun 30;110(17):2209-11. Norwegian. PMID: 2142835.
  5. Gutke A, Josefsson A, Oberg B. Pelvic girdle pain and lumbar pain in relation to postpartum depressive symptoms. Spine (Phila Pa 1976). 2007 Jun 1;32(13):1430-6. doi: 10.1097/BRS.0b013e318060a673. PMID: 17545912.
  6. Biering K, Nøhr EA, Olsen J, Andersen AM, Hjøllund NH, Juhl M. Pregnancy-related pelvic pain is more frequent in women with increased body mass index. Acta Obstet Gynecol Scand. 2011 Oct;90(10):1132-9. doi: 10.1111/j.1600-0412.2011.01141.x. Epub 2011 May 20. PMID: 21446932.
  7. Albert H, Godskesen M, Westergaard J. Prognosis in four syndromes of pregnancy-related pelvic pain. Acta Obstet Gynecol Scand. 2001 Jun;80(6):505-10. PMID: 11380285.
  8. Mens JM, Vleeming A, Snijders CJ, Ronchetti I, Stam HJ. Reliability and validity of hip adduction strength to measure disease severity in posterior pelvic pain since pregnancy. Spine (Phila Pa 1976). 2002 Aug 1;27(15):1674-9. doi: 10.1097/00007632-200208010-00017. PMID: 12163732.
  9. Mens JMA, Pool-Goudzwaard A. The transverse abdominal muscle is excessively active during active straight leg raising in pregnancy-related posterior pelvic girdle pain: an observational study. BMC Musculoskelet Disord. 2017 Aug 25;18(1):372. doi: 10.1186/s12891-017-1732-9. PMID: 28841825; PMCID: PMC5574111.
  10. Elden H, Gutke A, Kjellby-Wendt G, Fagevik-Olsen M, Ostgaard HC. Predictors and consequences of long-term pregnancy-related pelvic girdle pain: a longitudinal follow-up study. BMC Musculoskelet Disord. 2016 Jul 12;17:276. doi: 10.1186/s12891-016-1154-0. PMID: 27406174; PMCID: PMC4941027.
  11. Albert HB, Godskesen M, Korsholm L, Westergaard JG. Risk factors in developing pregnancy-related pelvic girdle pain. Acta Obstet Gynecol Scand. 2006;85(5):539-44. doi: 10.1080/00016340600578415. PMID: 16752231.
  12. Bjelland EK, Eskild A, Johansen R, Eberhard-Gran M. Pelvic girdle pain in pregnancy: the impact of parity. Am J Obstet Gynecol. 2010 Aug;203(2):146.e1-6. doi: 10.1016/j.ajog.2010.03.040. Epub 2010 May 26. PMID: 20510180.
  13. Mens JM, Pool-Goudzwaard A. Contraction of the transverse abdominal muscle in pelvic girdle pain is enhanced by pain provocation during the task. Musculoskelet Sci Pract. 2017 Dec;32:78-83. doi: 10.1016/j.msksp.2017.09.001. Epub 2017 Sep 6. PMID: 28898747.
  14. Fitzgerald CM, Bennis S, Marcotte ML, Shannon MB, Iqbal S, Adams WH. The impact of a sacroiliac joint belt on function and pain using the active straight leg raise in pregnancy-related pelvic girdle pain. PM R. 2022 Jan;14(1):19-29. doi: 10.1002/pmrj.12591. Epub 2021 May 20. PMID: 33745213.
  15. 松岡あやか, and マツオカアヤカ. "妊産褥婦における骨盤支持の目的と方法および効用に関する文献検討." 南九州看護研究誌 12.1 (2014): 41-49.
