褥婦に対する下肢アロママッサージ導入の取り組み

Abstract

産褥期は分娩後に妊娠前の状態に回復する時期であり，ホルモンの変化および育児開始などに伴う心理社会的変化があり，心 身共に不安定な時期である．特に産褥早期は出産による疲労，痛み，育児の開始に伴う緊張により自律神経の変調をきたしや すく心身の回復を促すケアが重要となる．当院で入院した褥婦は70％に下肢浮腫の訴えがあったが，セルフケアでは状態改善 に至らないまま退院となっていた．そこで，助産師による精油を用いた下肢マッサージ（下肢アロママッサージ）を導入した ところ，25％の褥婦に浮腫改善がみられ，80％の褥婦から産後の不調への改善に役立ったという感想を得た．またケア導入に より助産師のやりがいに繋がった．

Postpartum is a time for recovery to the pre-natal condition after childbirth during which the puerpera undergoes various hor monal changes and is an unstable period both mentally and physically due to psychosocial changes occurring with the start of childcare. In the early postpartum stage, autonomic imbalance occurs due to the fatigue and pain accompanying childbirth and tension in starting childcare. Special care is required to help restore the body and mind for recovery from the exhaustion. At our hospital, 70% of the puerpera had complaints of lower limb edema, and they were discharged before completely recovering by selfcare. After starting lower limb massage (lower limb aroma massage), the edema was improved in 25% of the puerpera, and 80% of the puerpera showed signs of improvement of postpartum disorders. The introduction of this postpartum care was reward ing for the midwife.