Phyllis Leppert is Professor of Obstetrics and Gynecology at the University of Rochester and Chief of Obstetrics and Gynecology at Rochester General Hospital. She is recognized for her research on the biochemistry of the uterus and cervix, and for her work to ensure good outcomes for pregnant adolescents. Dr. Leppert was originally educated as a nurse-midwife at Columbia University. She established a midwifery training program at Rochester General Hospital related to the Case Western Reserve School of Nursing and the Community-Based Nurse-Midwifery Education Program. She believes that a comprehensive team approach to maternal–child health is an essential element in the US health strategy for the 1990s.
AN ANALYSIS OF THE REASONS FOR JAPAN'S LOW INFANT MORTALITY RATE
Article first published online: 6 JAN 2011
1993 American College of Nurse Midwives
Journal of Nurse-Midwifery
Volume 38, Issue 6, pages 353–357, November-December 1993
How to Cite
Leppert, P. C. (1993), AN ANALYSIS OF THE REASONS FOR JAPAN'S LOW INFANT MORTALITY RATE. Journal of Nurse-Midwifery, 38: 353–357. doi: 10.1016/0091-2182(93)90017-B
- Issue published online: 6 JAN 2011
- Article first published online: 6 JAN 2011
Japan's infant mortality rate in 1991 was four per 1,000, the lowest in the world. Contributing factors are the universal use of the Boshi Kenko Techo (maternal–child health handbook) and universal access to care. Most births occur to women aged 25–29 years and there are few unmarried mothers. Ninety-nine and seven-tenths percent of births are attended by qualified professionals either in hospitals or private clinics, with an average stay of one week postpartum. Abortion is available when contraceptives fail. There are government subsidies for medical, obstetric, and pediatric complications. Japanese citizens are highly literate and seek out medical advice, and their society is organized to support children. Efficient systems of community support, public health education, and excellent medical care encompass events from conception to school age.