The Impact of Centralization of Obstetric Care Resources in Japan on the Perinatal Mortality Rate

Table 1

Perinatal mortality rate, total fertility rate, Gini coefficients, and obstetric care resources by prefecture.

	Perinatal mortality rate	Total fertility rate	Gini coefficient of obstetric care facilities (per capita)	Gini coefficient of obstetricians (per capita)	Number of obstetric care facilities (per capita)	Number of obstetricians (per capita)
Hokkaido	4.4	1.19	0.185	0.272	1.852	4.979
Aomori	4.8	1.26	0.130	0.284	2.258	5.731
Iwate	5.4	1.37	0.104	0.197	3.232	6.246
Miyagi	3.9	1.25	0.201	0.232	2.002	5.187
Akita	4.7	1.29	0.228	0.146	2.579	5.525
Yamagata	4.2	1.39	0.057	0.081	2.995	6.066
Fukushima	4.9	1.49	0.252	0.253	2.612	5.028
Ibaragi	3.9	1.37	0.156	0.211	2.088	5.143
Tochigi	4.1	1.43	0.114	0.222	2.142	7.583
Gunma	5.0	1.38	0.175	0.204	2.390	4.830
Saitama	3.9	1.28	0.170	0.161	1.487	4.575
Chiba	5.1	1.31	0.100	0.191	1.850	5.581
Tokyo	3.9	1.12	0.303	0.226	1.451	6.112
Kanagawa	4.8	1.28	0.066	0.131	1.337	5.112
Niigata	4.0	1.37	0.114	0.076	2.105	5.272
Toyama	5.1	1.37	0.054	0.093	2.378	7.033
Ishikawa	3.8	1.40	0.081	0.099	2.991	6.248
Fukui	2.8	1.55	0.283	0.439	2.728	7.403
Yamanashi	4.4	1.31	0.382	0.470	1.739	5.865
Nagano	3.7	1.43	0.220	0.230	2.137	5.286
Gifu	4.8	1.37	0.224	0.248	2.691	5.319
Shizuoka	3.4	1.43	0.109	0.182	1.992	4.900
Aichi	4.4	1.43	0.229	0.312	2.038	6.293
Mie	3.4	1.40	0.162	0.130	2.157	5.747
Shiga	4.0	1.44	0.164	0.234	2.907	4.864
Kyoto	3.6	1.20	0.207	0.180	2.427	6.906
Osaka	3.9	1.28	0.082	0.135	1.771	5.966
Hyogo	4.0	1.33	0.129	0.109	2.075	5.353
Nara	5.2	1.23	0.158	0.321	1.929	5.279
Wakayama	5.2	1.36	0.246	0.160	2.397	5.693
Tottori	4.1	1.46	0.051	0.205	3.229	7.971
Shimane	4.6	1.55	0.108	0.232	3.071	7.678
Okayama	4.1	1.39	0.114	0.145	2.365	6.309
Hiroshima	4.4	1.47	0.138	0.111	2.342	5.764
Yamaguchi	4.1	1.43	0.106	0.113	2.756	6.408
Tokushima	4.1	1.35	0.290	0.513	3.054	6.070
Kagawa	3.5	1.48	0.067	0.217	2.611	6.347
Ehime	4.7	1.41	0.201	0.199	2.656	5.968
Kochi	3.3	1.29	0.131	0.300	2.747	6.278
Fukuoka	4.0	1.37	0.167	0.219	2.563	6.099
Saga	3.2	1.49	0.143	0.172	3.648	6.908
Nagasaki	4.3	1.50	0.151	0.162	3.785	6.870
Kumamoto	3.5	1.58	0.249	0.297	3.026	6.784
Oita	4.6	1.50	0.159	0.091	2.675	4.263
Miyazaki	3.6	1.61	0.245	0.280	3.788	7.691
Kagoshima	4.0	1.56	0.137	0.223	3.282	6.815
Okinawa	4.8	1.79	0.136	0.218	2.729	7.655
Mean (SD)	5.387 (0.510)	1.395 (0.122)	0.163 (0.073)	0.211 (0.095)	2.491 (0.585)	6.021 (0.914)