Study for effectively utilizing of limited resources for improvement of perinatal medical system in Shiga Prefecture
| Project/Area Number |
23590594
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Research Field |
Medical sociology
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| Research Institution | Shiga University of Medical Science |
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Principal Investigator |
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| Co-Investigator(Kenkyū-buntansha) |
KOSHIDA Shigeki 滋賀医科大学, 医学部, 特任講師 (70372547)
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| Project Period (FY) |
2011-04-28 – 2015-03-31
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| Project Status |
Completed (Fiscal Year 2014)
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| Budget Amount *help |
¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2014: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2013: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2012: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2011: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
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| Keywords | 地域周産期医療システム / 病診連携 / 後期死産 / 新生児死亡 / 周産期死亡 / 後期死産死亡 |
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| Outline of Final Research Achievements |
We aimed to examine backgrounds of both stillbirths and neonatal deaths, and the possibilities of prevention in a region of Japan. The 188 stillbirths and 102 neonatal deaths in Shiga prefecture between 2007 and 2011 were included. We evaluated the possibilities of preventable stillbirth and neonatal death, determining specific recommendations for its prevention.
The audit conference judged that 25% of them were determined to have had some possibility of prevention. We identified major causes of preventable stillbirths and neonatal death, including substandard obstetrical management, delayed referral of high-risk women from primary obstetrical clinics to higher perinatal centers, and delayed visits of pregnant women with decreased fetal movements to clinics or hospitals. Based on the results of this study, we conclude that education for pregnant women is required as well as the necessity of improving obstetric care to prevent stillbirths.
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Report
(5 results)
Research Products
(180 results)
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[Journal Article] Subpopulations of Macrophages within Eutopic Endometrium of Endometriosis Patients2015
Author(s)
kie Takebayashi, Fuminori Kimura, Yohei Kishi, Mitsuaki Ishida, Akimasa Takahashi, Akiyoshi Yamanaka, Di Wu, Luyi Zheng, Kentaro Takahashi, Hiroshi Suginami, Takashi Murakami
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Journal Title
American Journal of Reproductive Immunology
Volume: 73
Issue: 3
Pages: 221-231
DOI
Related Report
Peer Reviewed / Open Access / Acknowledgement Compliant
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[Journal Article] Exaggerated placental site, consisting of implantation site intermediate trophoblasts, causes massive postpartum uterine hemorrhage: case report and literature review.2014
Author(s)
Akie Takebayashi, Fuminori Kimura, Akiyoshi Yamanaka, Akimasa Takahashi, Shunichiro Tsuji, Tetsuo Ono, Shoji Kaku, Nobuyuki Kita, Kentaro Takahashi, Hidetoshi Okabe, Takashi Murakami
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Journal Title
Tohoku Journal of Experimental Medicine
Volume: 234
Pages: 77-82
NAID
Related Report
Peer Reviewed
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[Presentation] 胎動カウント普及の現状2015
Author(s)
越田繁樹, 髙橋健太郎
Organizer
平成26年度周産期保健医療連絡調整会議
Place of Presentation
大津
Year and Date
2015-03-20
Related Report
Invited
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[Presentation] 冷え2015
Author(s)
髙橋健太郎
Organizer
平成26年度第5回滋賀漢方研究会
Place of Presentation
大津
Year and Date
2015-02-15
Related Report
Invited
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[Presentation] 冷え2014
Author(s)
髙橋健太郎
Organizer
第4回滋賀産婦人科漢方研究会
Place of Presentation
大津
Year and Date
2014-10-04
Related Report
Invited
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[Presentation] 胎動カウント普及の現状2014
Author(s)
越田繁樹, 髙橋健太郎
Organizer
平成26年度第1回周産期保健医療従事者連絡会議
Place of Presentation
大津
Year and Date
2014-07-10
Related Report
Invited
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[Presentation] Investigation of relation between decision-to-delivery time and infant outcomes2014
Author(s)
Norihiko Watanabe, Shoji Kaku, Tsukuru Amano, Shunichiro Tsuji, Hiroko Nishimura, Tetsuo Ono, Akiko Ishiko, Fuminori Kimura, Nobuyuki Kita, Kentaro Takahashi, Takashi Murakami
Organizer
第66回日本産科婦人科学会学術講演会
Place of Presentation
東京
Year and Date
2014-04-18
Related Report
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[Presentation] 当院NICUにおける小児循環器疾患2014
Author(s)
古川 央樹, 狭川 浩規, 宗村 純平, 森宗 孝夫, 田中 克典, 筒井 英美, 中原 小百合, 柳 貴英, 越田 繁樹, 中川 雅生, 竹内 義博
Organizer
第117回日本小児科学会学術集会
Place of Presentation
名古屋
Year and Date
2014-04-13
Related Report
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[Presentation] 生命倫理について2014
Author(s)
髙橋健太郎
Organizer
平成26年度母体保護法指定医師研修会
Place of Presentation
大津
Year and Date
2014-04-02
Related Report
Invited
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