The Progress of the Neonatal Medical Care in Mie Prefecture

DOI Web Site 1 Citations
  • YAMAMOTO Hatsumi
    国立病院機構三重中央医療センター 臨床研究部
  • NAKANISHI Kyoichi
    国立病院機構三重中央医療センター 臨床研究部
  • OMORI Yusuke
    国立病院機構三重中央医療センター 臨床研究部
  • SASAKI Naoya
    国立病院機構 三重中央医療センター 小児科
  • MAJI Tomoaki
    国立病院機構 三重中央医療センター 小児科
  • BEGUM Esmot Ara
  • BONNO Motoki
    国立病院機構三重中央医療センター 臨床研究部 国立病院機構 三重中央医療センター 小児科
  • YAMAKAWA Noriko
    国立病院機構三重中央医療センター 臨床研究部
  • TANAKA Shigeki
    国立病院機構三重中央医療センター 臨床研究部 国立病院機構 三重中央医療センター 小児科
  • IDO Masaru
    国立病院機構三重中央医療センター 臨床研究部 国立病院機構 三重中央医療センター 小児科
  • KOMADA Yoshihiro
    三重大学大学院医学系研究科病態解明医学講座小児発達医学部門

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Other Title
  • 三重県における新生児医療の現況
  • ミエケン ニ オケル シンセイジ イリョウ ノ ゲンキョウ

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Abstract

In Mie Prefecture the populations of infants and females in childbearing age will decrease and after ten years it will be much severe. To help the intact survival of all new born infants who will be human resources in the future of Mie, a neonatal ambulance transportation system and a perinatal medical information network have been created in collaboration with the local government of Mie prefecture and the Mie-chuo medical center. Three years' overview of the medical efforts is summarized. Two hundred seventy four newborn babies have been transported by the neonatal ambulance “Sukusuku-gou” in the past three years from April, 2003 to March, 2006. Forty percent of these infants required respiratory care with artificial respiration or endotracheal intubation during transportation. Infants transported by the “Sukusuku-gou” showed lower Apgar score than those transported by an ordinary ambulance, however, there were no difference in the results of blood gas examinations after transportation. It seemed that the effective treatment in the doctor car during transportation resulted in good prognosis. On the other hand, infants given birth in early gestational age after emergency maternal transportations were more critical than infants under ambulance transportation in terms of immature labor. The mortality rates of extremely low birth weight infants, very low birth weight infants, low birth weight infants and mature neonates with severe illness who were hospitalized in a general or a regional perinatal mother and child care center in the year 2005 were 20%, 1.9%, 0.6%, and 0.4%, respectively. Among 879 newborn infants hospitalized in these 5 centers, 187 infants received artificial ventilation and 13 neonates (1.5%) were died with disease. The mortality rates of infants, neonates and so on in Mie Prefecture are gradually improving from 2003 and are now lower than those of the nation average. To obtain intact survival of all newborns, is the primary goal of Mie prefecture.

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