Online ISSN: 2187-2988 Print ISSN: 0911-1794
特定非営利活動法人日本小児循環器学会 Japanese Society of Pediatric Cardiology and Cardiac Surgery
Pediatric Cardiology and Cardiac Surgery 35(4): 264-270 (2019)


先天性心疾患と出生前診断を受けた妊婦の支援の検討PICU看護師による出生前訪問を振り返ってPrenatal Visits by Nurses for Families with a Prenatal Diagnosis of Congenital Heart Disease: Review of Survey about the Experience in Our Hospital

1群馬県立小児医療センター看護部Department of Nursing, Gunma Children’s Medical Center ◇ Gunma, Japan

2群馬県立小児医療センター循環器科Department of Cardiology, Gunma Children’s Medical Center ◇ Gunma, Japan

3群馬県立小児医療センター心臓血管外科Department of Cardiovascular surgery, Gunma Children’s Medical Center ◇ Gunma, Japan

4大阪母子医療センター小児循環器科Department of Pediatric Cardiology, Osaka Women’s and Children’s Hospital ◇ Osaka, Japan

5北里大学医学部附属病院心臓血管外科Department of Cardiovascular surgery, Kitasato University ◇ Kanagawa, Japan

受付日:2018年7月12日Received: July 12, 2018
受理日:2019年5月31日Accepted: May 31, 2019
発行日:2019年11月1日Published: November 1, 2019





Background: Increased opportunities for prenatal diagnosis of congenital heart disease (CHD) has also increased the importance of prenatal supports for their families. In Gunma Children’s Medical Center, we have provided prenatal supports for families including prenatal visits by pediatric intensive care unit (PICU) nurses.

Objective: Questionnaires were postnatally asked for mothers to whom CHD had been announced prenatally. We clarified their needs and evaluated the efficacy and improvements of prenatal visits by PICU nurses.

Methods: We studied 51 mothers who were referred to our institution because of the prenatal diagnosis of CHD and whose babies were admitted to PICU after birth. Answers for the questionnaire and clinical records were reviewed.

Results: Consents for this study were obtained from 23 subjects (45.1%). Among them, 19 subjects (82.6%) answered that prenatal visits were necessary, because their anxiety and stress could be reduced after their visits or they could know the atmosphere of PICU and care providers. However, mothers required how to become involved with practical child cares themselves.

Conclusion: Current prenatal visits could alleviate family’s anxiety for bearing a child with CHD. It is necessary to revise the information for prenatal visits and provide family care ensuring their needs.

Key words: congenital heart disease; prenatal diagnosis; family support; prenatal visit

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