  16. 田代俊之, et al. "妊婦の腰痛." 日本腰痛研究会雑誌 2.1 (1996): 22-26.
  17. Kordi R, Abolhasani M, Rostami M, Hantoushzadeh S, Mansournia MA, Vasheghani-Farahani F. Comparison between the effect of lumbopelvic belt and home based pelvic stabilizing exercise on pregnant women with pelvic girdle pain; a randomized controlled trial. J Back Musculoskelet Rehabil. 2013;26(2):133-9. doi: 10.3233/BMR-2012-00357. PMID: 23640314.
  18. Robinson HS, Eskild A, Heiberg E, Eberhard-Gran M. Pelvic girdle pain in pregnancy: the impact on function. Acta Obstet Gynecol Scand. 2006;85(2):160-4. doi: 10.1080/00016340500410024. PMID: 16532908.
  19. Hemmerich A, Bandrowska T, Dumas GA. The effects of squatting while pregnant on pelvic dimensions: A computational simulation to understand childbirth. J Biomech. 2019 Apr 18;87:64-74. doi: 10.1016/j.jbiomech.2019.02.017. Epub 2019 Feb 27. PMID: 30851977.
  20. Owe KM, Bjelland EK, Stuge B, Orsini N, Eberhard-Gran M, Vangen S. Exercise level before pregnancy and engaging in high-impact sports reduce the risk of pelvic girdle pain: a population-based cohort study of 39 184 women. Br J Sports Med. 2016 Jul;50(13):817-22. doi: 10.1136/bjsports-2015-094921. Epub 2015 Oct 4. PMID: 26435533.
  21. Albert HB, Godskesen M, Korsholm L, Westergaard JG. Risk factors in developing pregnancy-related pelvic girdle pain. Acta Obstet Gynecol Scand. 2006;85(5):539-44. doi: 10.1080/00016340600578415. PMID: 16752231.
  22. Bjelland EK, Owe KM, Stuge B, Vangen S, Eberhard-Gran M. Breastfeeding and pelvic girdle pain: a follow-up study of 10,603 women 18 months after delivery. BJOG. 2015 Dec;122(13):1765-71. doi: 10.1111/1471-0528.13118. Epub 2014 Oct 20. PMID: 25327939.
  23. Bjelland EK, Eberhard-Gran M, Nielsen CS, Eskild A. Age at menarche and pelvic girdle syndrome in pregnancy: a population study of 74 973 women. BJOG. 2011 Dec;118(13):1646-52. doi: 10.1111/j.1471-0528.2011.03099.x. Epub 2011 Sep 6. PMID: 21895953.
  24. Mens JM, Pool-Goudzwaard A, Stam HJ. Mobility of the pelvic joints in pregnancy-related lumbopelvic pain: a systematic review. Obstet Gynecol Surv. 2009 Mar;64(3):200-8. doi: 10.1097/OGX.0b013e3181950f1b. PMID: 19228440.
  25. Morino S, Ishihara M, Umezaki F, Hatanaka H, Yamashita M, Kawabe R, Aoyama T. The effects of pelvic belt use on pelvic alignment during and after pregnancy: a prospective longitudinal cohort study. BMC Pregnancy Childbirth. 2019 Aug 22;19(1):305. doi: 10.1186/s12884-019-2457-6. PMID: 31438891; PMCID: PMC6704663.
  26. 笠野由布子, and 増田一太. "女性の骨盤形態の特徴と出産経験による比較." 理学療法学 Supplement Vol. 46 Suppl. No. 1 (第 53 回日本理学療法学術大会 抄録集). 日本理学療法士協会 (現 一般社団法人日本理学療法学会連合), 2019.

