Practical use of perinatal emergency care system in Nara Prefecture.
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概要
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Maternal transfer, care system of Nara Prefecture There were 369 requests Prefecture, and 210 mothers (43.1%) were transported to requests for maternal transfer and the transport or admission of neonates in the perinatal emergency in 1997-1998 were analyzed. for maternal transfer to the perinatal emergency care system of Nara (56.9%) were admitted to the hospital in Nara Prefecture, but 159the perinatal center in neighboring prefectures. The reasons for the included threatened premature delivery or premature rupture of membrane (PROM), which accounted for 257 cases (69.6%), preeclampsia, fetal distress, placenta previa, IUGR, postpartum hemorrhage, and fetal anomalies. When mothers requested to be transfered can not be admitted to the hospital in Nara Prefecture, 3-4 hours was occasionally needed to find extra-prefectural facilities that could admit them. There were a total of 177 requests for transport of neonates, and 134 (75.7%) could be admitted in Nara Prefecture. The reasons for the requests of transport of neonates were anomalies, vomiting, abdominal distension, premature delivery or low birth weight, respiratory disturbance, and asphyxia neonatorum in the order of decreasing frequency. The percentages of occupied beds at the departments of obstetrics and neonatal intensive care units (NICU) exceeded 100% in Nara Medical University, neonates admitted to the NICU often had to be transferred to the room for normal neonates to accept new admissions, and particularly serious cases were occasionally transferred to NICUs of other prefectures through the Kinki Network for Neonatal Medicine. In perinatal medical service of Nara Prefecture, maternal and neonatal care can be provided barely with the responsibility to establish a perinatal care center (installation of adequate facilities and equipment, increases in the capacity of maternal ICUs and NICUs, increases in the staff, and establishment of an efficient transport system) and to provide independent perinatal care for the welfare of the residents. [Adv. Obstet. Gynecol., 52 (6): 783-791, 2000 (H.12.11)]
- 近畿産科婦人科学会の論文
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