{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T17:35:49Z","timestamp":1782927349393,"version":"3.54.5"},"reference-count":14,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2021,7,12]],"date-time":"2021-07-12T00:00:00Z","timestamp":1626048000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To investigate the management of obstetrical disseminated intravascular coagulation (DIC) in Japan.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We sent a surveillance questionnaire to 2299 institutions to collect details about the deliveries they performed in 2018. We investigated differences in the management of obstetrical DIC among three types of institutions: perinatal medical centers (PMCs), general hospitals with obstetrical facilities (GHs), and maternal clinics with beds (MCs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We received responses from 703 institutions (30.6% of the total mailed) with results of 306\u2009799 women who gave birth in 2018. In Japan, the potential to treat postpartum hemorrhage and obstetrical DIC was high in the PMC group, moderate in the GH group, and low in the MC group. The incidence of obstetrical DIC in the PMC group (0.44%) was significantly higher than that in the GH (0.21%) and MC (0.06%) groups. The mortality of women with obstetrical DIC in PMCs (1.3%) was similar to that in GHs (0.6%) and MCs (0.0%). The percentages of PMCs that always or sometimes transfused fresh frozen plasma or fibrinogen concentrates (100% and 42.2%, respectively) were significantly higher than those in the GH (88.2% and 29.5%, respectively) and MC groups (29.4% and 5.3%, respectively). Furthermore, institutions whose internal protocols mandated that replacement therapy be always administered in women with obstetrical DIC scores of \u22658 had similar protocols to those for women with fibrinogen levels of \u22641.5\u00a0g\/L.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The capacity to provide therapy for postpartum hemorrhage and obstetrical DIC varied widely among the three groups of institutions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.14875","type":"journal-article","created":{"date-parts":[[2021,7,13]],"date-time":"2021-07-13T05:36:34Z","timestamp":1626154594000},"page":"3159-3170","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Capacity of Japanese institutions to manage obstetrical disseminated intravascular coagulation in 2018: A national surveillance questionnaire and retrospective cohort study"],"prefix":"10.1111","volume":"47","author":[{"given":"Mamoru","family":"Morikawa","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Kansai Medical University  Hirakata Japan"},{"name":"The Japan Society of Obstetrical, Gynecological &amp; Neonatal Hematology (JSOGNH)  Kitakyushu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masafumi","family":"Nii","sequence":"additional","affiliation":[{"name":"The Japan Society of Obstetrical, Gynecological &amp; Neonatal Hematology (JSOGNH)  Kitakyushu Japan"},{"name":"Department of Obstetrics and Gynecology Mie University Graduate School of Medicine  Tsu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasushi","family":"Nakabayashi","sequence":"additional","affiliation":[{"name":"The Japan Society of Obstetrical, Gynecological &amp; Neonatal Hematology (JSOGNH)  Kitakyushu Japan"},{"name":"Department of Obstetrics and Gynecology Nakabayashi Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atsuo","family":"Itakura","sequence":"additional","affiliation":[{"name":"The Japan Society of Obstetrical, Gynecological &amp; Neonatal Hematology (JSOGNH)  Kitakyushu Japan"},{"name":"Department of Obstetrics and Gynecology Juntendo University Graduate School of Medicine  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takao","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"The Japan Society of Obstetrical, Gynecological &amp; Neonatal Hematology (JSOGNH)  Kitakyushu Japan"},{"name":"Department of Obstetrics and Gynecology Hamamatsu Medical Center  Hamamatsu Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoko","family":"Adachi","sequence":"additional","affiliation":[{"name":"The Japan Society of Obstetrical, Gynecological &amp; Neonatal Hematology (JSOGNH)  Kitakyushu Japan"},{"name":"Department of Obstetrics and Gynecology Aiiku Hospital  Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,7,12]]},"reference":[{"key":"e_1_2_9_2_1","first-page":"785","article-title":"A case of fatal hemorrhagic diathesis with premature separation of the placenta","volume":"44","author":"DeLee JB","year":"1901","journal-title":"Am J Obstet Gynecol"},{"key":"e_1_2_9_3_1","volume-title":"Williams obstetrics","author":"Cunningham FG","year":"2014"},{"key":"e_1_2_9_4_1","unstructured":"The Japan Association of Obstetricians and Gynecologists (JAOG) and the Japan Maternal Death Exploratory Committee (JMDEC) editors. Recommendations for saving mother (Tokyo 2019) [in Japanese]. 2020.https:\/\/www.jaog.or.jp\/wp\/wp-content\/uploads\/2020\/11\/botai_2019.pdf. Accessed 10 July 2021."},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jog.12426"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.3925\/jjtc.65.21"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jog.13417"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jog.12419"},{"key":"e_1_2_9_9_1","unstructured":"Japan Society of Obstetrics and Gynecology (JSOG) and Japan Association of Obstetricians and Gynecologists (JAOG). CQ418\u20102: how should women with an \u2018obstetrical bleeding emergency\u2019 be treated? Guidelines for obstetrical practice in Japan: 2020 edition [in Japanese]. 2020. p. 264\u2013267."},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2001-14076"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/trf.13856"},{"key":"e_1_2_9_12_1","unstructured":"Statistics of Japan.Vital statistics. Natality. 4\u20107 Trends in live births by place of delivery: Japan urban\/rural residence. e\u2010Stat; portal site for Japanese Government Statistics (Tokyo). [in Japanese].https:\/\/www.e\u2010stat.go.jp\/dbview?sid=0003411600. Accessed 10 July 2021."},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-010304"},{"key":"e_1_2_9_14_1","unstructured":"The Ministry of Health Labour and Welfare (Japan).Summary report of vital statistics of Japan (final data) 2018 [in Japanese]. https:\/\/www.mhlw.go.jp\/toukei\/saikin\/hw\/jinkou\/kakutei18\/dl\/08_h4.pdf. Accessed 10 July 2021."},{"key":"e_1_2_9_15_1","unstructured":"The Japan Association of Obstetricians and Gynecologists.The recommendations of maternal safety 2018 vol. 9 [in Japanese].https:\/\/www.jaog.or.jp\/wp\/wp-content\/uploads\/2019\/10\/botai_2018.pdf. Accessed 10 July 2021."}],"container-title":["Journal of Obstetrics and Gynaecology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jog.14875","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jog.14875","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jog.14875","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,30]],"date-time":"2023-08-30T00:11:00Z","timestamp":1693354260000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/jog.14875"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,12]]},"references-count":14,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1111\/jog.14875"],"URL":"https:\/\/doi.org\/10.1111\/jog.14875","archive":["Portico"],"relation":{},"ISSN":["1341-8076","1447-0756"],"issn-type":[{"value":"1341-8076","type":"print"},{"value":"1447-0756","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,12]]},"assertion":[{"value":"2021-01-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-05-03","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-07-12","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}