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Survey on the use of personal protective equipment and COVID-19 testing of pregnant women in Japan

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Title: Survey on the use of personal protective equipment and COVID-19 testing of pregnant women in Japan
Authors: Umazume, Takeshi Browse this author →KAKEN DB
Miyagi, Etsuko Browse this author
Haruyama, Yasuo Browse this author
Kobashi, Gen Browse this author
Saito, Shigeru Browse this author
Hayakawa, Satoshi Browse this author
Kawana, Kei Browse this author
Ikenoue, Satoru Browse this author
Morioka, Ichiro Browse this author
Yamada, Hideto Browse this author
Keywords: COVID-19
personal protective equipment
polymerase chain reaction
Issue Date: Oct-2020
Publisher: John Wiley & Sons
Journal Title: Journal of Obstetrics and Gynaecology Research
Volume: 46
Issue: 10
Start Page: 1933
End Page: 1939
Publisher DOI: 10.1111/jog.14382
Abstract: Aim To clarify the status of personal protective equipment (PPE) and coronavirus disease 2019 (COVID-19) tests for pregnant women, we conducted an urgent survey. Methods The survey was conducted online from April 27 to May 1, 2020. Questionnaires were sent to core facilities and affiliated hospitals of the obstetrics and gynecology training program and to hospitals of the national perinatal medical liaison council. Results A total of 296 institutions participated in our survey; however, 2 institutions were excluded. Full PPE was used by doctors in 7.1% of facilities and by midwives in 6.8%. Our study also determined that around 65.0% of facilities for doctors and 73.5% of facilities for midwives used PPE beyond the "standard gown or apron, surgical mask, goggles or face shield" during labor of asymptomatic women. N95 masks were running out of stock at 6.5% of the facilities and goggles and face shields at 2.7%. Disposable N95 masks and goggles or face shields were re-used after re-sterilization in 12% and 14% of facilities, respectively. Polymerase chain reaction (PCR) testing of asymptomatic patients was performed for 9% of vaginal deliveries, 14% of planned cesarean sections and 17% of emergency cesarean sections. The number of PCR tests for obstetrics and gynecology per a week ranged from zero to five in 92% of facilities. Conclusion The shortage of PPE in Japan is alarming. Sufficient stockpiling of PPE is necessary to prevent unnecessary disruptions in medical care. Appropriate guidelines for PPE usage and COVID-19 testing of pregnant women at delivery are needed in Japan.
Rights: This is the peer reviewed version of the following article: Umazume, T., Miyagi, E., Haruyama, Y., Kobashi, G., Saito, S., Hayakawa, S., Kawana, K., Ikenoue, S., Morioka, I. and Yamada, H. (2020), Survey on the use of personal protective equipment and COVID‐19 testing of pregnant women in Japan. J. Obstet. Gynaecol. Res., 46: 1933-1939., which has been published in final form at This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
Type: article (author version)
Appears in Collections:北海道大学病院 (Hokkaido University Hospital) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 馬詰 武

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