Department of Obstetrics and Gynecology, Kochi Medical School, Kochi University.
Center for Innovative and Translational Medicine, Kochi Medical School, Kochi, University.
Tohoku J Exp Med. 2022 May 28;257(1):77-84. doi: 10.1620/tjem.2022.J019. Epub 2022 Apr 7.
A Nankai Trough earthquake is highly likely to occur in near future, and perinatal medical resources and care in Kochi Prefecture may be insufficient after such an event. Therefore, we evaluated the medical and public health measures needed to prepare for caring for pregnant women in Kochi Prefecture in the aftermath of such an earthquake and the potential action plans for the prefecture. We estimated that immediately after an earthquake, approximately 30 pregnant women will require urgent medical treatment, most of whom will be in the prefectural capital, Kochi City, and perinatal medical care in Kochi City may be insufficient. Therefore, we used the projected flooding areas to divide Kochi City and its surrounding areas into 3 areas and allocated at least one Disaster Liaison for Pediatrics and Perinatal Medicine (DLPPM) to each disaster base hospital in those 3 areas. In a disaster, the DLPPMs will serve as key individuals in their respective areas and coordinate the allocation of medical care. A DLPPM will be allocated also within the Disaster Medical Response Headquarters of Kochi Prefecture and be responsible for overseeing perinatal care in the whole of Kochi Prefecture. Our study shows that estimating the number of affected pregnant women and requirement for perinatal medical care is an effective way to prepare realistic disaster measures and to enable a specific plan to be formulated for effective allocation and management of DLPPMs. We believe that our system can serve as a model in perinatal disaster medicine.
未来极有可能发生一次南湾地震，届时，高知县的围产期医疗资源和护理可能会不足。因此，我们评估了为高知县地震后照顾孕妇所需的医疗和公共卫生措施，以及该州的潜在行动计划。我们估计，地震发生后，大约有 30 名孕妇需要紧急医疗救治，其中大多数将在高知县首府高知市，而高知市的围产期医疗护理可能不足。因此，我们利用预测的洪水区域，将高知市及其周边地区划分为 3 个区域，并在这 3 个区域的每个灾害基地医院至少分配一名儿科和围产期医学灾害联络官（DLPPM）。在灾难中，DLPPM 将成为各自区域的关键人物，协调医疗资源的分配。DLPPM 还将在高知县灾害医疗应对总部内进行分配，负责监督整个高知县的围产期护理。我们的研究表明，估计受影响孕妇的数量和围产期医疗护理的需求是制定现实灾害措施和制定有效分配和管理 DLPPM 的具体计划的有效方法。我们相信，我们的系统可以作为围产期灾害医学的一个范例。
