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67a\u9054\u306b\u3082\u5f79\u5272\u3092\u679c\u305f\u3057\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u30d5\u30a7\u30eb\u30c9\u30de\u30f3\u6c0f\u306e\u7814\u7a76\u3067\u306f\u3001\u65e9\u7523\u5150\u306f\u6b63\u671f\u7523\u5150\u3068\u6bd4\u8f03\u3057\u3066\u30016\u6b73\u6642\u70b9\u3067\u8aad\u307f\u66f8\u304d\u3092\u59cb\u3081\u308b\u53ef\u80fd\u6027\u304c\u4f4e\u3044\u3053\u3068\u304c\u660e\u3089\u304b\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u5f7c\u5973\u306f\u73fe\u5728\u3001\u767d\u8cea\u306e\u7279\u5fb4\u304c\u8aad\u307f\u66f8\u304d\u306e\u5b66\u7fd2\u306e\u9045\u308c\u3092\u4e88\u6e2c\u3067\u304d\u308b\u304b\u3069\u3046\u304b\u3001\u307e\u305f\u767d\u8cea\u306e\u7279\u5fb4\u304c\u6642\u9593\u306e\u7d4c\u904e\u3068\u3068\u3082\u306b\u3001\u305d\u3057\u3066\u5b50\u4f9b\u304c\u8aad\u307f\u66f8\u304d\u3092\u5b66\u3076\u306b\u3064\u308c\u3066\u5909\u5316\u3059\u308b\u304b\u3069\u3046\u304b\u306b\u3064\u3044\u3066\u7814\u7a76\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u30d5\u30a7\u30eb\u30c9\u30de\u30f3\u6c0f\u306f\u3001\u6700\u7d42\u7684\u306a\u76ee\u6a19\u306f\u3001\u65e9\u7523\u5150\u306e\u8a00\u8a9e\u80fd\u529b\u3068\u8aad\u89e3\u529b\u3092\u5411\u4e0a\u3055\u305b\u3001\u767a\u9054\u306e\u9045\u308c\u3084\u969c\u5bb3\u306e\u30ea\u30b9\u30af\u3092\u8efd\u6e1b\u3059\u308b\u305f\u3081\u306e\u65b0\u305f\u306a\u65b9\u6cd5\u3092\u898b\u3064\u3051\u308b\u3053\u3068\u3060\u3068\u6307\u6458\u3059\u308b\u3002\u73fe\u72b6\u3067\u306f\u3001\u6559\u80b2\u3084\u6cbb\u7642\u306f\u3001\u5b50\u3069\u3082\u305f\u3061\u306e\u75c5\u6b74\u3084\u8133\u306e\u7279\u6027\u306b\u57fa\u3065\u3044\u3066\u500b\u5225\u306b\u884c\u308f\u308c\u3066\u3044\u306a\u3044\u3002<\/p>\n<p>\u300c\u65e9\u7523\u5150\u3068\u6b63\u671f\u7523\u5150\u3067\u306f\u767a\u9054\u9045\u5ef6\u306e\u30d1\u30bf\u30fc\u30f3\u304c\u4f3c\u3066\u3044\u3066\u3082\u3001\u7570\u306a\u308b\u30a2\u30d7\u30ed\u30fc\u30c1\u304c\u5fc5\u8981\u304b\u3069\u3046\u304b\u3092\u89e3\u660e\u3057\u305f\u3044\u306e\u3067\u3059\u300d\u3068\u5f7c\u5973\u306f\u8aac\u660e\u3059\u308b\u3002\u300c\u65e9\u7523\u5150\u304c\u6559\u80b2\u304b\u3089\u6700\u5927\u9650\u306e\u5229\u76ca\u3092\u5f97\u308b\u305f\u3081\u306b\u3001\u3069\u306e\u3088\u3046\u306a\u6559\u80b2\u3068\u6cbb\u7642\u3092\u53d7\u3051\u308b\u3079\u304d\u304b\u3092\u8a55\u4fa1\u3059\u308b\u7814\u7a76\u3092\u8a08\u753b\u3057\u305f\u3044\u3068\u8003\u3048\u3066\u3044\u307e\u3059\u3002\u300d<\/p>\n<h3>\u79c1\u305f\u3061\u306e\u6d3b\u52d5\u7bc4\u56f2\u3092\u5e83\u3052\u308b<\/h3>\n<p>\u9577\u671f\u30b1\u30a2\u30a2\u30d7\u30ed\u30fc\u30c1\u306f\u3001\u5dde\u5168\u4f53\u306e\u300c\u30cf\u30a4\u30ea\u30b9\u30af\u4e73\u5150\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u30fb\u30b1\u30a2\u306e\u8cea\u306b\u95a2\u3059\u308b\u30a4\u30cb\u30b7\u30a2\u30c1\u30d6\u300d\u3092\u901a\u3058\u3066\u3088\u308a\u5e83\u304f\u63a1\u7528\u3055\u308c\u3066\u304a\u308a\u3001\u30d2\u30f3\u30c4\u6c0f\u306f\u3053\u306e\u30a4\u30cb\u30b7\u30a2\u30c1\u30d6\u306e\u5171\u540c\u4e3b\u4efb\u7814\u7a76\u8005\u3092\u52d9\u3081\u3066\u3044\u307e\u3059\u3002\u30ab\u30ea\u30d5\u30a9\u30eb\u30cb\u30a2\u5150\u7ae5\u798f\u7949\u5c40\uff08CCS\uff09\u304c\u5f8c\u63f4\u3059\u308b\u3053\u306e\u30a4\u30cb\u30b7\u30a2\u30c1\u30d6\u306f\u3001\u5dde\u5168\u4f53\u306770\u4ee5\u4e0a\u306e\u30cf\u30a4\u30ea\u30b9\u30af\u4e73\u5150\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u30d7\u30ed\u30b0\u30e9\u30e0\u3092\u7d71\u5408\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>2009\u5e74\u3001CCS\u306f\u30ab\u30ea\u30d5\u30a9\u30eb\u30cb\u30a2\u5dde\u5468\u7523\u671f\u30b1\u30a2\u54c1\u8cea\u5171\u540c\u4f53\uff08California Perinatal Quality of Care 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