{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T01:57:59Z","timestamp":1780451879754,"version":"3.54.1"},"reference-count":12,"publisher":"Cambridge University Press (CUP)","issue":"2","license":[{"start":{"date-parts":[[2018,3,21]],"date-time":"2018-03-21T00:00:00Z","timestamp":1521590400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Prehosp. Disaster med."],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1049023X18000183_abs1\" sec-type=\"objectives\"><jats:title>Objectives<\/jats:title><jats:p>This study was aimed to analyze post-disaster birth outcomes in coastal and inland regions of Miyagi Prefecture, Japan.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X18000183_abs2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>Primary data sets were compiled from birth records of obstetric facilities and 12,808 patients were analyzed for baseline birth outcomes by region. Regional risk analysis of the low-birth-weight rate and premature birth rate were conducted using multi-level logistic regression analysis.<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X18000183_abs3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>From overall baseline birth outcomes, a preterm birth rate was 4.6% and low-birth-weight rate was 8.8%. Regional analysis revealed that a preterm birth rate was 3.2% (coastal) and 5.0% (inland), respectively, and the rate of low birth weight was 6.5% in the coastal and 8.5% in the inland region. In the risk analysis of low-birth-weight rate and preterm birth rate, the risk in the coastal region could not be considered any higher than in the inland region (adjusted odds ratio 0.91 [0.73-1.14] and 0.85 [0.46-1.59], respectively).<\/jats:p><\/jats:sec><jats:sec id=\"S1049023X18000183_abs4\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>The incidence of preterm birth and low birth weight were not adversely affected by the disaster. Early transfer and intensive medical intervention may have led to those findings. Further survey will be necessary to determine the long-term effects in both mothers and children.<\/jats:p><jats:p><jats:mixed-citation id=\"S1049023X18000183_ref1\" publication-type=\"journal\"><jats:name name-style=\"western\"><jats:surname>Sugawara<\/jats:surname><jats:given-names>J<\/jats:given-names><\/jats:name>, <jats:name name-style=\"western\"><jats:surname>Iwama<\/jats:surname><jats:given-names>N<\/jats:given-names><\/jats:name>, <jats:name name-style=\"western\"><jats:surname>Hoshiai<\/jats:surname><jats:given-names>T<\/jats:given-names><\/jats:name>, <jats:name name-style=\"western\"><jats:surname>Tokunaga<\/jats:surname><jats:given-names>H<\/jats:given-names><\/jats:name>, <jats:name name-style=\"western\"><jats:surname>Nishigori<\/jats:surname><jats:given-names>H<\/jats:given-names><\/jats:name>, <jats:name name-style=\"western\"><jats:surname>Metoki<\/jats:surname><jats:given-names>H<\/jats:given-names><\/jats:name>, <jats:name name-style=\"western\"><jats:surname>Okamura<\/jats:surname><jats:given-names>K<\/jats:given-names><\/jats:name>, <jats:name name-style=\"western\"><jats:surname>Yaegashi<\/jats:surname><jats:given-names>N<\/jats:given-names><\/jats:name>. <jats:article-title>Regional birth outcomes after the 2011 Great East Japan Earthquake and tsunami in Miyagi Prefecture<\/jats:article-title>. <jats:source>Prehosp Disaster Med<\/jats:source>. <jats:year>2018<\/jats:year>;<jats:volume>33<\/jats:volume>(<jats:issue>2<\/jats:issue>):<jats:fpage>215<\/jats:fpage>\u2013<jats:lpage>219<\/jats:lpage>.<\/jats:mixed-citation><\/jats:p><\/jats:sec>","DOI":"10.1017\/s1049023x18000183","type":"journal-article","created":{"date-parts":[[2018,3,21]],"date-time":"2018-03-21T05:35:05Z","timestamp":1521610505000},"page":"215-219","source":"Crossref","is-referenced-by-count":16,"title":["Regional Birth Outcomes after the 2011 Great East Japan Earthquake and Tsunami in Miyagi Prefecture"],"prefix":"10.1017","volume":"33","author":[{"given":"Junichi","family":"Sugawara","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noriyuki","family":"Iwama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tetsuro","family":"Hoshiai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hideki","family":"Tokunaga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hidekazu","family":"Nishigori","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hirohito","family":"Metoki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kunihiro","family":"Okamura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuo","family":"Yaegashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2018,3,21]]},"reference":[{"key":"S1049023X18000183_ref8","volume-title":"World Health Statistics 2011","year":"2011"},{"key":"S1049023X18000183_ref1","unstructured":"Sugawara J , Iwama N , Hoshiai T , Tokunaga H , Nishigori H , Metoki H , Okamura K , Yaegashi N . Regional birth outcomes after the 2011 Great East Japan Earthquake and tsunami in Miyagi Prefecture."},{"key":"S1049023X18000183_ref2","unstructured":"Fire and Disaster Management Agency of the Ministry of Internal Affairs and Communications [in Japanese]. 2016. http:\/\/www.fdma.go.jp\/bn\/153.pdf. Accessed March 29, 2016."},{"key":"S1049023X18000183_ref6","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-010-0576-9"},{"key":"S1049023X18000183_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60820-4"},{"key":"#cr-split#-S1049023X18000183_ref7.1","unstructured":"3. Annual report of Miyagi Perinatal Medical Council. 2014"},{"key":"#cr-split#-S1049023X18000183_ref7.2","unstructured":"4. in Miyagi Prefectural website [in Japanese]. http:\/\/www.pref.miyagi.jp\/soshiki\/iryou\/syusanki01.html. Accessed March 29, 2016."},{"key":"S1049023X18000183_ref4","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0008200"},{"key":"S1049023X18000183_ref3","volume-title":"Environmental Health in Emergencies and Disasters: A Practical Guide","author":"Wisner","year":"2002"},{"key":"S1049023X18000183_ref5","doi-asserted-by":"publisher","DOI":"10.3109\/14767058.2012.678437"},{"key":"S1049023X18000183_ref10","doi-asserted-by":"publisher","DOI":"10.1017\/S1049023X1600025X"},{"key":"S1049023X18000183_ref11","doi-asserted-by":"publisher","DOI":"10.4236\/ojog.2016.612088"}],"container-title":["Prehospital and Disaster Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1049023X18000183","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,14]],"date-time":"2019-04-14T18:26:35Z","timestamp":1555266395000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1049023X18000183\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,3,21]]},"references-count":12,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2018,4]]}},"alternative-id":["S1049023X18000183"],"URL":"https:\/\/doi.org\/10.1017\/s1049023x18000183","relation":{},"ISSN":["1049-023X","1945-1938"],"issn-type":[{"value":"1049-023X","type":"print"},{"value":"1945-1938","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,3,21]]}}}