Delivery system prepared for women in case of disasters

为了考虑灾难护理，我们在一家产科病房和那里的助产士在灾难发生后立即澄清了情况，方法是查阅有关受灾难影响的围产期母婴配对和助产活动的文献，以及对过去大地震爆发时在综合医院工作的助产士进行采访。通过对东京都政府指定为灾难基地医疗中心之一的医院产科病房进行的问卷调查，也揭示了灾难准备的实际状况。基于这些结果，我创建了行动卡，作为一种措施，以确保地震灾难发生时孕妇或分娩妇女的安全。通过在灾害演练中的使用和对实际灾害的适用性检验，对该行动卡进行了评估。行动卡的进一步完善和与社区合作制度的发展仍有待今后的工作。

To consider disaster nursing, we clarified the situation at an obstetrics ward and the midwives there immediately after a disaster by reviewing literatures on perinatal mother-baby pairs affected by a disaster and midwifery activities as well as by conducting interviews with midwives who were working at a general hospital when a large earthquake broke up in the past. The actual status of disaster preparedness was also revealed by a questionnaire survey for the obstetrics ward at a hospital designated as one of the disaster base medical centers by Metropolitan Tokyo government. Based on these results, I created Action Card as a measure to secure safety of expecting women or women in labor at the time of earthquake disaster. The Action Card was evaluated by being put in use in a disaster drill and its applicability for actual disaster checked. Further refinement of the Action Card and development of a system for cooperation with the community are still to be worked on in the future.