PREGNANCY AND BIRTH SURVEY AFTER THE GREAT EAST JAPAN EARTHQUAKE AND FUKUSHIMA DAIICHI NUCLEAR POWER PLANT ACCIDENT IN FUKUSHIMA PREFECTURE

  • FUJIMORI KEIYA
    Radiation Medical Science Center for the Fukushima Health Management Survey Department of Obstetrics and Gynecology, School of Medicine, Fukushima Medical University
  • KYOZUKA HYO
    Department of Obstetrics and Gynecology, School of Medicine, Fukushima Medical University
  • YASUDA SHUN
    Radiation Medical Science Center for the Fukushima Health Management Survey Department of Obstetrics and Gynecology, School of Medicine, Fukushima Medical University
  • GOTO AYA
    Radiation Medical Science Center for the Fukushima Health Management Survey Department of Public Health, School of Medicine, Fukushima Medical University
  • YASUMURA SEIJI
    Radiation Medical Science Center for the Fukushima Health Management Survey Department of Public Health, School of Medicine, Fukushima Medical University
  • OTA MISAO
    Radiation Medical Science Center for the Fukushima Health Management Survey Department of Midwifery and Maternal Nursing, School of Nursing, Fukushima Medical University
  • OHTSURU AKIRA
    Radiation Medical Science Center for the Fukushima Health Management Survey Department of Radiation Health Management, School of Medicine, Fukushima Medical University
  • NOMURA YASUHISA
    Radiation Medical Science Center for the Fukushima Health Management Survey Department of Obstetrics and Gynecology, School of Medicine, Fukushima Medical University
  • HATA KENICHI
    Radiation Medical Science Center for the Fukushima Health Management Survey Fukushima Society of Obstetrics and Gynecology
  • SUZUKI KOUTA
    Radiation Medical Science Center for the Fukushima Health Management Survey Department of Health Sciences, Interdisciplinary Graduate School of medicine and Engineering, University of Yamanashi
  • NAKAI AKIHITO
    Radiation Medical Science Center for the Fukushima Health Management Survey Nippon Medical School Tama Nagayama Hospital
  • SATO MIEKO
    Radiation Medical Science Center for the Fukushima Health Management Survey Department of Obstetrics and Gynecology, School of Medicine, Fukushima Medical University
  • MATSUI SHIRO
    Radiation Medical Science Center for the Fukushima Health Management Survey
  • NAKANO KYOKO
    Radiation Medical Science Center for the Fukushima Health Management Survey Department of Public Health, School of Medicine, Fukushima Medical University
  • ABE MASAFUMI
    Radiation Medical Science Center for the Fukushima Health Management Survey

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Background: On 11 March 2011, the Great East Japan Earthquake followed by a powerful tsunami hit the Pacific Coast of Northeast Japan and damaged Tokyo Electric Power Company’s Fukushima Daiichi Nuclear Power Plant, causing a radiation hazard in Fukushima Prefecture. The objective of this report is to describe some results of a questionnaire-based pregnancy and birth survey conducted by the Radiation Medical Science Center for the Fukushima Health Management Survey.<br>Materials and Methods: Questionnaires were sent to women who received maternal and child health handbooks from municipal officers in Fukushima Prefecture between 1 August 2010 and 31 July 2011, with the aim of reaching those who were pregnant at the time of the disaster. Mailing began 18 January 2012. Data were analyzed separately for six geographic areas in Fukushima Prefecture.<br>Results: The total number of women meeting survey criteria was 15,972. The number of responses received to date is 9,298 (58.2%). Data from 8602 respondents were analyzed after excluding 634 invalid responses and 5 induced and 57 spontaneous abortions (less than 22 gestational weeks). The incidences of stillbirth (over 22 completed gestational weeks), preterm birth, low birth weight and congenital anomalies were 0.25%, 4.4%, 8.7% and 2.72%, respectively. These incidences are similar to recent averages elsewhere in Japan.<br>Conclusion: Considering the pregnancy and birth survey data in aggregate, our disaster seemed to provoke no significant adverse outcomes over the whole of Fukushima prefecture. But post-disaster prenatal care and support intended for patients’ safety and security should be coupled with ongoing surveillance and rigorous data analysis.

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