 

子宮円靭帯痛

  1. Twidale, Emily Katherine, et al. "Unexplained abdominal pain in pregnancy and the use of the term ‘Round Ligament Pain’: a single-centre New Zealand pilot cohort study." (2022).

早産

  1. Kacerovsky M, Romero R, Stepan M, Stranik J, Maly J, Pliskova L, Bolehovska R, Palicka V, Zemlickova H, Hornychova H, Spacek J, Jacobsson B, Pacora P, Musilova I. Antibiotic administration reduces the rate of intraamniotic inflammation in preterm prelabor rupture of the membranes. Am J Obstet Gynecol. 2020 Jul;223(1):114.e1-114.e20. doi: 10.1016/j.ajog.2020.01.043. PMID: 32591087; PMCID: PMC9125527.
  2. Gomez-Lopez N, Galaz J, Miller D, Farias-Jofre M, Liu Z, Arenas-Hernandez M, Garcia-Flores V, Shaffer Z, Greenberg JM, Theis KR, Romero R. The immunobiology of preterm labor and birth: intra-amniotic inflammation or breakdown of maternal-fetal homeostasis. Reproduction. 2022 Jun 20;164(2):R11-R45. doi: 10.1530/REP-22-0046. PMID: 35559791; PMCID: PMC9233101.
  3. Gomez-Lopez N, Romero R, Xu Y, Miller D, Arenas-Hernandez M, Garcia-Flores V, Panaitescu B, Galaz J, Hsu CD, Para R, Berry SM. Fetal T Cell Activation in the Amniotic Cavity during Preterm Labor: A Potential Mechanism for a Subset of Idiopathic Preterm Birth. J Immunol. 2019 Oct 1;203(7):1793-1807. doi: 10.4049/jimmunol.1900621. Epub 2019 Sep 6. PMID: 31492740; PMCID: PMC6799993.
  4. Gomez-Lopez N, Romero R, Garcia-Flores V, Leng Y, Miller D, Hassan SS, Hsu CD, Panaitescu B. Inhibition of the NLRP3 inflammasome can prevent sterile intra-amniotic inflammation, preterm labor/birth, and adverse neonatal outcomes†. Biol Reprod. 2019 May 1;100(5):1306-1318. doi: 10.1093/biolre/ioy264. PMID: 30596885; PMCID: PMC6497524.
  5. Vitale SG, Marilli I, Rapisarda AM, Rossetti D, Belluomo G, Iapichino V, Stancanelli F, Cianci A. Cellular and biochemical mechanisms, risk factors and management of preterm birth: state of the art. Minerva Ginecol. 2014 Dec;66(6):589-95. PMID: 25373016.
  6. Goldenberg RL, Culhane JF, Iams JD, Romero R. Epidemiology and causes of preterm birth. Lancet. 2008 Jan 5;371(9606):75-84. doi: 10.1016/S0140-6736(08)60074-4. PMID: 18177778; PMCID: PMC7134569.
  7. Romero R, Dey SK, Fisher SJ. Preterm labor: one syndrome, many causes. Science. 2014 Aug 15;345(6198):760-5. doi: 10.1126/science.1251816. Epub 2014 Aug 14. PMID: 25124429; PMCID: PMC4191866.
  8. Biggio JR Jr. Current Approaches to Risk Assessment and Prevention of Preterm Birth-A Continuing Public Health Crisis. Ochsner J. 2020 Winter;20(4):426-433. doi: 10.31486/toj.20.0005. PMID: 33408582; PMCID: PMC7755547.
  9. Zierden, Hannah C., et al. "Next generation strategies for preventing preterm birth." Advanced drug delivery reviews 174 (2021): 190-209.
  10. da Fonseca, Eduardo B., Rievani Damião, and Daniela Aires Moreira. "Preterm birth prevention." Best Practice & Research Clinical Obstetrics & Gynaecology 69 (2020): 40-49.
  11. Diao M, Zhou J, Tao Y, Hu Z, Lin X. RAC1 is involved in uterine myometrium contraction in the inflammation-associated preterm birth. Reproduction. 2022 Sep 20;164(4):169-181. doi: 10.1530/REP-21-0186. PMID: 36018772; PMCID: PMC9513643.
  12. 川嶋昌美, et al. "初産婦における体温低下と切迫早産の関連性について―切迫早産妊婦と正常妊婦を比較して―." 昭和学士会雑誌 75.6 (2015): 652-656.
  13. 米田哲. "自然早産の臨床的な特徴とそこから見えてきた治療戦略と限界, そして, その予防策へと." Reproductive Immunology and Biology 35 (2020): 1-8.
  14. 林昌子. "早産の予防と管理." 日本医科大学医学会雑誌 16.3 (2020): 138-143.
  15. Fonseca EB, Celik E, Parra M, Singh M, Nicolaides KH; Fetal Medicine Foundation Second Trimester Screening Group. Progesterone and the risk of preterm birth among women with a short cervix. N Engl J Med. 2007 Aug 2;357(5):462-9. doi: 10.1056/NEJMoa067815. PMID: 17671254.
  16. Nakamura S, Horiuchi S. Randomized Controlled Trial to Assess the Effectiveness of a Self-Care Program for Pregnant Women for Relieving Hiesho. J Altern Complement Med. 2017 Jan;23(1):53-59. doi: 10.1089/acm.2016.0030. Epub 2016 Aug 24. PMID: 27556931.
  17. Nakamura S, Horiuchi S, Yanai H. [Relationship between pregnant women's sensitivity to cold (hiesho) and premature labor assessed using propensity scores for adjusting confounding factors]. Nihon Koshu Eisei Zasshi. 2012 Jun;59(6):381-9. Japanese. PMID: 22834093.
  18. Nakamura S, Horiuchi S. Relationship between advanced maternal age, hiesho (sensitivity to cold) and abnormal delivery in Japan. Open Nurs J. 2013 Sep 6;7:142-8. doi: 10.2174/1874434601307010142. PMID: 24062862; PMCID: PMC3778526.
  19. Kato S, Takehara K, Sasaki A, Suganuma H, Kakee N, Inoue E, Tanigaki S, Sago H. Randomized trial of advice from healthcare professionals to eliminate constriction by maternal clothing on the trunk to prevent preterm birth and improve health status. J Obstet Gynaecol Res. 2023 Nov;49(11):2656-2663. doi: 10.1111/jog.15762. Epub 2023 Aug 4. PMID: 37539946.

