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How to lower perinatal mortality? Perinatal care in Japan

S Sakamoto1, T Terao

  • 1Aiiku Maternal and Child Health Center, 5-6-8, Minamiazabu, Minato-ku, Tokyo, 106, Japan.

Croatian Medical Journal
|May 12, 1998
PubMed

Insights

Japanese perinatal care has significantly improved maternal and neonatal outcomes over 30 years, driven by new technologies and treatments. A new regionalization system for perinatal centers is being implemented to enhance collaboration and care.

Area of Science:

  • Obstetrics and Gynecology
  • Neonatal Medicine
  • Public Health

Background:

  • Maternal and neonatal health statistics in Japan show significant improvements over the past 30 years.
  • Technological advancements and novel treatments have contributed to better perinatal outcomes.

Purpose of the Study:

  • To review 30 years of perinatal medical care in Japan.
  • To examine new technologies and treatments in obstetric and neonatal medicine.
  • To analyze the recently initiated regionalization system of perinatal centers.

Main Methods:

  • Review of maternal and neonatal health statistics from official Japanese sources.
  • Analysis of diagnostic assays like serological testing and immunohistochemical staining for conditions such as amniotic fluid embolism.
  • Evaluation of therapeutic interventions including urinary trypsin inhibitor for preterm delivery and antithrombin-III for severe preeclampsia.

Main Results:

  • Marked improvement in maternal and perinatal mortality rates in Japan over the last three decades.
  • Successful implementation of advanced diagnostic and treatment modalities in obstetric and neonatal care.
  • Initiation of a national project for regionalizing perinatal centers to ensure systematic collaboration.

Conclusions:

  • Japanese perinatal care has achieved substantial progress in maternal and neonatal health.
  • The ongoing regionalization of perinatal centers aims to systematize care and improve collaboration across different levels of healthcare facilities.
  • Continued innovation in technology and treatment is crucial for sustaining and advancing perinatal medicine.
Abstract

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