Impact of the Great East Japan Earthquake on Regional Obstetrical Care in Miyagi Prefecture
| Autor: | Tetsuro Hoshiai, Kunihiro Okamura, Hideki Tokunaga, Takanari Arai, Junichi Sugawara, Hidekazu Nishigori, Nobuo Yaegashi, Kazuyo Sato |
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| Rok vydání: | 2016 |
| Předmět: |
Emergency Medical Services
Special needs Emergency Nursing Health Services Accessibility Disasters 03 medical and health sciences 0302 clinical medicine Japan Pregnancy medicine Emergency medical services Earthquakes Humans 030212 general & internal medicine Disaster management system Socioeconomics Emergency transport 030219 obstetrics & reproductive medicine business.industry medicine.disease Delivery Obstetric Medical services Geography Premature birth Tsunamis Health Care Surveys Emergency Medicine Premature Birth Female business |
| Zdroj: | Prehospital and disaster medicine. 31(3) |
| ISSN: | 1945-1938 1049-023X |
| Popis: | ObjectivesThe authors report the results of surveys on the emergency transport or evacuation status of obstetric patients conducted in Miyagi prefecture, one of the major disaster areas of the Great East Japan Earthquake and tsunami.MethodsThe surveys examined the damages to maternity institutions, evacuation status and transport of pregnant women, and prehospital childbirths and were conducted in 50 maternity institutions and 12 fire departments in Miyagi.ResultsTwo coastal institutions were destroyed completely, and four institutions were destroyed partially by the tsunami, forcing them to stop medical services. In the two-month period after the disaster, 217 pregnant women received hospital transport or gave birth after evacuation. Satisfactory perinatal outcomes were maintained. Emergency obstetric transport increased to approximately 1.4 fold the number before the disaster. Twenty-three women had prehospital childbirths, indicating a marked increase to approximately three times the number of the previous year.ConclusionIn the acute phase of the tsunami disaster, maternity institutions were damaged severely and perinatal transport was not possible; as a result, pregnant women inevitably gave birth in unplanned institutions, and the number of prehospital births was increased extremely. To obtain satisfactory obstetric outcomes, it is necessary to construct a future disaster management system and to re-recognize pregnant women as people with special needs in disaster situations.SugawaraJ, HoshiaiT, SatoK, TokunagaH, NishigoriH, AraiT, OkamuraK, YaegashiN. Impact of the Great East Japan Earthquake on regional obstetrical care in Miyagi Prefecture. Prehosp Disaster Med. 2016;31(3):255– 258. |
| Databáze: | OpenAIRE |
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