Umazume Takeshi, Miyagi Etsuko, Haruyama Yasuo, Kobashi Gen, Saito Shigeru, Hayakawa Satoshi, Kawana Kei, Ikenoue Satoru, Morioka Ichiro, Yamada Hideto
Department of Obstetrics and Gynecology, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
Department of Obstetrics and Gynecology, Yokohama City University Hospital, Yokohama, Japan.
J Obstet Gynaecol Res. 2020 Oct;46(10):1933-1939. doi: 10.1111/jog.14382. Epub 2020 Aug 10.
To clarify the status of personal protective equipment (PPE) and coronavirus disease 2019 (COVID-19) tests for pregnant women, we conducted an urgent survey.
The survey was conducted online from April 27 to May 1, 2020. Questionnaires were sent to core facilities and affiliated hospitals of the obstetrics and gynecology training program and to hospitals of the national perinatal medical liaison council.
A total of 296 institutions participated in our survey; however, 2 institutions were excluded. Full PPE was used by doctors in 7.1% of facilities and by midwives in 6.8%. Our study also determined that around 65.0% of facilities for doctors and 73.5% of facilities for midwives used PPE beyond the "standard gown or apron, surgical mask, goggles or face shield" during labor of asymptomatic women. N95 masks were running out of stock at 6.5% of the facilities and goggles and face shields at 2.7%. Disposable N95 masks and goggles or face shields were re-used after re-sterilization in 12% and 14% of facilities, respectively. Polymerase chain reaction (PCR) testing of asymptomatic patients was performed for 9% of vaginal deliveries, 14% of planned cesarean sections and 17% of emergency cesarean sections. The number of PCR tests for obstetrics and gynecology per a week ranged from zero to five in 92% of facilities.
The shortage of PPE in Japan is alarming. Sufficient stockpiling of PPE is necessary to prevent unnecessary disruptions in medical care. Appropriate guidelines for PPE usage and COVID-19 testing of pregnant women at delivery are needed in Japan.
为明确孕妇个人防护装备（PPE）及2019冠状病毒病（COVID-19）检测的现状，我们开展了一项紧急调查。
该调查于2020年4月27日至5月1日在线进行。问卷被发送至妇产科培训项目的核心机构及附属医院，以及国家围产期医疗联络委员会的医院。
共有296家机构参与了我们的调查；然而，有2家机构被排除。7.1%的机构的医生和6.8%的机构的助产士使用了全套PPE。我们的研究还确定，在无症状女性分娩期间，约65.0%的机构的医生和73.5%的机构的助产士使用的PPE超出了“标准长袍或围裙、外科口罩、护目镜或面罩”。6.5%的机构N95口罩缺货，2.7%的机构护目镜和面罩缺货。分别有12%和14%的机构在重新消毒后重复使用一次性N95口罩和护目镜或面罩。9%的阴道分娩、14%的计划剖宫产和17%的急诊剖宫产对无症状患者进行了聚合酶链反应（PCR）检测。92%的机构每周妇产科PCR检测次数为零至五次。
日本PPE短缺情况令人担忧。必须充分储备PPE，以防止医疗服务出现不必要的中断。日本需要针对孕妇分娩时PPE使用及COVID-19检测制定适当的指南。
