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Nakakita, M. (2012) Evaluation of the Autonomic Nervous System Activity, Somatic Symptoms, and Subjective Relaxation for Assessing the Mental and Physical Characteristics in Primiparae and Multiparae during the Early Postpartum Period. Japanese Journal of Maternal Health, 53, 98-106. (in Japanese)

has been cited by the following article:

  • TITLE: Autonomic Nervous Activity in Multiparous Women during Early Postpartum Period: A Descriptive Study

    AUTHORS: Michiko Nakakita-Kenyon

    KEYWORDS: Autonomic Nervous Activity, Early Postpartum, Multiparous Women, Rooming-In, Nursing

    JOURNAL NAME: Open Journal of Nursing, Vol.7 No.7, July 11, 2017

    ABSTRACT: Background: The purpose of the present study is to analyze the autonomic nervous activity in multiparas while resting, nursing, and rooming-in/rooming-out during days 1 to 3 of early postpartum period. Methods: Subjects were asked to record the actions they performed while wearing a heart rate monitor. Changes in autonomic nervous activity from 9 am to 12 pm and relaxation based on the relaxation (RE) scale were surveyed in multiparous women experiencing a normal postpartum period, on postpartum days 1 to 3. Results: Thirteen subjects were enrolled but heart rate data for all 3 days were available for only 5 of them. In these patients, the autonomic nervous activity (heat rate, high frequency [HF], or low frequency [LF]/HF) showed no significant differences between the days during any of the time periods. However, of the 3 days, day 2 demonstrated a lower HF and higher LF/HF. Subjective sense of relaxation was higher on postpartum day 3 compared to days 1 and 2, but there was no significant difference observed in the 3-day total score. Though no significant differences in HF and LF/HF at rest and during nursing were observed for any of the 3 days, there was a tendency for HF to be lower and LF/HF to be higher during nursing than at rest. Conclusions: Autonomic nervous activity demonstrated no significant major changes between the 3 days of postpartum (day 1 to 3). However, the lower HF and higher LF/HF during nursing and rooming-in suggest that even multiparas, who are supposedly accustomed to nursing and child-rearing, can be tense. Results suggest that multiparas require monitoring, personal care, and attention so that they can be relaxed and less tense while nursing and caring for their children.