羊水

  1. Sival DA, Visser GH, Prechtl HF. Does reduction of amniotic fluid affect fetal movements? Early Hum Dev. 1990 Sep;23(3):233-46. doi: 10.1016/0378-3782(90)90014-a. PMID: 2253581.
  2. Sherer DM. A review of amniotic fluid dynamics and the enigma of isolated oligohydramnios. Am J Perinatol. 2002 Jul;19(5):253-66. doi: 10.1055/s-2002-33084. PMID: 12152144.
  3. Faber R, Robel-Tillig E, Vogtmann C, Stepan H, Viehweg B. Artifizielle Fruchtwasser-Instillation bei vorzeitigem Blasensprung und extremer Unreife als alternative Therapie [Artificial amniotic fluid instillation in premature rupture of fetal membranes and extreme prematurity as alternative therapy]. Z Geburtshilfe Neonatol. 1999 Jul-Aug;203(4):170-2. German. PMID: 10483700.
  4. Cruz AC, Frentzen BH, Gomez KJ, Allen G, Tyson-Thomas M. Continuous-wave Doppler ultrasound and decreased amniotic fluid volume in pregnant women with intact or ruptured membranes. Am J Obstet Gynecol. 1988 Sep;159(3):708-14. doi: 10.1016/s0002-9378(88)80039-5. PMID: 3048106.
  5. Hofmeyr GJ, Gülmezoglu AM. Maternal hydration for increasing amniotic fluid volume in oligohydramnios and normal amniotic fluid volume. Cochrane Database Syst Rev. 2002;(1):CD000134. doi: 10.1002/14651858.CD000134. PMID: 11869566.
  6. Deka D, Malhotra B. Role of maternal oral hydration in increasing amniotic fluid volume in pregnant women with oligohydramnios. Int J Gynaecol Obstet. 2001 May;73(2):155-6. doi: 10.1016/s0020-7292(00)00354-4. PMID: 11336736.
  7. Doi S, Osada H, Seki K, Sekiya S. Effect of maternal hydration on oligohydramnios: a comparison of three volume expansion methods. Obstet Gynecol. 1998 Oct;92(4 Pt 1):525-9. doi: 10.1016/s0029-7844(98)00242-7. PMID: 9764623.
  8. Kadhim, S., Ibrahim, N., Washeel, O., & Salih, A. (2020). Determine the Causes Low Amniotic Fluid for Pregnant Women. Indian Journal of Forensic Medicine & Toxicology. https://doi.org/10.37506/ijfmt.v14i3.10842.
  9. Huri, M., Tommaso, M., & Seravalli, V. (2023). Amniotic Fluid Disorders: From Prenatal Management to Neonatal Outcomes. Children, 10. https://doi.org/10.3390/children10030561.
  10. Saido, V., & Hasan, J. (2022). The Effect of Amniotic Fluid Changes in Late Pregnancy on Maternal And Fetus Outcomes. the journal of duhok university. https://doi.org/10.26682/sjuod.2022.25.2.20.
  11. Bakhsh H, Alenizy H, Alenazi S, Alnasser S, Alanazi N, Alsowinea M, Alharbi L, Alfaifi B. Amniotic fluid disorders and the effects on prenatal outcome: a retrospective cohort study. BMC Pregnancy Childbirth. 2021 Jan 22;21(1):75. doi: 10.1186/s12884-021-03549-3. PMID: 33482755; PMCID: PMC7821638.

