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impact of education of fetal movements to pregnant women on a regional perinatal mortality rate

Research Project

Project/Area Number 15K08803
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Hygiene and public health
Research InstitutionShiga University of Medical Science

Principal Investigator

Shigeki Koshida  滋賀医科大学, 医学部, 特任講師 (70372547)

Co-Investigator(Kenkyū-buntansha) 高橋 健太郎  滋賀医科大学, 医学部, 特任教授 (20163256)
Project Period (FY) 2015-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2018: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2017: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2016: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2015: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Keywords子宮内胎児死亡 / 周産期死亡 / 胎動 / 妊婦 / 啓発 / 地域医療 / 死産
Outline of Final Research Achievements

We aimed to investigate the fetal movement frequency in late pregnancy and the effects of associated perinatal factors. Analyzing 2337 fetal movement charts of 20 obstetric facilities in our region, we found that the maternal perception time of fetal movements showed a gradually increasing trend within 30 min for 10 fetal movements by the modified ‘count to 10’ method. We also showed the decrease of perinatal mortality rate in our prefecture after education of pregnant women and medical stuff.
Informing pregnant women of the normal range of the fetal movement count time will help improve the maternal recognition of decreased fetal movements, which might prevent fetal death in late pregnancy.

Academic Significance and Societal Importance of the Research Achievements

本課題では妊婦が妊娠中に自覚する胎動の正常範囲を調べるとともに、地域の妊婦に胎動カウントを普及することで、周産期死亡率に与える影響を調べることを目的とした。妊婦が10回の胎動を自覚する時間は長くても30分以内であることが明らかになった。さらに、本研究を開始した期間の地域の周産期死亡率が減少した。以上の結果より、妊婦への胎動カウント啓発は周産期死亡減少につながる可能性がある。

Report

(6 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (43 results)

All 2019 2018 2017 2016 2015

All Journal Article (19 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 18 results,  Open Access: 11 results,  Acknowledgement Compliant: 3 results) Presentation (24 results) (of which Int'l Joint Research: 4 results)

  • [Journal Article] Fetal movement frequency and the effect of associated perinatal factors: Multicenter study2019

    • Author(s)
      Shigeki Koshida , Tetsuo Ono,  Shunichiro Tsuji, Hisatomi  Arima, Takashi Murakami, Kentaro Takahashi
    • Journal Title

      Women and Birth

      Volume: 32 Issue: 2 Pages: 127-130

    • DOI

      10.1016/j.wombi.2018.06.010

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Impact of advanced maternal age on adverse infant outcomes: A Japanese population-based study2019

    • Author(s)
      Koshida Shigeki、Arima Hisatomi、Fujii Takako、Ito Yoshiya、Murakami Takashi、Takahashi Kentaro
    • Journal Title

      European Journal of Obstetrics & Gynecology and Reproductive Biology

      Volume: 242 Pages: 178-181

    • DOI

      10.1016/j.ejogrb.2019.08.011

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Reply to letter to the Editor regarding “Counting fetal movement frequency to prevent adverse fetal outcomes”2019

    • Author(s)
      Koshida Shigeki、Takahashi Kentaro
    • Journal Title

      Women and Birth

      Volume: 990 Issue: 3 Pages: 1-1

    • DOI

      10.1016/j.wombi.2019.06.006

    • NAID

      120006845306

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Impact of the recommendation for embryo transfer limitation on multiple pregnancy: A population-based study in Japan2019

    • Author(s)
      Koshida Shigeki、Ono Tetsuo、Tsuji Shunichiro、Sato Yukiyasu、Murakami Takashi、Arima Hisatomi、Takahashi Kentaro
    • Journal Title

      European Journal of Obstetrics & Gynecology and Reproductive Biology

      Volume: 237 Pages: 113-116

    • DOI

      10.1016/j.ejogrb.2019.04.018

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Poor Bifidobacterial Colonization Is Associated with Late Provision of Colostrum and Improved with Probiotic Supplementation in Low Birth Weight Infants2019

    • Author(s)
      Tanaka Katsunori、Nakamura Yoshitaka、Terahara Masaki、Yanagi Takahide、Nakahara Sayuri、Furukawa Ouki、Tsutsui Hidemi、Inoue Ryo、Tsukahara Takamitsu、Koshida Shigeki
    • Journal Title

      Nutrients

      Volume: 11 Issue: 4 Pages: 839-839

    • DOI

      10.3390/nu11040839

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Fetal movement frequency and the effect of associated perinatal factors: Multicenter study.2018

    • Author(s)
      Koshida S, Ono T, Tsuji S, Murakami T, Arima H, Takahashi K.
    • Journal Title

