Editorial |

Where Should Women Deliver Babies in Japan?

Naoki Ikegami, MD, PhD, MA; Yasunori Yoshimura, MD, PhD
JAMA. 2000;283(20):2712-2714. doi:10.1001/jama.283.20.2712.
Text Size: A A A
Published online


Maternal mortality is rare in Japan, with only 7.1 maternal deaths per 100,000 live births in 1998.1 However, this rate is relatively high when compared with the infant mortality rate (3.6 per 1000), which is the lowest in the world.1 In their article in this issue of THE JOURNAL, Nagaya et al2 exhaustively examine the causes of these maternal deaths and conclude that more than a third could have been prevented if the women had been treated in a hospital with better staffing of obstetric and anesthesia services and better laboratory facilities. Based on their findings, they recommend that all deliveries should occur at designated regional medical facilities and be attended by more than 1 physician. Many maternal deaths result from emergency conditions that are difficult to predict. Consequently, to decrease maternal deaths, it may be necessary to do what the authors have advocated. The Japanese government took tentative steps in this direction in 1995 by establishing grants to regional medical centers for expanding their maternal and child care units.3


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Related Topics