Problems of Maternity Medicine in Depopulated Areas

1.日本妇产科医院的分布将妇产科医院的分布可视化为地图。2.人口稀少地区孕妇现状人口稀少地区孕妇到妇产医院就诊的时间和负担明显长于城市孕妇。需要超过30分钟到达妇产医院的孕妇感到负担沉重。3.妇产医院的现状调查问卷被发送到中国和四国地区的妇产医院和/或妇科医院。有妇产科的医院几乎有一半没有妇产科。近10年来，有妇科而无产科的医院中，近一半关闭了产科。据估计， ...更多信息 伊利5%的孕妇需要60分钟以上的时间到妇产医院就诊。一半的产科医生认为，孕妇到妇产医院就诊时间超过60 min的孕妇存在临床风险。4.结论居住在人口稀少地区的孕妇对到妇产医院就诊的距离感到负担，产科医生担心居住在人口稀少地区的孕妇会遇到临床问题。人们怀疑，农村和城市地区之间妇产医院分布的差距将比现在扩大。然而，这个问题比儿科急诊科的问题更少被承认。必须向公众通报人口稀少地区的产科医疗问题，并与国家和/或地方政府合作制定区域计划，确保产科医院的适当分布。少

1.Distribution of maternity hospitals in JapanDistribution of maternity hospitals was visualized as a map. In depopulated areas, many regions with no maternity hospital were detected form the map.2.Current conditions of pregnant women living in depopulated areaPregnant women in depopulated areas took remarkably longer time and felt remarkably severe burden for attending maternity hospitals than pregnant women in urban areas. Pregnant women who needed more than 30 min to reach their maternity hospitals felt burden with high percentage.3.Current conditions of maternity hospitalsQuestionnaires were sent to and collected from obstetrical and/or gynecological hospitals in Chugoku and Shikoku areas. Almost half of the hospitals which had gynecological department did not have obstetrical department. Almost half of the hospitals which had gynecological department but not had obstetrical department had closed down the obstetrical department in the last 10 years. It was estimated that approximat … More ely 5 percentage of pregnant women needed more than 60 min for attending their maternity hospitals. Half of the obstetricians answered that a pregnant woman who needed more than 60 min for attending her maternity hospital was clinically risky.4.ConclusionOur research revealed that pregnant women living in the depopulated areas felt burdens for the distance to attend their maternity hospitals and that obstetricians was afraid pregnant women living in the depopulated areas would get into clinical trouble. It was suspected that the disparity of distribution of maternity hospitals between rural and urban area would expand more than now. However, this problem was less acknowledged than the problem of the emergency care sections of pediatrics departments. It is dispensable to inform the problems of maternity medicine in depopulated areas to the public, and to make regional plans that assures adequate distribution of maternity hospitals in collaboration with the national and/or local governments. Less