부산대학교 도서관

In Mie Prefecture the populations of infants and females in childbearing age will decrease and after ten years it will be much severe. To help the intact survival of all new born infants who will be human resources in the future of Mie, a neonatal ambulance transportation system and a perinatal medical information network have been created in collaboration with the local government of Mie prefecture and the Mie-chuo medical center. Three years' overview of the medical efforts is summarized. Two hundred seventy four newborn babies have been transported by the neonatal ambulance “Sukusuku-gou” in the past three years from April, 2003 to March, 2006. Forty percent of these infants required respiratory care with artificial respiration or endotracheal intubation during transportation. Infants transported by the “Sukusuku-gou” showed lower Apgar score than those transported by an ordinary ambulance, however, there were no difference in the results of blood gas examinations after transportation. It seemed that the effective treatment in the doctor car during transportation resulted in good prognosis. On the other hand, infants given birth in early gestational age after emergency maternal transportations were more critical than infants under ambulance transportation in terms of immature labor. The mortality rates of extremely low birth weight infants, very low birth weight infants, low birth weight infants and mature neonates with severe illness who were hospitalized in a general or a regional perinatal mother and child care center in the year 2005 were 20%, 1.9%, 0.6%, and 0.4%, respectively. Among 879 newborn infants hospitalized in these 5 centers, 187 infants received artificial ventilation and 13 neonates (1.5%) were died with disease. The mortality rates of infants, neonates and so on in Mie Prefecture are gradually improving from 2003 and are now lower than those of the nation average. To obtain intact survival of all newborns, is the primary goal of Mie prefecture.