胎動

  1. Jakobovits A. A magzat fiziológiás testmozgása a méhben [Physiology of intrauterine fetal activity]. Orv Hetil. 2010 Feb 7;151(6):205-12. Hungarian. doi: 10.1556/OH.2010.28593. PMID: 20123655.
  2. Einspieler C, Prayer D, Marschik PB. Fetal movements: the origin of human behaviour. Dev Med Child Neurol. 2021 Oct;63(10):1142-1148. doi: 10.1111/dmcn.14918. Epub 2021 May 10. PMID: 33973235.
  3. 桑田知之, and 松原茂樹. "胎動減少と胎児病 ② 神経筋疾患." ペリネイタルケア 29.11 (2010): 1068-1071.
  4. Sival DA, Visser GH, Prechtl HF. The relationship between the quantity and quality of prenatal movements in pregnancies complicated by intra-uterine growth retardation and premature rupture of the membranes. Early Hum Dev. 1992 Oct;30(3):193-209. doi: 10.1016/0378-3782(92)90069-s. PMID: 1468383.
  5. Sival DA. Studies on fetal motor behaviour in normal and complicated pregnancies. Early Hum Dev. 1993 Sep;34(1-2):13-20. doi: 10.1016/0378-3782(93)90036-t. PMID: 8275873.
  6. Sival DA, Visser GH, Prechtl HF. The effect of intrauterine growth retardation on the quality of general movements in the human fetus. Early Hum Dev. 1992 Feb;28(2):119-32. doi: 10.1016/0378-3782(92)90107-r. PMID: 1587224.
  7. Kisilevsky BS, Gilmour A, Stutzman SS, Hains SM, Brown CA. Atypical fetal response to the mother's voice in diabetic compared with overweight pregnancies. J Dev Behav Pediatr. 2012 Jan;33(1):55-61. doi: 10.1097/DBP.0b013e31823e791e. PMID: 22218015.
  8. Liedtke B. Intrauterine Kindsbewegungen und ihre Aussage über den Zustand des Feten [Intrauterine fetal movements and their significance for the condition of the fetus]. Z Geburtshilfe Perinatol. 1982 Oct;186(5):219-29. German. PMID: 6891149.
  9. de Vries JI, Fong BF. Changes in fetal motility as a result of congenital disorders: an overview. Ultrasound Obstet Gynecol. 2007 May;29(5):590-9. doi: 10.1002/uog.3917. PMID: 17427894.

