Department of Obstetrics and Gynecology

Clinical Overview

Obstetrics

The Department is in charge of medical care in the Department of Maternal and Fetal Medicine at the University Hospital General Perinatal Medical Center. This comprises three beds in the Maternal and Fetal Intensive Care Unit (MFICU) and 22 general obstetric beds, and responds to the needs of kinds of expectant mothers brought to the hospital for 24 hours a day, including threatened premature delivery and premature rupture of membrane from 22 weeks of gestation, high risk complications of pregnancy, multiple pregnancy, massive hemorrhage during delivery, and emergency obstetric diseases. Expectant mothers may also be brought to hospital by helicopter ambulance in response to emergency requests for ambulances from distant areas, and a physician from the Department of Obstetrics and Gynecology will accompany physicians and nurses from the Emergency Department in the helicopter. Around 600 births occur in the Department each year and, in response to requests from within the community, we endeavor to accept prefectural resident expectant mothers for natural childbirth as much as possible. We are also striving to nurture doctors specializing in maternal and fetal medicine on the basis of the perinatal (maternal) specialist system launched in 2006, and as of December 2015, there are four maternal and fetal specialists in our Department.

Gynecology and Reproductive Endocrinology

Three specialists in our Department are members of the Japan Society for Gynecologic Oncology, and we are pouring our efforts into the treatment of gynecological malignancies such as cervical cancer, uterine cancer, and ovarian cancer, as well as benign disorders such as uterine myomas, benign ovarian tumors, and endometriosis and reproductive endocrine disorders such as ovarian dysfunction and menopausal symptoms, and we accept numerous patient referrals from both within and outside the prefecture. When it comes to radical surgery for gynecological malignancies, chemotherapy with anticancer drugs, and radiotherapy, we offer treatment based on the latest guidelines and evidence. We perform laparoscopic and hysteroscopic surgeries in patients withbenign gynecological disorders who are eligible for these surgical methods. In addition, many patients with trophoblastic disease typified by hydatidiform mole are referred to and treated in the outpatient clinic of Professor Kazuhiko Ino, a highly experienced clinical practitioner, who has played a central role in the revision to the “Protocol for Handling of Trophoblastic Patients.” The Department does not perform in vitro fertilization and embryo transfer, and refers patients to other specialist institutions for this treatment.

Departments

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