Activities of the Japan Council for Implementation of the Maternal Emergency Life Support System reduced direct causes of maternal deaths in Japan.
maternal emergency
maternal morbidity
maternal mortality
obstetric hemorrhage
simulation program
Journal
The journal of obstetrics and gynaecology research
ISSN: 1447-0756
Titre abrégé: J Obstet Gynaecol Res
Pays: Australia
ID NLM: 9612761
Informations de publication
Date de publication:
Sep 2023
Sep 2023
Historique:
received:
21
04
2023
accepted:
09
06
2023
medline:
6
9
2023
pubmed:
29
6
2023
entrez:
29
6
2023
Statut:
ppublish
Résumé
Here, we aimed to provide an overview of Japan Council for the Implementation of the Maternal Emergency Life-Saving System (J-CIMELS) and its simulation program, which has reduced maternal mortality due to direct causes in Japan. The Japan Association of Obstetricians and Gynecologists (JAOG), Japan Association of Obstetricians and Gynecologists, and Maternal Death Exploratory Committee (JMDEC) launched the Maternal Death Reporting Project in 2010. The project analyzed obstetricians' tendency to delay their initial response to sudden maternal deterioration. Obstetricians can predict small changes before deterioration by monitoring vital signs. In 2015, the J-CIMELS was established to provide practical education. J-CIMELS developed a simulation program (J-MELS; Japan Maternal Emergency Life Support) to ensure that the obstetricians acquire the latest knowledge of emergency physicians, anesthesiologists, and other general practitioners and apply it in clinical situations. In the last 7 years, the J-MELS basic course has been conducted 1000 times with a total attendance of 19 890 people. As a result, the incidence of obstetric hemorrhage progressively decreased from 29% in 2010 to 7% in 2020. We believe that the activities of J-CIMELS are improving obstetric care providers' medical practices in Japan.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
2252-2266Informations de copyright
© 2023 The Authors. Journal of Obstetrics and Gynaecology Research published by John Wiley & Sons Australia, Ltd on behalf of Japan Society of Obstetrics and Gynecology.
Références
Japan Council for Implementation of Maternal Emergency Life-Saving System (J-CIMELS). Textbook for Initial Response to a Maternal Emergency. Osaka: Medica Publishing Company; 2020.
Hashii K, Yamahata Y, Suzuki T. Evaluation and care protocol for maternal emergencies: the basic J-CIMELS protocol derived from the Kyoto protocol. Hypertens Res Pregnancy. 2020;8:4-14.
Japan Council for Implementation of Maternal Emergency Life-Saving System (J-CIMELS). Basic Course Instructor's Manual. Osaka: Medica Publishing Company; 2021.
Tanaka H, Matsunaga S, Furuta M, Kato R, Takahashi S, Takeda J, et al. Maternal cardiopulmonary resuscitation. J Obstet Gynaecol Res. 2023;49:54-67.
Hasegawa J, Tanaka H, Katsuragi S, Nii M, Sekizawa A, Ishiwata I, et al. Maternal death due to serious group A streptococcal toxic shock syndrome reduced after the coronavirus disease pandemic in Japan. J Matern Fetal Neonatal Med. 2022;35:10451-4.
Hasegawa J, Katsuragi S, Tanaka H, Kurasaki A, Nakamura M, Murakoshi T, et al. Decline in maternal death due to obstetric haemorrhage between 2010 and 2017 in Japan. Sci Rep. 2019;9:11026.
Hasegawa J, Sekizawa A, Tanaka H, Katsuragi S, Osato K, Murakoshi T, et al. Current status of pregnancy-related maternal mortality in Japan: a report from the Maternal Death Exploratory Committee in Japan. BMJ Open. 2016;6:e010304.