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Impact of the Great East Japan Earthquake on Regional Obstetrical Care in Miyagi Prefecture

  • Junichi Sugawara (a1) (a2), Tetsuro Hoshiai (a2), Kazuyo Sato (a3), Hideki Tokunaga (a2), Hidekazu Nishigori (a2), Takanari Arai (a4), Kunihiro Okamura (a5) and Nobuo Yaegashi (a2)...



The authors report the results of surveys on the emergency transport or evacuation status of obstetric patients conducted in Miyagi prefecture, one of the major disaster areas of the Great East Japan Earthquake and tsunami.


The surveys examined the damages to maternity institutions, evacuation status and transport of pregnant women, and prehospital childbirths and were conducted in 50 maternity institutions and 12 fire departments in Miyagi.


Two coastal institutions were destroyed completely, and four institutions were destroyed partially by the tsunami, forcing them to stop medical services. In the two-month period after the disaster, 217 pregnant women received hospital transport or gave birth after evacuation. Satisfactory perinatal outcomes were maintained. Emergency obstetric transport increased to approximately 1.4 fold the number before the disaster. Twenty-three women had prehospital childbirths, indicating a marked increase to approximately three times the number of the previous year.


In the acute phase of the tsunami disaster, maternity institutions were damaged severely and perinatal transport was not possible; as a result, pregnant women inevitably gave birth in unplanned institutions, and the number of prehospital births was increased extremely. To obtain satisfactory obstetric outcomes, it is necessary to construct a future disaster management system and to re-recognize pregnant women as people with special needs in disaster situations.

Sugawara J , Hoshiai T , Sato K , Tokunaga H , Nishigori H , Arai T , Okamura K , Yaegashi N . Impact of the Great East Japan Earthquake on Regional Obstetrical Care in Miyagi Prefecture. Prehosp Disaster Med. 2016;31(3):255258.


Corresponding author

Correspondence: Junichi Sugawara, MD, PhD Division of Feto-Maternal Medical Science Department of Community Medical Support Tohoku Medical Megabank Organization Tohoku University, Sendai, Japan E-mail:


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1. Weissman, A, Siegler, E, Neiger, R, et al. The influence of increased seismic activity on pregnancy outcome. Eur J Obstet Gynecol Reprod Biol. 1989;31(3):233-236.
2. Neuberg, M, Pawlosek, W, Lopuszanski, M, et al. The analysis of the course of pregnancy, delivery, and postpartum among women touched by flood disaster in Kotlin Kłodzki in July 1997. Ginekol Pol. 1998;69(12):866-870.
3. Chang, HL, Chang, TC, Lin, TY, et al. Psychiatric morbidity and pregnancy outcome in a disaster area of Taiwan 921 earthquake. Psychiatry Clin Neurosci. 2002;56(2):139-144.
4. Tan, CE, Li, HJ, Zhang, XG, et al. The impact of the Wenchuan Earthquake on birth outcomes. PLoS One. 2009;4(12):e8200.
5. Xiong, X, Harville, EW, Mattison, DR, et al. Hurricane Katrina experience and the risk of post-traumatic stress disorder and depression among pregnant women. Am J Disaster Med. 2010;5(3):181-187.
6. Tong, VT, Zotti, ME, Hsia, J. Impact of the Red River catastrophic flood on women giving birth in North Dakota, 1994-2000. Matern Child Health J. 2011;15(3):281-288.



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