The present paper discussed the perinatal emergency care system for further improvement of child and maternal health in Gunma prefecture, Japan.
The possibilities for the prevention of perinatal deaths were estimated from the data about the causes and local distribution of hebdomadal deaths which were main concern of emergency care system.
The deaths from obstetrical causes, which were mostly preventable, were less than one third of the total cases. The rest of above were caused by environmental factors and most of them were difficult to prevent. Introduction of high risk care unit for pregnant women as developed in advanced nations was needed to reduce the number of deaths from environmental factors.
The frequency of toxaemia and bleeding in the rural under-doctored region and part of town area (previously published data) also urged the need of careful perinatal control in these area.
The definite plan for these emergency care system are under investigation analyzing the data from questionnaire.