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Yoneda N, Isayama T, Saito S, et al. Learning From Strengths: Improving Care by Comparing Perinatal Approaches Between Japan and Canada and Identifying Future Research Priorities. J Obstet Gynaecol Can. 2021;43(12):1388-1394.e1doi: 10.1016/j.jogc.2021.04.018.
Yoneda, N., Isayama, T., Saito, S., Shah, P. S., Santaguida, P., Nakamura, T., & McDonald, S. D. (2021). Learning From Strengths: Improving Care by Comparing Perinatal Approaches Between Japan and Canada and Identifying Future Research Priorities. Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC, 43(12), 1388-1394.e1. https://doi.org/10.1016/j.jogc.2021.04.018
Yoneda, Noriko, et al. "Learning From Strengths: Improving Care by Comparing Perinatal Approaches Between Japan and Canada and Identifying Future Research Priorities." Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC vol. 43,12 (2021): 1388-1394.e1. doi: https://doi.org/10.1016/j.jogc.2021.04.018
Yoneda N, Isayama T, Saito S, Shah PS, Santaguida P, Nakamura T, McDonald SD. Learning From Strengths: Improving Care by Comparing Perinatal Approaches Between Japan and Canada and Identifying Future Research Priorities. J Obstet Gynaecol Can. 2021 Dec;43(12):1388-1394.e1. doi: 10.1016/j.jogc.2021.04.018. Epub 2021 May 18. PMID: 34020070.
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J Obstet Gynaecol Can. 2021 Dec;43(12):1388-1394.e1. doi: 10.1016/j.jogc.2021.04.018. Epub 2021 May 18.

Learning From Strengths: Improving Care by Comparing Perinatal Approaches Between Japan and Canada and Identifying Future Research Priorities.

Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC

Noriko Yoneda, Tetsuya Isayama, Shigeru Saito, Prakesh S Shah, Pasqualina Santaguida, Tomohiko Nakamura, Sarah D McDonald

Affiliations

  1. Department of Obstetrics and Gynecology, University of Toyama, Toyama, Japan.
  2. Division of Neonatology, Center of Maternal-Fetal Neonatal and Reproductive Medicine, National Center for Child Health and Development, Tokyo, Japan.
  3. Division of Neonatology, Department of Pediatrics, Mount Sinai Hospital and University of Toronto, Toronto, ON.
  4. Department of Obstetrics & Gynecology, McMaster University, Hamilton, ON; Department of Rehabilitation Sciences, McMaster University, Hamilton, ON.
  5. Division of Neonatology, Department of Pediatrics, Nagano Children's Hospital, Nagano, Japan.
  6. Department of Obstetrics & Gynecology, McMaster University, Hamilton, ON; Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, McMaster University Hamilton, ON. Electronic address: [email protected].

PMID: 34020070 DOI: 10.1016/j.jogc.2021.04.018

Abstract

OBJECTIVE: Preterm birth (PTB) is the leading cause of infant morbidity and mortality worldwide. Canada and Japan each have strengths that can inform clinical decision-making, research, and health care policy regarding the prevention of PTB and its sequelae. Our objectives were to: 1) compare PTB rates, risk factors, management, and outcomes between Japan and Canada; 2) establish research priorities while fostering future collaborative opportunities; and 3) undertake knowledge translation of these findings.

METHODS: We conducted a literature review to identify publications that examined PTB rates, risk factors, prevention and management techniques, and outcomes in Japan and Canada. We conducted site visits at 4 Japanese tertiary centres and held a collaborative stakeholder meeting of parents, neonatologists, maternal-fetal medicine specialists, and researchers.

RESULTS: Japan reports lower rates of PTB, neonatal mortality, and several PTB risk factors than Canada. However, Canadian PTB data is population-based, whereas, in Japan, the rate of PTB is population-based, but outcomes are not. Rates of severe neurologic injury and necrotizing enterocolitis were lower in Japan, while Canada's rates of bronchopulmonary dysplasia and retinopathy of prematurity were lower. PTB prevention approaches differed, with less progesterone use in Japan and more long-term tocolysis. In Japan, there were lower rates of neonatal transfers and non-faculty overnight care, but also less use of antenatal corticosteroids and deferred cord clamping. Research priorities identified through the stakeholder meeting included early skin-to-skin contact, parental well-being after PTB, and transitions in care for the child.

CONCLUSION: We identified key differences between Japan and Canada in the factors affecting PTB management and patient outcomes, which can inform future research efforts.

Copyright © 2021 The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada. Published by Elsevier Inc. All rights reserved.

Keywords: Canada; Japan; infant, premature; perinatal care; pregnancy outcome; preterm birth

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