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Please use this identifier to cite or link to this item: http://ir.fmu.ac.jp/dspace/handle/123456789/1590

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Title: Effect of medical institution change on gestational duration after the Great East Japan Earthquake: The Fukushima Health Management Survey
Authors: Suzuki, Kohta
Goto, Aya
Fujimori, Keiya
Affiliation: 放射線医学県民健康管理センター
公衆衛生学講座
産科婦人科学講座
Source title: The journal of obstetrics and gynaecology research
Volume: 42
Issue: 12
Start page: 1704
End page: 1711
Issue Date: Dec-2016
Abstract: Aim: The aim of this study was to examine the association between medical institution change for perinatal care and gestational duration after the Great East Japan Earthquake using data from the Fukushima Health Management Survey. Methods: The data of pregnant women who experienced the earthquake in Fukushima prefecture and participated in the Pregnancy and Birth Survey as part of the Fukushima Health Management Survey were analyzed. The primary and secondary outcomes of this study were gestational duration and preterm birth, respectively. The main study factor was prenatal checkup institution (only one institution, changed institution due to self-referral, changed institution due to medical indication, and went to parents' home for childbirth). Self-referral was considered as indicative of relocation after the disaster. Multiple linear and logistic regression analyses were conducted to examine the effect of earthquake on each outcome. Results: A total of 5593 (60.2%) participants experienced the earthquake between the 4th and 37th weeks of their gestational period. After controlling for variables, pregnant women who changed their perinatal checkup institution due to medical indication were significantly associated with shorter gestational duration (β = -10.6, P < 0.001) and preterm birth (adjusted odds ratio, 8.5; 95% confidence interval, 5.8-12.5) compared with women who visited only one institution. Self-referral, however, was not significantly associated with the outcomes. Conclusion: According to prenatal checkup status, our results suggest that the effect on gestational duration of the Great East Japan Earthquake and the subsequent Fukushima Daiichi nuclear disaster was not significant.
Publisher: Wiley
language: eng
URI: http://ir.fmu.ac.jp/dspace/handle/123456789/1590
Full text URL: http://ir.fmu.ac.jp/dspace/bitstream/123456789/1590/1/JObstetGynaecolRes_42_p1704.pdf
ISSN: 1341-8076
1447-0756
DOI: 10.1111/jog.13102
PubMed ID: 27528440
Other version: https://doi.org/10.1111/jog.13102
Rights: © 2016 Japan Society of Obstetrics and Gynecology. This is the peer reviewed version of the following article: "J Obstet Gynaecol Res. 2016 Dec;42(12):1704-1711", which has been published in final form at https://doi.org/10.1111/jog.13102. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.
Appears in Collections:a10 学術雑誌論文等 = Journal Article
e110 学術雑誌論文等 = Journal Article

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JObstetGynaecolRes_42_p1704.pdf414.36 kBAdobe PDFDownload

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