母性内科学とは
Obstetrics Medicine
What is Obstetric Medicine?
Obstetrics Medicine
母性内科学とは
Obstetrics Medicine
What is Obstetric Medicine?
Obstetrics Medicine
母性内科とは「A sound baby in a sound maternity：健全な母体に健全な児は育つ」の理念のもと、慢性疾患を持つ女性の妊娠（合併症妊娠）と、妊娠中に出現した内科疾患の診療（妊娠合併症）を専門的知識をもって診療する、従来の内科でも産婦人科でもない、内科と産婦人科の融合によって作りあげていくべき新しい分野と考えます。 私たち日本母性内科学会は、母性内科医のアイデンティティを確固たるものとし、そのネットワークを広げることで医療の質を向上させることを目的としています。
妊娠・出産は母体に大きな負荷をかけるため、基礎疾患の悪化や流産・早産のリスクを高めます。また、胎児への影響を心配して治療の継続をためらう患者さんもいます。このような患者さんの「妊娠と治療の両立」をサポートします。
妊娠合併症を起こした女性へのフォローが重要です。例えば妊娠糖尿病や妊娠高血圧症候群を経験した女性は、出産後に糖尿病、高血圧症へと進展しやすいことがわかっています。つまり、妊娠を契機に将来かかりやすい病気が見えてくるのです。病気の素因を見抜き生活指導を行うことで、産後の長期的な母児の健康維持を探求し、将来の疾病予防につなげます。
思春期前から妊娠の準備は始まっていますから、早くからの体調管理や健康教育が重要です。
妊娠・授乳中の薬の使用について、不安を持つ女性をサポートします。
社会環境が目まぐるしく変化するなか、出産年齢の上昇によって、基礎疾患保有率や妊娠合併症の頻度が高まっています。近年、医療の進歩により病気の治療成績が向上し、さまざまな慢性疾患を抱えていても、症状をうまくコントロールしながらの妊娠・出産が可能になってきました。またさらに、生涯に一人の女性が出産する子どもの数が少なくなった影響のためか、より理想的な妊娠・出産のために万全の準備をと考える人が増えてきているように思います。
このような状況下にあって、「母性内科」が求められる役割は年々大きくなってきています。妊娠という状態の特殊性を熟知したうえで母体を治療することによって、母児のwell-beingをもたらすということを目的とする立場として、その必要性と学会に求められている役割を会員一人ひとりが認識しながら、我が国における母性内科学の研究、教育、診療の水準の向上と発展に日々努めております。
Based on the principle of "a sound baby in a sound maternity," obstetric medicine is a new field of medicine that should be created through the fusion of internal medicine and obstetrics and gynecology, with expertise in treating pregnancies of women with chronic diseases and medical diseases that appear during pregnancy (pregnancy complications). We, the Japanese Society of Obstetric Medicine, aim to solidify the identity of obstetric physicians and improve the quality of medical care by expanding our network.
Pregnancy and childbirth place a heavy burden on the mother, increasing the risk of worsening underlying diseases, and miscarriage or premature birth. In addition, some patients are hesitant to continue their medications because they are worried about the effects on the fetus. We support such patients in balancing pregnancy and treatment.
It is important to follow up on women who have developed pregnancy complications. For example, it is known that women who experience gestational diabetes or hypertensive disorders in pregnancy are more likely to develop diabetes or hypertension after delivery. Pregnancy is an opportunity to see the diseases pregnant women are susceptible to have in the future. By identifying the predisposing factors and providing lifestyle guidance, we seek to maintain the health of the mother and child over the long term after childbirth, thereby preventing future diseases.
Preparation for pregnancy begins before puberty, so early physical health care and health education are important.
We support women who are concerned about the use of medications during pregnancy and lactation.
As the social environment changes rapidly, the number of women with chronic diseases and/or pregnancy complications are increasing due to the rise in childbearing age. In recent years, medical advances have improved the treatment of diseases, making it possible for women with a variety of chronic diseases to conceive and give birth while maintaining good control of their symptoms. In addition, perhaps due to the fact that the number of children a woman has in her lifetime is decreasing, people are trying to seek better ways for ideal pregnancy and childbirth.
Under these circumstances, the role of "obstetric medicine" is becoming more and more important every year. As a position that aims to bring the well-being of mothers and infants by treating mothers based on a thorough understanding of the unique characteristics of pregnancy, every member is aware of the necessity and the role required by the society. Therefore, we are striving to improve and develop the level of research, education, and practice of obstetric medicine in Japan.