{"id":107613,"date":"2020-03-23T22:51:34","date_gmt":"2020-03-24T02:51:34","guid":{"rendered":"https:\/\/www.jmsa.org\/?p=107613"},"modified":"2020-04-14T18:46:07","modified_gmt":"2020-04-14T22:46:07","slug":"the-effect-of-the-coronavirus-on-pregnancy","status":"publish","type":"post","link":"https:\/\/www.jmsa.org\/ja\/2020\/03\/23\/the-effect-of-the-coronavirus-on-pregnancy\/","title":{"rendered":"[\u66f4\u65b0]\u30b3\u30ed\u30ca\u30a6\u30a4\u30eb\u30b9\u306e\u611f\u67d3\u3068\u598a\u5a20\u3000By Dr. Yuzuru Anzai"},"content":{"rendered":"\n<p>Dr. Yuzuru Anzai has compiled information on COVID-19 and\nits effects on pregnant women.<\/p>\n\n\n\n<p>Dr. Anzai is a past president of JMSA. He is an attending at Lenox Hill Hospital and President, New York Midtown OBGYN<\/p>\n\n\n\n<p><strong>\u30b3\u30ed\u30ca\u30a6\u30a3\u30eb\u30b9\u306e\u611f\u67d3\u3068\u598a\u5a20<\/strong><\/p>\n\n\n\n<p>\u4eca\u3001\u4e16\u754c\u4e2d\u3067\u5927\u6d41\u884c\u3057\u3066\u3044\u308b\u30b3\u30ed\u30ca\u30a6\u30a3\u30eb\u30b9\u306b\u3088\u3063\u3066\u8d77\u3053\u3055\u308c\u308b COVID-19 \u3067\u3059\u304c\u3001\u598a\n\u5a20\u306b\u4e0e\u3048\u308b\u5f71\u97ff\u306b\u3064\u3044\u3066\u306f\u3001\u975e\u5e38\u306b\u9650\u3089\u308c\u305f\u5831\u544a\u3057\u304b\u3042\u308a\u307e\u305b\u3093\u3002\u305d\u306e\u4e4f\u3057\u3044\u60c5\u5831\u306b\u57fa \u3065\u3044\u3066\u3067\u3059\u304c\u3001\u30a2\u30e1\u30ea\u30ab\u3068\u4e2d\u56fd\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u3064\u3044\u3066\u66f8\u3044\u3066\u307f\u307e\u3059\u3002 <\/p>\n\n\n\n<p><strong>1  \u598a\u5a20\u306f\u30b3\u30ed\u30ca\u30a6\u30a3\u30eb\u30b9\u611f\u67d3\u306e\u30ea\u30b9\u30af\u30d5\u30a1\u30af\u30bf\u30fc\u306b\u306a\u308b\u306e\u304b?<\/strong><\/p>\n\n\n\n<p>\u598a\u5a20\u4e2d\u306f\u3001\u7279\u5b9a\u306e\u514d\u75ab\u7cfb\u306e\u50cd\u304d\u304c\u5f31\u304f\u306a\u308a\u3001\u30a4\u30f3\u30d5\u30eb\u30a8\u30f3\u30b6\u3001\u6c34\u75b1\u7621\u3068\u3044\u3063\u305f\u30a6\u30a3\u30eb\u30b9\u6027\u306e\u611f\u67d3\u306b\u304b\u304b\u308a\u3084\u3059\u304f\u3001\u307e\u305f\u3001\u91cd\u75c7\u306b\u306a\u308a\u3084\u3059\u3044\u50be\u5411\u304c\u3042\u308a\u307e\u3059\u3002SARS, MERS \u3068 \u3044\u3063\u305f\u4ed6\u306e\u30b3\u30ed\u30ca\u30a6\u30a3\u30eb\u30b9\u3082\u3001\u598a\u7523\u5a66\u304c\u304b\u304b\u308b\u3068\u91cd\u7be4\u306b\u306a\u308b\u4e8b\u304c\u591a\u3044\u3053\u3068\u304b\u3089\u3001\u5148\u65e5\u3001\n\u30a2\u30e1\u30ea\u30ab\u306e\u7523\u5a66\u4eba\u79d1\u5b66\u4f1a\u306f\u3001\u300c\u81e8\u5e8a\u7684\u306a\u30c7\u30fc\u30bf\u306b\u57fa\u3065\u3044\u305f\u3082\u306e\u3067\u306f\u306a\u3044\u3002\u300d\u3068\u4f46\u3057\u66f8\u304d \u3092\u3064\u3051\u306a\u304c\u3089\u3001\u4e0a\u8a18\u3092\u9451\u307f\u3066\u3001\u300c\u598a\u5a20\u4e2d\u306e\u5973\u6027\u306f COVID-19 \u306b\u95a2\u3057\u3066\u3001\u30cf\u30a4\u30ea\u30b9\u30af\u30b0\u30eb\n\u30fc\u30d7\u3068\u3057\u3066\u8a8d\u8b58\u3055\u308c\u308b\u3079\u304d\u3067\u3042\u308b\u3002\u300d\u3068\u306e\u898b\u89e3\u3092\u793a\u3057\u3066\u3044\u307e\u3059\u3002 <\/p>\n\n\n\n<p>\u3057\u304b\u3057\u306a\u304c\u3089\u3001\u73fe\u5728\u3001\u6587\u732e\u3068\u3057\u3066\u306f\u4e2d\u56fd\u304b\u3089\u306e2\u3064\u3057\u304b\u306a\u304f\u3001\u5168\u90e8\u3067 18 \u4eba\u306e\u75c7\u4f8b\u304c \u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u3001\u305d\u306e\u3072\u3068\u3064\u306f 13 \u4eba\u306e\u598a\u5a66\u3055\u3093\u3092\u542b\u3093\u3067\u3044\u307e\u3059\u304c\u3001\u598a\u5a20\u4e2d\u306b\nCOVID-19 \u3068\u8a3a\u65ad\u3055\u308c\u305f\u3053\u306e\u4eba\u305f\u3061\u306f\u30013\u4eba\u306f\u8efd\u5feb\u3057\u3066\u3001\u598a\u5a20\u3092\u7d99\u7d9a\u3001\u5f8c\u306e 10 \u4eba\u306f\u3059\u3079\n\u3066\u3001\u5e1d\u738b\u5207\u958b\u306b\u3066\u306e\u51fa\u7523\u306b\u81f3\u3063\u3066\u3044\u307e\u3059\u3002ICU \u3067\u306e\u6cbb\u7642\u304c\u5fc5\u8981\u3068\u306a\u3063\u305f\u306e\u306f\u4e00\u4eba\u3060\u3051 \u3067\u3001\u3042\u3068\u306e 12 \u4eba\u306f\u6bd4\u8f03\u7684\u8efd\u3044\u75c7\u72b6\u3067\u6e08\u3093\u3067\u3044\u307e\u3059\u3002\u91cd\u75c7\u3068\u306a\u3063\u305f\u306e\u306f\n1\/13(7.6%)\u3067 \u3042\u308a\u3001COVID-19\n\u60a3\u8005\u5168\u4f53\u306e5%\u304cICU \u5165\u9662\u304c\u5fc5\u8981\u3068\u306a\u3063\u305f\u4e8b\u3068\u6bd4\u3079\u3066\u3042\u307e\u308a\u5dee\u304c\u306a\u304f\u3001\n\u598a\u5a20\u4e2d\u306e\u5973\u6027\u306e\u4e88\u5f8c\u304c\u60aa\u3044\u3068\u306f\u8a00\u3048\u306a\u3044\u3068\u3044\u3046\u306e\u304c\u7d50\u8ad6\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u3055\u3089\u306b\u7d30\u304b\u304f \u66f8\u304f\u3068\u30016 \u4eba\u306f32\u221236 \u9031\u306e\u65e9\u7523\u30011\n\u4eba\u306f\u6b7b\u7523\u3068\u3044\u3046\u7d50\u679c\u3067\u3057\u305f\u3002\u3053\u3046\u3057\u3066\u7d30\u304b\u304f\u898b\u3066 \u3044\u304f\u3068\u3001\u3084\u306f\u308a\u30ea\u30b9\u30af\u306f\u9ad8\u3044\u3088\u3046\u306b\u898b\u3048\u307e\u3059\u3002\n<\/p>\n\n\n\n<p>\u30cb\u30e5\u30fc\u30e8\u30fc\u30af\u3067\u306e43\u75c7\u4f8b\u3092\u307e\u3068\u3081\u305f\u30b3\u30ed\u30f3\u30d3\u30a2\u5927\u5b66\u306e\u5831\u544a\u304c4\u67088\u65e5\u306b\u30aa\u30f3\u30e9\u30a4\u30f3\u3067\u767a\u8868\u3055\u308c\u3001\u3053\u308c\u306b\u3088\u308b\u3068 86%\u304c\u8efd\u75c7\u30019.3%\u304c\u91cd\u75c7\u30014.7%\u304c ICU \u306e\u5165\u9662\u304c\u5fc5\u8981\u3067\u3057\n\u305f\u3002\u3053\u306e\u30b0\u30eb\u30fc\u30d7\u306f\u3001\u7121\u75c7\u72b6\u306e\u598a\u5a66\u3055\u3093\u305f\u3061\u3082\u542b\u3093\u3067\u3044\u308b\u306e\u3067\u3001\u5358\u7d14\u306b\u6bd4\u8f03\u3059\u308b\u306e\u306f\u96e3 \u3057\u3044\u3068\u3057\u306a\u304c\u3089\u3001(\u4ed6\u306e\u30ec\u30dd\u30fc\u30c8\u306f\u3001\u547c\u5438\u5668\u7cfb\u3084\u3001\u767a\u71b1\u7b49\u306e\u75c7\u72b6\u304c\u3042\u3063\u305f\u60a3\u8005\u3055\u3093\u305f\u3061\n\u306e\u30c7\u30fc\u30bf\u3067\u3001\u7121\u75c7\u72b6\u306e\u4eba\u306e\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u306f\u901a\u5e38\u542b\u307e\u308c\u3066\u3044\u307e\u305b\u3093\u3002)\u3053\u308c\u307e\u3067\u306e\u30c7\u30fc \u30bf\u3068\u3042\u307e\u308a\u5927\u304d\u306a\u5dee\u306f\u306a\u3044\u3001\u3057\u305f\u304c\u3063\u3066\u3001\u598a\u5a66\u3055\u3093\u304c\u7279\u5225\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u3068\u306f\u8a00\u3048\u306a\u3044\u3068\n\u306e\u7d50\u8ad6\u3067\u3057\u305f\u3002\u3057\u304b\u3057\u306a\u304c\u3089\u3001\u598a\u5a66\u306e\u5e74\u4ee4\u306e\u82e5\u3055\u3001\u7537\u6027\u306e\u65b9\u304c\u5973\u6027\u3088\u308a\u3082\u91cd\u75c7\u306b\u306a\u308b\u3053 \u3068\u304c\u591a\u3044\u3053\u3068\u306a\u3069\u3082\u8003\u616e\u3059\u308b\u3068\u3001COVID-19 \u60a3\u8005\u5168\u4f53\u306e\u30c7\u30fc\u30bf\u3088\u308a\u3082\u3001\u540c\u5e74\u4ee4\u306e\u598a\u5a20\u3057\n\u3066\u3044\u306a\u3044\u5973\u6027\u306e\u30b0\u30eb\u30fc\u30d7\u306e\u3068\u6bd4\u8f03\u3057\u305f\u65b9\u304c\u9069\u5f53\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002 <\/p>\n\n\n\n<p>\u3053\u306e\u75c7\u4f8b\u7fa4\u306f\u3001\u598a\u5a20\u5f8c\u534a\u671f\u306e\u5973\u6027\u305f\u3061\u3067\u3001\u521d\u671f\u306b\u611f\u67d3\u3057\u305f\u3089\u3001\u6d41\u7523\u3084\u3001\u80ce\u5150\u5947\u5f62\u306e\u30ea\u30b9\u30af\u304c\u5897\u3048\u308b\u306e\u304b\u3068\u3044\u3046\u70b9\u306b\u3064\u3044\u3066\u306f\u5168\u304f\u308f\u304b\u3063\u3066\u3044\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p><strong>2  \u80ce\u5150\u3001\u65b0\u751f\u5150\u3078\u306e\u611f\u67d3\u306f? <\/strong><\/p>\n\n\n\n<p>\u5148\u306b\u66f8\u304d\u307e\u3057\u305f\u5831\u544a\u306e 18 \u4f8b\u306b\u3064\u3044\u3066\u306f(\u6b7b\u7523\u3082\u542b\u3081\u3066)\u3001\u65b0\u751f\u5150\u306b\u306f\u611f\u67d3\u306f\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002\u3053\u306e\u4e8b\u304b\u3089\u3001\u598a\u5a20\u4e2d\u306b\u80ce\u76e4\u3092\u901a\u3057\u3066\u306e\u611f\u67d3\u306f\u306a\u3044\u3068\u3044\u3046\u306e\u304c\u3053\u308c\u307e\u3067\u306e\u7d50 \u8ad6\u3067\u3057\u305f\u3002\u3057\u304b\u3057\u30013\u670826\u65e5\u4ed8\u3067\u4e2d\u56fd\u306e Dr. Zeng \u306e\u30b0\u30eb\u30fc\u30d7\u306f JAMA Pediatrics \u306b\u3001 9%(33 \u4eba\u306e\u65b0\u751f\u5150\u4e2d 3 \u4eba)\u306b\u51fa\u751f\u76f4\u5f8c\u306b COVID-19 \u3068\u8003\u3048\u3089\u308c\u308b\u80ba\u708e\u304c\u8a8d\u3081\u3089\u308c\u305f\u3068 \u5831\u544a\u3057\u3066\u3044\u307e\u3059\u3002\u5e78\u3044\u3001\u75c7\u72b6\u306f\u8efd\u304f\u3001\u4e00\u756a\u91cd\u75c7\u306a\u65b0\u751f\u5150\u3082\u304a\u305d\u3089\u304f\u306f\u65e9\u7523\u306b\u3088\u308b\u5408\u4f75\u75c7 \u306e\u53ef\u80fd\u6027\u306e\u65b9\u304c\u30a6\u30a3\u30eb\u30b9\u6027\u80ba\u708e\u3088\u308a\u3082\u9ad8\u3044\u3068\u8a18\u3057\u3066\u3044\u307e\u3059\u3002\u307e\u305f\u3053\u306e3\u4f8b\u306f\u5168\u3066\u5e1d\u738b\u5207 \u958b\u3067\u751f\u307e\u308c\u3066\u3044\u307e\u3059\u3002\u5148\u306e\u30b3\u30ed\u30f3\u30d3\u30a2\u5927\u5b66\u306e\u8ad6\u6587\u3067\u306f\u300143 \u4eba\u4e2d 18 \u4eba\u304c\u51fa\u7523\u306b\u81f3\u3063\u305f\u306e \u3067\u3059\u304c\u300117 \u4eba\u306e\u65b0\u751f\u5150\u306f\u9670\u6027\u3001\u4e00\u4eba\u3060\u3051\u306f\u3063\u304d\u308a\u3057\u306a\u3044\u7d50\u679c\u3067\u201d\u967d\u6027\u6271\u3044\u201d\u3067\u3059\u304c\u3001\u7121 \u75c7\u72b6\u3001\u30b3\u30ed\u30ca\u30a6\u30a3\u30eb\u30b9\u306b\u3088\u308b\u80ba\u708e\u3092\u8d77\u3053\u3057\u305f\u65b0\u751f\u5150\u306f\u3044\u307e\u305b\u3093\u3067\u3057\u305f\u3002 <\/p>\n\n\n\n<p>\u3067\u306f\u3001\u51fa\u7523\u5f8c\u306e\u65b0\u751f\u5150\u306f\u3001\u6bcd\u89aa\u3068\u4e00\u7dd2\u306b\u3044\u3089\u308c\u308b\u306e\u304b\u3067\u3059\u304c\u3001\u6bcd\u4e73\u306b\u30a6\u30a3\u30eb\u30b9\u304c\u691c\u51fa \u3055\u308c\u305f\u4e8b\u306f\u306a\u3044\u3088\u3046\u3067\u3059\u3002\u3057\u304b\u3057\u306a\u304c\u3089\u3001\u6bcd\u89aa\u304c Active \u306a\u611f\u67d3\u3092\u6301\u3063\u3066\u3044\u308b\u5834\u5408\u3001\u3084\u306f\u308a\u3046\u3064\u308b\u30ea\u30b9\u30af\u304c\u3042\u308b\u306e\u3067\u3001\u4e2d\u56fd\u3067\u306f\u30012\u9031\u9593\u6bcd\u89aa\u304b\u3089\u96e2\u3059\u3088\u3046\u306b\u3059\u3059\u3081\u3066\u3044\u307e\u3059\u3002\u30a2\u30e1\u30ea\u30ab\u306f\u3001\u6bcd\u4e73\u306e\u30e1\u30ea\u30c3\u30c8\u3082\u8003\u3048\u3066\u3001\u4e00\u6982\u306b\u6bcd\u5b50\u3092\u5f15\u304d\u96e2\u3059\u306e\u306f\u3069\u3046\u304b\u3068\u3044\u3046\u59ff\u52e2\u3067\u3001\n\u60a3\u8005\u3055\u3093\u3068\u3088\u304f\u8a71\u3057\u5408\u3063\u3066\u6c7a\u3081\u308b\u3079\u304d\u3060\u3068\u306e\u59ff\u52e2\u3067\u3059\u3002 <\/p>\n\n\n\n<p>\u3053\u306e\u69d8\u306b\u3001\u65b0\u3057\u3044\u75c5\u6c17\u3067\u3059\u306e\u3067\u3001\u975e\u5e38\u306b\u30c7\u30fc\u30bf\u306f\u9650\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u3082\u3063\u3068\u6750\u6599\u304c\u63c3\u3063\u3066\u304f\u308b\u3068\u3001\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3082\u5909\u66f4\u306b\u306a\u308b\u3068\u601d\u3044\u307e\u3059\u3002\u598a\u5a66\u3055\u3093\u304c\u611f\u67d3\u306e\u30cf\u30a4\u30ea\u30b9\u30af\u3068\u3044\u3063\u3066\u3082\u3001\u624b\u6d17\u3044\u3092\u3088\u304f\u3059\u308b\u3001\u8fd1\u8ddd\u96e2\u3067\u306e\u4eba\u3068\u306e\u63a5\u89e6\u3092\u907f\u3051\u308b\u3001\u5bc6\u9589\u3055\u308c\u305f\u5834\u6240\u306b\u4f55\u4eba\u3082\u96c6\u307e\u3089\u306a\u3044\u3068\u3044\u3063\u305f\u3001\u4e00\u822c\u7684\u306a\u6ce8\u610f\u4e8b\u9805\u306b\u6c17\u3092\u3064\u3051\u308b\u4ee5\u5916\u306b\u306f\u3001\u598a\u5a66\u3055\u3093\u5411\u3051\u306e\u7279\u5225\u306a\u6307\u793a\u3068\u3044\u3046\u306e\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p><strong>\u53c2\u8003\u6587\u732e <\/strong><\/p>\n\n\n\n<p>Liang H, Acharya G Novel\ncorona virus disease (COVID-19) in pregnancy: What clinical recommendations to\nfollow? Acta Obstet Gynecol Scand. <\/p>\n\n\n\n<p>Yangli Liu , Haihong Chen , Kejing Tang , Yubiao Guo , Clinical mani-festations and outcome of SARS-CoV-2 infection during pregnancy, Journal of Infection (2020), doi: https:\/\/doi.org\/10.1016\/j.jinf.2020.02.028 <\/p>\n\n\n\n<p>ACOG Clinical Guidance: Practice Advisory Novel Coronavirus 2019 (COVID-19) <\/p>\n\n\n\n<p>CDC Coronavirus 2019 (COVID-19) Pregnancy and Breastfeeding <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Dr. Yuzuru Anzai has compiled information on COVID-19 and its effects on pregnant women. 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