より環境に優しい出産のはじまり：豪州地方における助産師グループ診療と標準的周産期ケアのカーボンフットプリント比較
Greener beginnings: Exploring the carbon footprints of midwifery group practice and standard maternity care in regional Australia (原題)
Elysse Prussing, Jenni Doust, Frances Guy, Olivia Tierney
🤖 gxceed AI 要約
日本語
豪州地方の周産期サービスで、助産師グループ診療（MGP）と標準的医療主導ケアの炭素排出量を後ろ向きに比較した。MGP群は1件あたり平均52.87 kgCO₂eと、標準ケアの99.51 kgCO₂eの約半分であった。介入の少ない継続的助産ケアが低炭素な周産期戦略となり得ることを示唆する。
English
A retrospective Australian regional study compared carbon footprints of Midwifery Group Practice (MGP) versus standard medically led maternity care. MGP episodes averaged 52.87 kgCO2e versus 99.51 kgCO2e for standard care—roughly half. Findings suggest continuity-of-care midwifery as a low-carbon maternity strategy aligned with net-zero goals.
Unofficial AI-generated summary based on the public title and abstract. Not an official translation.
📝 gxceed 編集解説 — Why this matters
日本のGX文脈において
日本のGX文脈では直接の接点は薄いが、医療・公共サービス分野のスコープ3算定や、ケアモデル選択が排出量に与える影響を可視化する手法は、国内の医療機関の脱炭素・統合報告にも応用可能な示唆を含む。
In the global GX context
Adds to the emerging literature quantifying emissions of health-service delivery models, relevant to NHS-style net-zero health commitments and Scope 3 accounting in healthcare. Offers a replicable methodology for comparing care pathways' carbon intensity beyond energy and procurement.
👥 読者別の含意
🔬研究者:ケアモデル別の排出量算定手法と、臨床アウトカムを炭素換算するアプローチの実例として参考になる。
🏢実務担当者:医療機関のサステナビリティ担当は、サービス提供モデル変更がスコープ3排出削減につながる可能性を検討できる。
🏛政策担当者:周産期ケア政策と気候目標の整合を図る際、低炭素ケアモデルへの資源配分の根拠となり得る。
📄 Abstract（原文）
Background Climate change is an escalating concern for maternal and newborn health. Maternity care, particularly through high-intervention, hospital-based practices, generates substantial environmental waste. Midwifery Continuity of Care (MCC) models are known to reduce unnecessary interventions and improve safety and satisfaction of care, whilst suggesting potential reduction in environmental impacts. However, limited evidence exists evaluating the carbon footprint of MCC compared with standard medically led care. Aim To evaluate whether a Midwifery Group Practice (MGP) model generates lower carbon emissions than medically led standard maternity care in an Australian regional setting. Methods A quantitative retrospective analysis was conducted using de-identified routinely collected clinical data from 2024 to 2025 at one regional maternity service. Carbon footprint estimates (kgCO₂e) using validated calculations from Spil et al. (2024), were applied to key clinical outcomes; including mode of birth, analgesia use, suturing, and postnatal length of stay. The kgCO₂e for women receiving MGP were compared with those receiving standard care. Findings Data from 210 MGP and 129 standard care participants showed consistently lower emissions in the MGP cohort. The mean estimated emissions per episode of care were lower in the MGP cohort compared with the standard care cohort (52.87 kgCO₂e vs 99.51 kgCO₂e), representing approximately half the carbon footprint. Conclusion Episodes of care in the MGP cohort were associated with substantially lower estimated carbon emissions than those in the standard-care cohort within this regional maternity services. These findings suggest MGP as an effective low-carbon maternity care strategy aligned with national sustainability and net-zero targets.
🔗 Provenance — このレコードを発見したソース
- openalex https://doi.org/10.1016/j.wombi.2026.102403first seen 2026-09-23 05:06:47
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