Department of Obstetrics and Gynecology, School of Medicine, Fukushima Medical University, Fukushima, Japan.
Radiation Medical Science Center for Fukushima Health Management Survey, Fukushima, Japan.
J Matern Fetal Neonatal Med. 2020 Dec;33(24):4043-4048. doi: 10.1080/14767058.2019.1594763. Epub 2019 Apr 1.
This study aimed to assess the effects of the Great East Japan Earthquake on hypertensive disorder of pregnancy (HDP) in the Fukushima Prefecture. We used the results of the Fukushima Health Management Survey which targeted women who gave birth from 2011-2012. Pregnant women were divided into three groups according to their residential area during the disaster (affected, middle, and less-affected area), and four groups according to pregnancy trimester during the disaster (first, second, third trimester, or conception after the disaster). Adjusted odds ratio (aORs) for HDP of each residential area was calculated using logistic regression models, with pregnancy trimester during the disaster as references. Overall, 8323 women participated in the study (affected area: 2207; middle area: 5183; and less-affected area: 933). For women living in the affected and middle areas in the third trimester, the disaster was a significant risk factor for HDP (aOR: 2.61, 1.02-6.66, aOR: 1.93, 1.10-3.40, respectively). To our knowledge, this is the first study to integrate patient residential areas and gestational age during the time of a disaster to estimate the risk of HDP. The third trimester of pregnancy at the time of the disaster was associated with HDP for the women living in the affected and middle areas. The knowledge of the data on disaster-related obstetrical complications can help obstetric care providers in a disaster area provide appropriate medical aid in an emergency.
这项研究旨在评估东日本大地震对福岛县妊娠高血压疾病（HDP）的影响。我们使用了针对 2011-2012 年分娩妇女的福岛健康管理调查结果。根据灾难期间的居住区域（受灾、中部和受灾较轻区域），将孕妇分为三组，并根据灾难期间的妊娠阶段（第一、二、三孕期或灾难后受孕）分为四组。使用逻辑回归模型，以灾难期间的妊娠阶段为参考，计算每个居住区域 HDP 的调整比值比（aOR）。共有 8323 名妇女参加了这项研究（受灾区域：2207 名；中部区域：5183 名；受灾较轻区域：933 名）。对于居住在受灾和中部地区的孕妇，在第三孕期时，灾难是 HDP 的一个显著危险因素（aOR：2.61，1.02-6.66；aOR：1.93，1.10-3.40）。据我们所知，这是第一项将患者居住区域和灾难期间的妊娠年龄结合起来评估 HDP 风险的研究。对于居住在受灾和中部地区的孕妇来说，灾难发生时的第三孕期与 HDP 相关。了解与灾难相关的产科并发症数据，可以帮助灾区的产科护理提供者在紧急情况下提供适当的医疗援助。
