Postpartum as the best time for physical recovery and health care

Torashima Shizuka, Samukawa Mina, Tsujino Kazumi, Sawada Yumi
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Abstract

Aim: The current paper presents a subjective symptom survey regarding postpartum discomfort (Study 1) and a case study on postpartum care using the program developed based on the survey results (Study 2). Thereafter, health care during the postpartum period is discussed. Methods: Study 1 analyzed 1638 postpartum women who completed the Subjective Fatigue Symptom Scale (SFSS) over the period from June 2012 to December 2019. Study 2 detailed the case of a 33-year-old primiparous woman who answered questions regarding the rehabilitation care program. Results: The 1638 subjects included in Study 1 had a mean age of 32.4 ± 8.2 years and a mean postpartum duration of 4.3 ± 2.3 months. Subjective symptoms included lower back pain, shoulder stiffness, sleepiness, wanting to lie down, yawing, and eye strain. The case included in Study 2 showed certain psychological and physical changes following the exercise program. The results of Study 1 showed that motor system discomfort, such as stiff shoulders and lower back pain, occurred in women across all postpartum stages. Our results demonstrated that care and exercise geared toward improving motor system function are imperative after childbirth. Meanwhile, the results of Study 2 imply that our rehabilitation program based on postpartum physical conditions had positive psychological and physical effects. Conclusion: Taken together, our results suggest that continuing rehabilitative care based on the physical condition during each postpartum stage facilitates improvement in mothers’ physical and psychological discomfort.
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产后为身体恢复和保健的最佳时间
目的:本文对产后不适的主观症状进行调查(研究1),并对基于调查结果开发的产后护理程序进行案例研究(研究2)。随后,讨论产后保健问题。方法:研究1分析了2012年6月至2019年12月期间完成主观疲劳症状量表(SFSS)的1638名产后妇女。研究2详细介绍了一名33岁初产妇女的病例,她回答了有关康复护理计划的问题。结果:纳入研究1的1638名受试者平均年龄为32.4±8.2岁,平均产后时间为4.3±2.3个月。主观症状包括腰痛、肩僵硬、嗜睡、想躺下、偏航和眼疲劳。研究2中的病例在锻炼项目后显示出一定的心理和生理变化。研究1的结果显示,运动系统不适,如肩膀僵硬和下背部疼痛,发生在所有产后阶段的妇女。我们的研究结果表明,在分娩后,针对改善运动系统功能的护理和锻炼是必不可少的。同时,研究2的结果表明,我们基于产后身体状况的康复方案具有积极的心理和生理效果。结论:综合以上结果,我们的研究结果表明,基于产后各阶段身体状况的持续康复护理有助于改善母亲的身心不适。
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