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Cesarean section rates and local resources for perinatal care in Japan

Research Project

Project/Area Number 16H06647
Research Category

Grant-in-Aid for Research Activity Start-up

Allocation TypeSingle-year Grants
Research Field Hygiene and public health
Research InstitutionAkita University

Principal Investigator

Maeda Eri  秋田大学, 医学(系)研究科(研究院), 助教 (30778395)

Project Period (FY) 2016-08-26 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Fiscal Year 2017: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2016: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Keywords帝王切開 / 周産期医療 / 帝王切開率 / 母子保健 / 高年出産 / 医療政策
Outline of Final Research Achievements

We examined nationwide CS statistics and evaluated the association with local resources for perinatal care. We used accumulated data for CS registered in the Japan National Database of health insurance claims in 2013 and calculated crude and age-standardized CS rates at national and prefectural levels. We analyzed the ecological associations with supply of obstetricians and institution and scale of obstetric facilities using multiple regression models. There were 190 361 cesarean deliveries in 2013, giving an overall CS rate of 18.5%, which varied by prefecture from 14.0% to 25.6%. In multiple regression analyses, the areal number of obstetricians (β = -0.58), the proportion of births at small-scale institutions (β = 0.36) and the number of beds at neonatal intensive care units per birth (β = -0.20) were significantly associated with the age-standardized elective CS rate . Higher elective CS rates might be associated with limited or unconsolidated medical resources.

Report

(3 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Annual Research Report
  • Research Products

    (11 results)

All 2018 2017 2016 Other

All Int'l Joint Research (1 results) Journal Article (5 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 5 results,  Open Access: 3 results,  Acknowledgement Compliant: 4 results) Presentation (3 results) (of which Int'l Joint Research: 1 results) Book (1 results) Remarks (1 results)

  • [Int'l Joint Research] Cardiff University(英国)

    • Related Report
      2016 Annual Research Report
  • [Journal Article] Cesarean section rates and local resources for perinatal care in Japan: A nationwide ecological study using the national database of health insurance claims.2018

    • Author(s)
      Maeda Eri, Ishihara Osamu,Tomio Jun,Sato Aya,Terada Ykihiro,Kobayashi Yasuki,Murata Katsuyuki
    • Journal Title

      Obstetrics and Gynecology Research

      Volume: 44 Issue: 2 Pages: 208-216

    • DOI

      10.1111/jog.13518

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Estimation of the number of children with cerebral palsy using nationwide health insurance claims data in Japan.2017

    • Author(s)
      Toyakawa S, Maeda E, Kobayashi Y
    • Journal Title

      Dev Med Child Neurol

      Volume: 59 Pages: 317-321

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Effects of fertility education on knowledge, desires and anxiety among the reproductive-aged population: findings from a randomized controlled trial.2016

    • Author(s)
      Maeda E, Nakamura F, Kobayashi Y, Boivin J, Sugimori H, Murata K, Saito H
    • Journal Title

      Hum Reprod

      Volume: 31 Pages: 2051-2060

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Fertility knowledge and the timing of first childbearing: a cross-sectional study in Japan.2016

    • Author(s)
      Maeda E, Nakamura F, Boivin J, Kobayashi Y, Sugimori H, Saito H
    • Journal Title

      Hum Fertil

      Volume: 19 Pages: 275-281

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Int'l Joint Research / Acknowledgement Compliant
  • [Journal Article] Effects of financial support on treatment of adolescents with growth hormone deficiency: a retrospective study in Japan2016

    • Author(s)
      Maeda E, Higashi T, Hasegawa T, Yokoya S, Mochizuki T, Ishii T, Ito J, Kanzaki S, Shimatsu A, Takano K, Tajima T, Tanaka H, Tanahashi Y, Teramoto A, Nagai T, Hanew K, Horikawa R, Yorifuji T, Wada N, Tanaka T
    • Journal Title

      BMC Health Serv Res

      Volume: 16 Pages: 602-602

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Presentation] Low birth weight and cerebral palsy: a nationwide ecological study in Japan.2016

    • Author(s)
      Maeda E, Toyokawa S, Ishihara O, Murata K, Kobayashi Y
    • Organizer
      The 48th Conference of the Asia-Pacific Academic Consortium for Public Health
    • Place of Presentation
      Tokyo
    • Year and Date
      2016-09-16
    • Related Report
      2016 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 地方自治体による小児医療費助成が子供の受診行動及び健康に与える影響2016

    • Author(s)
      小西哲平, 前田恵理, 村田勝敬
    • Organizer
      第13回秋田県公衆衛生学会
    • Place of Presentation
      秋田市
    • Related Report
      2016 Annual Research Report
  • [Presentation] 地理情報システム(GIS)を用いた秋田県の周産期医療に関するアクセスの評価2016

    • Author(s)
      伊藤日向子, 前田恵理, 寺田幸弘, 村田勝敬
    • Organizer
      第13回秋田県公衆衛生学会
    • Place of Presentation
      秋田市
    • Related Report
      2016 Annual Research Report
  • [Book] ヘルスリテラシー健康教育の新しいキーワード2016

    • Author(s)
      福田洋・江口泰正編著 (第二章:前田恵理)
    • Total Pages
      168
    • Publisher
      大修館書店
    • Related Report
      2016 Annual Research Report
  • [Remarks] 考えてみよう 家族をつくる選択

    • URL

      https://myfamilychoice.jp/

    • Related Report
      2016 Annual Research Report

URL: 

Published: 2016-09-02   Modified: 2022-01-31  

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