This study aimed to assess long-term changes in pregnancy and birth outcomes after the Great East Japan Earthquake and the accident at the Tokyo Electric Power Company’s Fukushima Daiichi Nuclear Power Plant in Fukushima Prefecture. This is the final report on perinatal outcomes of the Prefectural Health Survey, which ended after a 10-year observation period. Questionnaires based on a pregnancy and birth survey conducted by the Radiation Medical Science Center for the Fukushima Health Management Survey were sent to women who had received maternal and child health handbooks from municipal officers in Fukushima Prefecture. Annual data from six geographic areas in Fukushima Prefecture were separately analyzed. The number of eligible respondents, which was approximately 16,000 in 2011 when the earthquake occurred, declined temporarily the following year, recovered temporarily one year later, and has gradually declined since then. However, the response rate remained at approximately 50% throughout the decade. The incidence of preterm deliveries, low-birthweight infants, and congenital anomalies did not vary over the decade and showed a similar trend in national surveys and general reports. Our analysis shows that the disaster had no significant adverse perinatal outcomes in Fukushima Prefecture and we recommend measures to ensure the safe delivery of babies in the region.
Abstract/References
Final Report of Trends in Pregnancy and Birth Survey after the Great East Japan Earthquake and Fukushima Daiichi Nuclear Power Plant Accident: The Fukushima Health Management Survey
Keiya Fujimori, Kayoko Ishii, Hyo Kyozuka, Shun Yasuda, Tsuyoshi Murata, Aya Goto, Misao Ota, Kenichi Hata, Kohta Suzuki, Akihito Nakai, Tetsuya Ohira, Hitoshi Ohto, Kenji Kamiya, Seiji Yasumura,
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Keiya Fujimori
Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University
Department of Obstetrics and Gynecology, Fukushima Medical University School of Medicine
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Kayoko Ishii
Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University
Department of Midwifery and Maternal Nursing, Fukushima Medical University School of Nursing
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Hyo Kyozuka
Department of Obstetrics and Gynecology, Ohta nishinouchi Hospital
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Shun Yasuda
Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University
Department of Obstetrics and Gynecology, Fukushima Medical University School of Medicine
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Tsuyoshi Murata
Department of Obstetrics and Gynecology, Fukushima Medical University School of Medicine
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Aya Goto
Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University
School of Public Health, Harvard University
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Misao Ota
Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University
Department of Midwifery and Maternal Nursing, School of Nursing, Nagaoka Sutoku University
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Kenichi Hata
Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University
Fukushima Society of Obstetrics and Gynecology
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Kohta Suzuki
Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University
Department of Health and Psychosocial Medicine, School of Medicine, Aichi Medical University
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Akihito Nakai
Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University
Aiiku Hospital
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Tetsuya Ohira
Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University
Department of Epidemiology, Fukushima Medical University, Fukushima School of Medicine
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Hitoshi Ohto
Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University
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Kenji Kamiya
Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University
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Seiji Yasumura
Radiation Medical Science Center for the Fukushima Health Management Survey, Fukushima Medical University
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Pregnancy and Birth Survey Group of the Fukushima Health Management Survey
Abstract
References
6. Kawamoto T, Nitta H, Murata K, et al. Rationale and study design of the Japan environment and children’s study (JECS). BMC Public Health, 14:25, 2014.
8. WHO. Recommended definitions, terminology and format for statistical tables related to the perinatal period and use of a new certificate for cause of perinatal deaths. Modifications recommended by FIGO as amended October 14, 1976. Acta Obstetricia et Gynecologica Scandinavica, 56, 247-253., 1977.
9. UNICEF. Low birthweight, country, regional and global estimates, World Health Organization. 2004.
https://www.who.int/maternal_child_adolescent/documents/9280638327/en/
10. Fukushima Revitalization Station. Radioactivity measurement map. Fukushima Prefectural Government.2023. https://www.pref.fukushima.lg.jp/site/portal-english/en-2-3-1.html
13. Mother’s & children’s Health Organization. Live Births and Percentages by Period of Gestation, 1980-2022. In:Maternal and child health statistics of Japan, 49, 2024.
14. Mother’s & children’s Health Organization. Live Births and Percent Distribution under 2,500 g by Age of Mother and Plurality of Birth and Mean Birthweight, 1970-2020. In:Maternal and child health statistics of Japan, 54-55, 2024.
15. Cragan JD, Gilboa SM. Including prenatal diagnoses in birth defects monitoring:Experience of the Metropolitan Atlanta Congenital Defects Program. Birth Defects Res A Clin Mol Teratol, 85:20-29, 2009.
17. ICBDSR. (International clearinghouse for birth defects surveillance and research) Japan Center:https://icbdsr-j.jp/data.html, in Japanese, accessed May 2024.
21. Zotti ME, Williams AM, Robertson M, Horney J, Hsia J. Post-disaster reproductive health outcomes. Matern Child Health J, 17:783-796, 2013.
22. Wertelecki W. Malformations in a Chornobyl-impacted region. Pediatrics, 125:e836-e843, 2010.
26. Dolk H, Loane M, Garne E. The prevalence of congenital anomalies in Europe. In:Posada de la Paz M, Groft S, eds. Rare Diseases Epidemiology. Adv Exp Med Biol, vol 686. Springer, Dordrecht. 2010. https://doi.org/10.1007/978-90-481-9485-8_20