岐阜県の新生児死亡統計と周産期管理の現状 : 出産を取り扱う産婦人科医へのアンケート結果から

概要

論文の詳細を見る
The average number of live births and neonatal deaths in Gifu prefecture in 1997 to 1999 were about 20176 and 46 per year. The causes of deaths were related with 45% of congenital anomalies, 25% of fetal distress and 18% of immaturity. We made questionnaire survey with reference to these statistics to the all obstetricians in Gifu prefecture to investigate the present state of perinatal management. We got about 59% response calculated the number of deliveries. The survey revealed 52% of obstetricians examined the length of uterine cervix using trans-vaginal ultrasonography (USG) before 20 weeks gestation, which is evident for prevention of preterm labor. Eighty-two percentage of obstetricians examined the amniotic fluid volume by B-mode USG around 36 weeks gestation, which is evident to predict fetal distress. The ratio of fetal distress during labor was 8.6% and Cesarean sections (CS) were performed in 3.9% cases. The survey showed the average decision to delivery time (D-D time) of CS was about 46.6 minutes. They tried vaginal delivery firstly in about 75% of breech presented cases. There was a tendency that the multiple pregnancies were transported to the general hospitals. Blood gas analysis of umbilical cord after birth was performed in 42% of the hospitals. We should firstly turn our attention to the fetal distress and preterm labor to reduce unnecessarily neonatal deaths and handicaps.
岐阜大学の論文
2003-09-30