子宮の収縮

  1. 内田さえ, 志村まゆ, and 佐藤優子. "子宮の神経性調節と鍼灸." 全日本鍼灸学会雑誌 49.4 (1999): 555-566.
  2. 形井秀一. "セミナー 女性と鍼灸." 全日本鍼灸学会雑誌 51.1 (2001): 44-68.
  3. 井上, 善仁, and 瓦林達比古. "子宮筋の収縮生理 (基礎)(産科医としての基礎知識)." 日本産科婦人科學會雜誌 51.5 (1999).
  4. Tanaka K, Osaka M, Takemori S, Watanabe M, Tanigaki S, Kobayashi Y. Contraction-associated proteins expression by human uterine smooth muscle cells depends on maternal serum and progranulin associated with gestational weight gain. Endocr J. 2020 Aug 28;67(8):819-825. doi: 10.1507/endocrj.EJ20-0037. Epub 2020 May 21. PMID: 32321883.
  5. 和泉美枝, et al. "妊娠期から産褥期の自律神経活動の推移." 女性心身医学 24.2 (2019): 149-156.

貧血

  1. 赤瀬智子 他「妊娠時貧血と妊娠前の生活習慣との関係についての調査研究」薬学雑誌128.7 (2008): 1081-1086.

膣洗浄

  1. Gondwe T, Ness R, Totten PA, Astete S, Tang G, Gold MA, Martin D, Haggerty CL. Novel bacterial vaginosis-associated organisms mediate the relationship between vaginal douching and pelvic inflammatory disease. Sex Transm Infect. 2020 Sep;96(6):439-444. doi: 10.1136/sextrans-2019-054191. Epub 2019 Dec 6. PMID: 31810995; PMCID: PMC7476288.
  2. Cottrell BH. An updated review of of evidence to discourage douching. MCN Am J Matern Child Nurs. 2010 Mar-Apr;35(2):102-7; quiz 108-9. doi: 10.1097/NMC.0b013e3181cae9da. PMID: 20215951.