      Women Birth

      Volume: in press

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] A Survey on Rehabilitation Staff’s Interventions for Newborn Infants2018

    • Author(s)
      飛田良, 園田悠馬, 谷口匡史, 前川昭次, 越田繁樹
    • Journal Title

      Physical Therapy Japan

      Volume: 45 Issue: 2 Pages: 97-105

    • DOI

      10.15063/rigaku.11346

    • NAID

      130006712283

    • ISSN
      0289-3770, 2189-602X
    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] NICUを退院した子どもの子育てに関する両親へのアンケート調査2017

    • Author(s)
      白坂 真紀, 越田 繁樹, 桑田 弘美
    • Journal Title

      滋賀医科大学雑誌

      Volume: 30 Pages: 301-305

    • NAID

      120006330572

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Excessively delayed maternal reaction after their perception of decreased fetal movements in stillbirths: Population-based study in Japan2017

    • Author(s)
      Shigeki Koshida, Tetsuo Ono, Shunichiro Tsuji, Takashi Murakami, Hisatomi Arima, Kentaro Takahashi
    • Journal Title

      Women and Birth

      Volume: 30 Issue: 6 Pages: 468-471

    • DOI

      10.1016/j.wombi.2017.04.005

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Bifidobacterium bifidum OLB6378 Simultaneously Enhances Systemic and Mucosal Humoral Immunity in Low Birth Weight Infants: A Non-Randomized Study.2017

    • Author(s)
      K.Tanaka, T.Tsukahara, T.Yanagi, S.Nakahara, O.Furukawa, H.Tsutsui, S.Koshida.
    • Journal Title

      Nutrients.

      Volume: 26;9(3). Issue: 3 Pages: 195-195

    • DOI

      10.3390/nu9030195

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 当院における先天性心疾患スクリーニングの試み2016

    • Author(s)
      星野 真介, 古川 央樹, 宗村 純平, 柳 貴英, 越田 繁樹
    • Journal Title

      滋賀母性衛生学会誌

      Volume: 16:1 Pages: 40-43

    • NAID

      40020988493

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] 児の予後改善を目的とした超緊急帝王切開(Grade A)の当院における工夫2016

    • Author(s)
      渡辺 則彦, 辻 俊一郎, 郭 翔志, 小野 哲男, 石河 顕子, 喜多 伸幸, 高橋 健太郎, 村上 節, 柳 貴英, 越田 繁樹
    • Journal Title

      滋賀県産科婦人科雑誌

      Volume: 8 Pages: 9-13

    • NAID

      40020988401

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] 当初副腎腫瘍が疑われた先天性副腎過形成症と副腎出血の合併例2016

    • Author(s)
      大林 聡子, 松井 克之, 深澤 陽平, 柳 貴英, 吉田 忍, 越田 繁樹
    • Journal Title

      日本周産期・新生児医学会雑誌

      Volume: 52 Pages: 195-200

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Perinatal Backgrounds and NICU Bed Occupancy of Multiple-Birth Infants in Japan2016

    • Author(s)
      Shigeki Koshida, Tetsuo Ono, Shunichiro Tsuji,Takashi Murakami, Kentaro Takahashi
    • Journal Title

      The Tohoku Journal of Experimental Medicine

      Volume: 238 Issue: 3 Pages: 261-265

    • DOI

      10.1620/tjem.238.261

    • NAID

      130005138755

    • ISSN
      0040-8727, 1349-3329
    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Possible prevention for neonatal death: a regional population-based study in Japan2016

    • Author(s)
      Shigeki Koshida, Takahide Yanagi, Tetsuo Ono, Shunichiro Tsuji, Kentaro Takahashi
    • Journal Title

      Yonsei Medical Journal

      Volume: 57 Issue: 2 Pages: 426-429

    • DOI

      10.3349/ymj.2016.57.2.426

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] 滋賀県下のNICU等を経て、医療的ケアを要する子どもの在宅医療調査2016

    • Author(s)
      越田繁樹 白坂真紀
    • Journal Title

      近畿新生児研究会会誌

      Volume: 24 Pages: 19-22

    • Related Report
      2015 Research-status Report
  • [Journal Article] Neonatal Meckel diverticulum: Obstruction due to a short mesodiverticular band.2015

    • Author(s)
      Kunitsu T, Koshida S, Tanaka K, Nakahara S, Yanagi T, Maruo Y,
    • Journal Title

      Pediatr Int.

