Kusuda S, Fujimura M, Takeuchi T
Department of Neonatology, Osaka City General Hospital, Japan.
Acta Paediatr Jpn. 1995 Dec;37(6):731-4. doi: 10.1111/j.1442-200x.1995.tb03415.x.
After natural disaster, perinatal medical care must usually be provided from outside the disaster area, because most of the medical efforts inside the area focus on patients without special needs. This study reviews the emergency perinatal medical response after the great Hanshin-Awaji earthquake. In the present study, we summarize records of telephone calls and reports from the Neonatal Mutual Cooperative System (NMCS). The day of the earthquake, very little information was available to or from the disaster area. The day after the earthquake, Osaka City General Hospital (OCGH) and Osaka Medical Center and Research Institute for Maternal and Child Health were established as key facilities, and OCGH served as a center through which information passed to and from the disaster area. Most telephone calls to OCGH were placed on the second day after the earthquake by pregnant women concerned about their deliveries. Many high-risk pregnancies and newborn infants were transferred out of the disaster area over the next month. This analysis shows that although the emergency response was very rapid in this instance, the operation may be significantly improved in disasters of this magnitude: (i) if a communication mechanism able to serve a large volume is established; (ii) if helicopter transport was easily available; and (iii) if key facilities to handle communications were previously established so as to be available immediately.
自然灾害发生后，围产期医疗护理通常必须从灾区以外提供，因为灾区内的大部分医疗工作都集中在没有特殊需求的患者身上。本研究回顾了阪神-淡路大地震后的紧急围产期医疗应对情况。在本研究中，我们总结了新生儿互助合作系统（NMCS）的电话记录和报告。地震当天，灾区内外几乎没有可用信息。地震后的第二天，大阪市立医院（OCGH）和大阪母婴健康医疗中心及研究所被确立为关键设施，OCGH成为信息进出灾区的中心。地震后第二天，大多数拨打给OCGH的电话是由担心分娩的孕妇拨打的。在接下来的一个月里，许多高危孕妇和新生儿被转移出了灾区。该分析表明，尽管此次应急响应非常迅速，但在这种规模的灾难中，行动仍可显著改进：（i）如果建立一个能够服务大量人群的通信机制；（ii）如果直升机运输容易获得；（iii）如果之前就设立好负责通信的关键设施以便能立即投入使用。
