The Effects of the Great East Japan Earthquake on Perinatal Outcomes: Results of the Pregnancy and Birth Survey in the Fukushima Health Management Survey.
The Effects of the Great East Japan Earthquake on Perinatal Outcomes: Results of the Pregnancy and Birth Survey in the Fukushima Health Management Survey.
复制标题
东日本大地震对围产期结局的影响：福岛健康管理调查中怀孕和出生调查的结果。
DOI：
10.2188/jea.je20210444
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发表时间：
2022
影响因子：
4.7
通讯作者：
中科院分区：
文献类型：
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作者：
关于自然/环境灾害，特别是核灾害对产科结果的长期影响的研究有限。本研究旨在回顾日本东部大地震（GEJE）和福岛第一核电站事故发生后的围产期结果，以及它们在福岛健康管理调查中超过8年的长期趋势。作为福岛健康管理调查的一部分，每年进行以人口为基础的怀孕和分娩调查。福岛县政府发起这项调查是为了评估孕妇及其新生儿的健康状况。自2012年1月起，向115,976名孕妇邮寄自述问卷，共有58,344名妇女回复问卷，回复率为50.3%。在地震时和地震后立即怀孕的一些妇女中，妊娠高血压、呼吸系统疾病和精神障碍等妊娠并发症有所增加。然而，地震对新生儿的直接影响，如早产、低出生体重和先天性异常，在地震后并没有立即清楚。虽然各区之间的早产和低出生体重发生率存在显著差异，但福岛县2011财年至2018财年的新生儿早产、低出生体重或异常发生率没有变化。因此，灾后辐射事故对围产期结局的长期影响被认为是非常小的。
There are limited studies on the long-term effects of natural/environmental disasters, especially nuclear disasters, on obstetric outcomes. This study aimed to review the results of perinatal outcomes immediately after the Great East Japan Earthquake (GEJE) and the Fukushima Daiichi Nuclear Power Plant accident, as well as their long-term trends over 8 years, in the Fukushima Health Management Survey. The annual population-based Pregnancy and Birth Survey is conducted as part of the Fukushima Health Management Survey. The Fukushima Prefecture government launched it to assess the health conditions of pregnant women and their neonates after the GEJE. The self-reported questionnaire was sent to 115,976 pregnant women by mail from January 2012, with 58,344 women responding to the questionnaire (50.3% response rate). Pregnancy complications, such as gestational hypertension, respiratory diseases, and mental disorders, increased in some women who were pregnant at the time of the earthquake and immediately after the earthquake. However, the direct effects on newborns, such as preterm birth, low birth weight, and congenital anomalies, were not immediately clear after the earthquake. Although there were significant differences in the occurrence of preterm birth and low birth weight among the districts, there was no change in the occurrences of preterm birth, low birth weight, or anomalies in newborns in Fukushima Prefecture from the fiscal year 2011 to the fiscal year 2018. Therefore, the long-term effects of the post-disaster radiation accident on perinatal outcomes are considered to be very small.