      Volume: 57 Issue: 5 Pages: 1007-1009

    • DOI

      10.1111/ped.12694

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Suspected fetal onset of neonatal transient eosinophilic colitis and development of respiratory distress2015

    • Author(s)
      Katsunori Tanaka, Shigeki Koshida, Takahide Yanagi, Hidemi Tsutsui, Sayuri Nakahara, Ouki Furukawa, Shunichiro Tsuji
    • Journal Title

      Pediatrics International

      Volume: 57 Issue: 4 Pages: 734-738

    • DOI

      10.1111/ped.12577

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Recommendations for Preventing Stillbirth: A Regional Population-Based Study in Japan during 2007-20112015

    • Author(s)
      Shigeki Koshida, Tetsuo Ono, Shunichiro Tsuji, Takashi Murakami, Kentaro Takahashi
    • Journal Title

      The Tohoku Journal of Experimental Medicine

      Volume: 235 Issue: 2 Pages: 145-149

    • DOI

      10.1620/tjem.235.145

    • NAID

      130004822438

    • ISSN
      0040-8727, 1349-3329
    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Presentation] 空床情報システムの解析からみた地域の新生児集中治療室病床充足度の検討2019

    • Author(s)
      越田 繁樹, 高橋 健太郎
    • Organizer
      第64回日本新生児成育医学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 人口動態調査データからみた滋賀県周産期死亡率の推移2019

    • Author(s)
      越田 繁樹, 高橋 健太郎
    • Organizer
      第55回日本周産期新生児医学会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 滋賀県における多胎分娩の現状調査2018

    • Author(s)
      越田 繁樹, 高橋 健太郎
    • Organizer
      第54回日本周産期新生児医学会
    • Related Report
      2018 Research-status Report
  • [Presentation] Perinatal background of neonatal death for their prevention: A regional population-based study In Japan.2018

    • Author(s)
      Shigeki Koshida, Kentaro Takahashi
    • Organizer
      The 14th Congress of Asian Society for Pediatric Research
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] 近畿圏NICU関連施設における臨床倫理委員会に関する実態調査2018

    • Author(s)
      越田 繁樹, 高橋 健太郎
    • Organizer
      第63回日本新生児成育医学会
    • Related Report
      2018 Research-status Report
  • [Presentation] Impact Of Multiple Pregnancies Resulting From Medically Assisted Conception On Regional Neonatal Intensive Care Units In Japan2017

    • Author(s)
      Shigeki Koshida, Kentaro Takahashi
    • Organizer
      The 13th Congress of Asian Society for Pediatric Research
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 滋賀県新生児脳卒中発症登録データベース構築の試み 滋賀脳卒中発症登録事業2017

    • Author(s)
      越田 繁樹, 藤居 貴子, 高橋 健太郎, 野崎 和彦
    • Organizer
      第36回日本脳神経超音波学会総会
    • Related Report
      2017 Research-status Report
  • [Presentation] 滋賀県における妊産婦の脳卒中 滋賀脳卒中発症登録事業2017

    • Author(s)
      藤居 貴子, 河野 浩人, 越田 繁樹, 高橋 健太郎, 野崎 和彦
    • Organizer
      第36回日本脳神経超音波学会総会
    • Related Report
      2017 Research-status Report
  • [Presentation] 滋賀県における8年間の死産症例の検討2017

    • Author(s)
      越田 繁樹, 小野 哲男, 辻 俊一郎, 高橋 健太郎
    • Organizer
      第53回日本周産期新生児医学会
    • Related Report
      2017 Research-status Report
  • [Presentation] 治療抵抗性であった新生児白血病の女児例2017

    • Author(s)
      太田 宗樹, 柳 貴英, 筒井 英美, 中原 小百合, 古川 央樹, 越田 繁樹
    • Organizer
      第62回日本新生児成育医学会
    • Related Report
      2017 Research-status Report
  • [Presentation] 滋賀県における8年間の新生児死亡症例の検討2017

    • Author(s)
      越田 繁樹, 柳 貴英, 池田 幸広, 吉田 忍, 山本 正仁, 高橋 健太郎
    • Organizer
      第62回日本新生児成育医学会
    • Related Report
      2017 Research-status Report
  • [Presentation] 地域周産期センターNICUにおける長期入院児実態調査2016

    • Author(s)
      越田 繁樹, 高橋 健太郎, 池田 幸広, 吉田 忍, 山本 正仁
    • Organizer
      日本新生児成育医学会
    • Place of Presentation
      大阪市
    • Year and Date
      2016-12-01
    • Related Report
      2016 Research-status Report
  • [Presentation] Aquacel Agを用いて臍帯を上皮化し待機的に腹壁閉鎖を行った巨大臍帯ヘルニアの1例2016

