Applying the Ecology Model to Perinatal Medicine
Author Information
Author(s): Syuichi Tokunaga, Hiroshi Sameshima, Tsuyomu Ikenoue
Primary Institution: University of Miyazaki
Hypothesis
The ecology model is applicable to a system providing perinatal care in Japan.
Conclusion
Applying the ecology model to perinatal care is useful with improvement of perinatal outcome.
Supporting Evidence
- The perinatal mortality was significantly lower in Miyazaki (4.40/1,000) than in Tokyo (5.06/1,000).
- The ecology curves representing Miyazaki data were similar to the original ecology model.
- Women in Miyazaki are more likely to follow the policy that low-risk women should be cared for in primary hospitals.
Takeaway
This study looked at how a model used in ecology can help improve care for pregnant women in Japan. It found that using this model can lead to better health outcomes for mothers and babies.
Methodology
A population-based study analyzing 53,461 deliveries in Miyazaki from 2001 to 2005 and comparing it with 106,613 deliveries in Tokyo in 2009.
Limitations
The study did not investigate the causes of perinatal deaths in Tokyo due to lack of data.
Participant Demographics
The study focused on deliveries in Miyazaki and Tokyo, Japan, with a nearly homogeneous population.
Statistical Information
P-Value
P < 0.05
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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