腹直筋離開

  1. 長屋桂子, and 箕浦哲嗣. "褥婦の腹直筋回復過程の筋活動電位による評価." 日本看護科学会誌 28.3 (2008): 3_69-3_78.
  2. Cavalli M, Aiolfi A, Bruni PG, Manfredini L, Lombardo F, Bonfanti MT, Bona D, Campanelli G. Prevalence and risk factors for diastasis recti abdominis: a review and proposal of a new anatomical variation. Hernia. 2021 Aug;25(4):883-890. doi: 10.1007/s10029-021-02468-8. Epub 2021 Aug 6. PMID: 34363190; PMCID: PMC8370915.
  3. van Wingerden JP, Ronchetti I, Sneiders D, Lange JF, Kleinrensink GJ. Anterior and posterior rectus abdominis sheath stiffness in relation to diastasis recti: Abdominal wall training or not? J Bodyw Mov Ther. 2020 Jan;24(1):147-153. doi: 10.1016/j.jbmt.2019.10.015. Epub 2019 Oct 28. PMID: 31987535.
  4. Kaufmann RL, Reiner CS, Dietz UA, Clavien PA, Vonlanthen R, Käser SA. Normal width of the linea alba, prevalence, and risk factors for diastasis recti abdominis in adults, a cross-sectional study. Hernia. 2022 Apr;26(2):609-618. doi: 10.1007/s10029-021-02493-7. Epub 2021 Oct 5. PMID: 34609664; PMCID: PMC9012734.
  5. Wu L, Gu Y, Gu Y, Wang Y, Lu X, Zhu C, Lu Z, Xu H. Diastasis recti abdominis in adult women based on abdominal computed tomography imaging: Prevalence, risk factors and its impact on life. J Clin Nurs. 2021 Feb;30(3-4):518-527. doi: 10.1111/jocn.15568. Epub 2020 Dec 14. PMID: 33207011.
  6. Gluppe S, Ellström Engh M, Kari B. Women with diastasis recti abdominis might have weaker abdominal muscles and more abdominal pain, but no higher prevalence of pelvic floor disorders, low back and pelvic girdle pain than women without diastasis recti abdominis. Physiotherapy. 2021 Jun;111:57-65. doi: 10.1016/j.physio.2021.01.008. Epub 2021 Feb 13. PMID: 33691943.
  7. Gluppe S, Engh ME, Bø K. What is the evidence for abdominal and pelvic floor muscle training to treat diastasis recti abdominis postpartum? A systematic review with meta-analysis. Braz J Phys Ther. 2021 Nov-Dec;25(6):664-675. doi: 10.1016/j.bjpt.2021.06.006. Epub 2021 Jul 21. PMID: 34391661; PMCID: PMC8721086.
  8. Beamish N, Green N, Nieuwold E, McLean L. Differences in Linea Alba Stiffness and Linea Alba Distortion Between Women With and Without Diastasis Recti Abdominis: The Impact of Measurement Site and Task. J Orthop Sports Phys Ther. 2019 Sep;49(9):656-665. doi: 10.2519/jospt.2019.8543. Epub 2019 Mar 26. PMID: 30913968.
  9. Fei H, Liu Y, Li M, He J, Liu L, Li J, Wan Y, Li T. The relationship of severity in diastasis recti abdominis and pelvic floor dysfunction: a retrospective cohort study. BMC Womens Health. 2021 Feb 15;21(1):68. doi: 10.1186/s12905-021-01194-8. PMID: 33588826; PMCID: PMC7885475.
  10. Bø K, Hilde G, Tennfjord MK, Sperstad JB, Engh ME. Pelvic floor muscle function, pelvic floor dysfunction and diastasis recti abdominis: Prospective cohort study. Neurourol Urodyn. 2017 Mar;36(3):716-721. doi: 10.1002/nau.23005. Epub 2016 Mar 31. PMID: 27037746.
  11. Theodorsen NM, Strand LI, Bø K. Effect of pelvic floor and transversus abdominis muscle contraction on inter-rectus distance in postpartum women: a cross-sectional experimental study. Physiotherapy. 2019 Sep;105(3):315-320. doi: 10.1016/j.physio.2018.08.009. Epub 2018 Oct 25. PMID: 30808514.
  12. Gluppe SB, Engh ME, Bø K. Immediate Effect of Abdominal and Pelvic Floor Muscle Exercises on Interrecti Distance in Women With Diastasis Recti Abdominis Who Were Parous. Phys Ther. 2020 Aug 12;100(8):1372-1383. doi: 10.1093/ptj/pzaa070. PMID: 32302393.
  13. Pascoal AG, Dionisio S, Cordeiro F, Mota P. Inter-rectus distance in postpartum women can be reduced by isometric contraction of the abdominal muscles: a preliminary case-control study. Physiotherapy. 2014 Dec;100(4):344-8. doi: 10.1016/j.physio.2013.11.006. Epub 2014 Jan 18. PMID: 24559692.
  14. Gluppe SB, Ellström Engh M, Bø K. Curl-up exercises improve abdominal muscle strength without worsening inter-recti distance in women with diastasis recti abdominis postpartum: a randomised controlled trial. J Physiother. 2023 Jul;69(3):160-167. doi: 10.1016/j.jphys.2023.05.017. Epub 2023 Jun 5. PMID: 37286390.
  15. Liaw LJ, Hsu MJ, Liao CF, Liu MF, Hsu AT. The relationships between inter-recti distance measured by ultrasound imaging and abdominal muscle function in postpartum women: a 6-month follow-up study. J Orthop Sports Phys Ther. 2011 Jun;41(6):435-43. doi: 10.2519/jospt.2011.3507. Epub 2011 Feb 2. PMID: 21289454.
  16. Hubner PNV, Alberti LR, Carvalho AC, Soares VC, Neto CS, Garcia DPC. Morphometric evaluation of the linea alba in fresh corpses. JPRAS Open. 2024 Mar 26;40:238-244. doi: 10.1016/j.jpra.2024.03.005. PMID: 38681533; PMCID: PMC11046057.
  17. Rise E, Bø K, Nystad W. Is there any association between abdominal strength training before and during pregnancy and delivery outcome? The Norwegian Mother and Child Cohort Study. Braz J Phys Ther. 2019 Mar-Apr;23(2):108-115. doi: 10.1016/j.bjpt.2018.06.006. Epub 2018 Jul 6. PMID: 30017257; PMCID: PMC6428922.

 

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