    • Author(s)
      坂井 幸子, 加藤 久尚, 越田 繁樹, 柳 貴英, 古川 央樹, 中原 小百合, 星野 真介, 久保田 良浩
    • Organizer
      日本小児科学会滋賀地方会
    • Place of Presentation
      大津市
    • Related Report
      2016 Research-status Report
  • [Presentation] 胎児口腔内嚢胞に対してex utero intrapartum treatment(EXIT)を施行した1例2016

    • Author(s)
      柴田 晶美, 田川 晃司, 菅谷 真由佳, 岸本 卓磨, 中原 小百合, 古川 央樹, 柳 貴英, 越田 繁樹, 竹内 義博, 桂 大輔, 水野 隆芳, 坂井 幸子, 大脇 成広
    • Organizer
      日本小児科学会滋賀地方会
    • Place of Presentation
      大津市
    • Related Report
      2016 Research-status Report
  • [Presentation] 病院外で出生した新生児死亡症例に関する検討2016

    • Author(s)
      越田 繁樹, 高橋 健太郎
    • Organizer
      日本周産期・新生児医学会
    • Place of Presentation
      富山市
    • Related Report
      2016 Research-status Report
  • [Presentation] 当初副腎腫瘍が疑われた先天性副腎発形成症と副腎出血の合併例.2016

    • Author(s)
      大林 聡子, 松井 克之, 深澤 陽平, 田川 晃司, 柴田 晶美, 柳 貴英, 吉田 忍, 越田 繁樹, 丸尾 良浩, 竹内 義博.
    • Organizer
      日本小児科学会
    • Place of Presentation
      札幌市
    • Related Report
      2016 Research-status Report
  • [Presentation] 多胎児が地域の新生児集中治療室に与える影響2016

    • Author(s)
      越田 繁樹, 高橋 健太郎
    • Organizer
      日本小児科学会
    • Place of Presentation
      札幌市
    • Related Report
      2016 Research-status Report
  • [Presentation] Oral administration of Bifidobacterium bifidum OLB6378 stimulates intestinal sIgA secretion in low birth weight infants.2015

    • Author(s)
      Katsunori Tanaka, Shigeki Koshida
    • Organizer
      Hot Topics in Neonatology
    • Place of Presentation
      Washington. D.C.
    • Year and Date
      2015-12-06
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] 滋賀県におけるNICU長期入院児実態調査2015

    • Author(s)
      越田 繁樹, 高橋 健太郎
    • Organizer
      新生児成育学会
    • Place of Presentation
      盛岡
    • Year and Date
      2015-10-23
    • Related Report
      2015 Research-status Report
  • [Presentation] 滋賀県における、胎動減少を自覚した死産症例の検討2015

    • Author(s)
      越田 繁樹, 高橋 健太郎
    • Organizer
      日本周産期・新生児医学会
    • Place of Presentation
      福岡
    • Year and Date
      2015-07-10
    • Related Report
      2015 Research-status Report
  • [Presentation] 頭蓋内動脈瘤による脳室内出血の新生児例2015

    • Author(s)
      大林 聡子, 柳 貴英, 筒井 英美, 中原 小百合, 古川 央樹, 越田 繁樹
    • Organizer
      日本周産期・新生児医学会
    • Place of Presentation
      福岡
    • Year and Date
      2015-07-10
    • Related Report
      2015 Research-status Report
  • [Presentation] βブロッカー投与を要したHydrocortisone誘発性肥大型心筋症の極低出生体重児例2015

    • Author(s)
      柳 貴英, 筒井 英美, 古川 央樹, 越田 繁樹, 竹内 義博
    • Organizer
      日本周産期・新生児医学会
    • Place of Presentation
      福岡
    • Year and Date
      2015-07-10
    • Related Report
      2015 Research-status Report
  • [Presentation] 先天性心疾患の出生前診断は十分に施行されているか? 当県における検討2015

    • Author(s)
      小野 哲男, 林 香里, 辻 俊一郎, 柳 貴英, 石河 顕子, 越田 繁樹, 喜多 伸幸, 村上 節, 高橋 健太郎
    • Organizer
      日本周産期・新生児医学会
    • Place of Presentation
      福岡
    • Year and Date
      2015-07-10
    • Related Report
      2015 Research-status Report
  • [Presentation] Preventing neonatal deaths: a regional population-based study in Japan2015

    • Author(s)
      Shigeki Koshida, Kentaro Takahashi
    • Organizer
      Asian Society for Pediatric Research
    • Place of Presentation
      大阪
    • Year and Date
      2015-04-16
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research

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Published: 2015-04-16   Modified: 2021-02-19  

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