Purpose
The purpose of this study was to clarify the experiences regarding collaborations between midwives and public health nurses in providing postnatal care.
Methods
The participants were midwives and public health nurses with at least three years of field experience who had been engaged in or implementing standard of care for at least one year as part of postnatal care programs. Semi-structured interviews were conducted to explore their individual experiences in collaborating with the other party (i.e., the midwife or public health nurse) throughout the process of postnatal care, from initiation to completion, and a qualitative descriptive analysis of the responses was carried out.
Results
Five midwives and three public health nurses were included as participants. In terms of their experiences in collaborating with the other party involved in postnatal care, both groups agreed that “establishing face-to-face relationships between midwives and public health nurses” before the postnatal care process began enabled good collaboration, and they considered “building trust with mothers” as the goal of fostering maternal autonomy. It was found that during postnatal care, both the midwives “offering individualized breastfeeding care and personalized guidance through their specialized skills” and the public health nurses “drawing on their expert knowledge and judgment to connect mothers to relevant social resources after the postnatal care period” provided support by leveraging their respective expertise and worked together to protect the lives of mothers and children. However, differences in opinion emerged regarding ongoing support after completion of the postnatal care period, with midwives expressing “a desire for feedback from public health nurses for them to continue providing support for mothers after the postnatal care period” but public health nurses viewing “support for mothers after completing postnatal care programs as being the responsibility of public health nurses within the community.”
Conclusions
The two groups shared common experiences regarding collaborations from before initiating postnatal care to after its completion and worked well together. However, their opinions regarding support after the completion of postnatal care differed owing to their different areas of expertise. It was suggested that, for ongoing support aimed at promoting the health of mothers, children, and families in the community, both parties need to further respect the expertise and role of the other while developing a continuous cooperative relationship.
"},{"@language":"ja","@value":"目 的
本研究の目的は，産後ケアにおける助産師と保健師の連携に関する経験を明らかにすることである。
方 法
対象は臨地経験3年以上で，産後ケア事業において標準ケアに1年以上関与あるいは実施している助産師と保健師とした。産後ケアの開始から終了まで各々の連携に関する経験について半構造化面接を行い，質的記述的分析をした。
結 果
対象者は助産師5人・保健師3人であった。産後ケアにおける助産師と保健師の連携に関する経験は，両者が産後ケア開始前から，［助産師と保健師が顔の見える関係をつくる］ことで良い連携ができると考えており，母親としての自律を目標に，［母親との信頼関係をつくる］ことを考えていた。産後ケア実施中は，［専門性を活かして個別性のある授乳ケアや個別指導を行う］助産師と，［専門的な知識と判断から，産後ケア後の母親にあった社会資源につなげる］保健師が，それぞれの専門性を活かした支援を行い母子の生命を守るために協働していることが明らかになった。しかし，産後ケア終了後の継続支援では，［産後ケア後の母親を継続支援するために保健師からのフィードバックを希望する］助産師と，［産後ケア事業後の母親は保健師が地域で支援する］という保健師の思いにすれ違いが生じていた。
結 論
両者は，産後ケア開始前から産後ケア終了後まで連携の経験は共通しており，協働していた。しかし，産後ケア終了後の支援に関する両者の思いには，専門性によるすれ違いがあった。地域における母子家族の健康のための継続支援として，互いの専門性・役割をより一層尊重し，連続的な協力関係を展開していく必要があると示唆された。
"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410023936880797440","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"村田 悦子"},{"@language":"en","@value":"MURATA Etsuko"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Medical Corporation Minami Obstetrics and Gynecology"},{"@language":"ja","@value":"医療法人 南産婦人科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410023936880797441","@type":"Researcher","foaf:name":[{"@language":"ja","@value":"國分 真佐代"},{"@language":"en","@value":"KOKUBU Masayo"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Suzuka University of Medical Science"},{"@language":"ja","@value":"鈴鹿医療科学大学"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"09176357"},{"@type":"LISSN","@value":"09176357"},{"@type":"EISSN","@value":"18824307"}],"prism:publicationName":[{"@language":"en","@value":"Journal of Japan Academy of Midwifery"},{"@language":"ja","@value":"日本助産学会誌"},{"@language":"en","@value":"J. Jpn. Acad. Midwif."},{"@language":"en","@value":"Nihon Josan Gakkaishi"},{"@language":"ja","@value":"日本助産学会誌"},{"@language":"en","@value":"J.Jpn.Acad.Midwife"},{"@language":"ja","@value":"日助学会誌"}],"dc:publisher":[{"@language":"en","@value":"Japan Academy of Midwifery"},{"@language":"ja","@value":"一般社団法人 日本助産学会"}],"prism:publicationDate":"2025","prism:volume":"39","prism:number":"2","prism:startingPage":"311","prism:endingPage":"324"},"reviewed":"false","url":[{"@id":"https://www.jstage.jst.go.jp/article/jjam/39/2/39_JJAM-2025-0006/_pdf"},{"@id":"https://search.jamas.or.jp/link/ui/2026012400"}],"availableAt":"2025","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=%E7%94%A3%E5%BE%8C%E3%82%B1%E3%82%A2%E4%BA%8B%E6%A5%AD","dc:title":"産後ケア事業"},{"@id":"https://cir.nii.ac.jp/all?q=%E5%8A%A9%E7%94%A3%E5%B8%AB","dc:title":"助産師"},{"@id":"https://cir.nii.ac.jp/all?q=%E4%BF%9D%E5%81%A5%E5%B8%AB","dc:title":"保健師"},{"@id":"https://cir.nii.ac.jp/all?q=%E9%80%A3%E6%90%BA","dc:title":"連携"},{"@id":"https://cir.nii.ac.jp/all?q=%E7%94%A3%E5%BE%8C%E3%82%B1%E3%82%A2","dc:title":"産後ケア"},{"@id":"https://cir.nii.ac.jp/all?q=postnatal%20care%20program","dc:title":"postnatal care program"},{"@id":"https://cir.nii.ac.jp/all?q=midwife","dc:title":"midwife"},{"@id":"https://cir.nii.ac.jp/all?q=public%20health%20nurse","dc:title":"public health nurse"},{"@id":"https://cir.nii.ac.jp/all?q=collaboration","dc:title":"collaboration"},{"@id":"https://cir.nii.ac.jp/all?q=postnatal%20care","dc:title":"postnatal care"}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:2014550152"},{"@type":"CROSSREF","@value":"10.3418/jjam.jjam-2025-0006"}]}