{"meta":{"name":"無痛分娩・分娩施設データベース（東京都）","description":"東京都内の分娩取扱施設について、厚生労働省「出産なび」、無痛分娩関係学会・団体連絡協議会（JALA）の施設情報、各施設の公式サイトの三つの出典から、無痛分娩の実施、夜間・休日の対応、麻酔管理者、費用を整理したデータベースです。","publisher":"医療機関AI検索ラボ","publisher_url":"https://medical-ai-search-lab.jp","license":"https://creativecommons.org/licenses/by-nc/4.0/deed.ja","license_note":"CC BY-NC 4.0","license_reuse_note":"当ラボが整理したデータ（施設ごとのまとめ、項目の整理、出典の突き合わせ）は CC BY-NC 4.0 で提供します。再利用の際は、出典として「医療機関AI検索ラボ」と該当ページのURL、あわせて厚生労働省「出産なび」・JALA（無痛分娩関係学会・団体連絡協議会）・各施設の公式サイトを表示してください。営利目的での利用は、お問い合わせください。元データは、それぞれの出典の利用条件に従って利用できます。","attribution":["厚生労働省「出産なび」","JALA（無痛分娩関係学会・団体連絡協議会）"],"source_note":"厚生労働省「出産なび」、厚生労働省「医療情報ネット」オープンデータ（PDL1.0）、JALA 施設情報、各施設公式サイトを加工して作成。政府作成物ではない。","spatial_coverage":"東京都","measured_at_latest":"2026-09-17","survey_record_count":173,"detail_record_count":132,"methodology":"https://medical-ai-search-lab.jp/db/painless-delivery/methodology","column_definitions":{"painless.*":"【公式サイト由来専用】（2026-07-07 第一級昇格）。availability/anesthesiologist_presence/fee_*/notes は LLM支援抽出+引用逐語・数値機械照合+独立2パス検証の自動採用値、または監修承認採用値のみ。明記なし・未取得は null（未確認）","shussan_navi.*":"【出産なび由来専用】。painless.* と対で「2つの事実の併記」を構成（どちらが正しいかの評価はしない・各値に出典と測定日）","painless.painless_manager_qualification":"【#25・JALA由来】無痛分娩管理責任者の資格区分（JALA登録=出産なび manager_qualification 由来の事実表記）。enum: 麻酔科専門医|麻酔科標榜医|産婦人科専門医。null=記載なし（未確認/非掲載）。優劣・評価・「安全/安心」等の形容は付さない","painless.fee_delivery_base":"【#25・お産費用】分娩基本費用（公式サイト表示・測定日時点）。無痛分娩費用とは別列","painless.fee_painless_addon":"【#154b-3・無痛分娩の追加費用】公式サイトに明記された無痛分娩の基本の追加額（円）。規則 F1: 同じ行または直近の見出しに『無痛分娩』の語がある金額のみ（和痛・誘発・計画分娩・帝王切開時の硬膜外・お産の時間外加算は不採用）。F2: 測定日時点で有効な金額（旧額・予告額は fee_note に原文）。F3: 時間帯・曜日の加算は fee_night_surcharge / fee_ondemand_surcharge に分離。F4: プラン総額型は数値化しない。F6: 東京都の助成は反映しない（助成前の額）","painless.offered_qualifier":"【#62(#58 F-5)】offered の意味を限定する原資料の原文限定句（例: 出産なび「医学的適応のみ対応可能」）。offered=true の機械判定（「可能」を含む）が落とす限定の原文保持。null=限定句なし/未設定","painless.fee_painless_approx":"【#154b-4 F9】概数で公表された無痛分娩追加額の機械可読値（「約13万円」→130000）。確定額（fee_painless_addon）には入れない。原文は fee_painless_approx_note","painless.fee_painless_approx_note":"【#154b-4 F9】fee_painless_approx の原文行","delivery.cesarean_note":"【#62(#58)】帝王切開件数に関する事実注記。原資料の掲載値＋公的指定のみで構成（評価語禁止・変換/丸め禁止）。例: 帝切>経腟が原資料一致である施設の文脈注記","painless.availability":"【#154b 規則 E・公式サイト由来】無痛分娩の24時間対応。値: 24時間対応|計画分娩のみ|時間帯限定|null（未確認）。24時間対応＝時間帯を問わず無痛分娩の麻酔に対応する旨の明記（対象者の限定や『原則は計画分娩だが陣発にも対応』の但し書きがあっても値は 24時間対応とし、条件は availability_hours_note に原文保持）。計画分娩のみ＝計画無痛のみで陣発非対応の明記。時間帯限定＝平日日中のみ・〇時までに麻酔開始等の明記。緊急時・異常時・急変時の対応は判定に使わない。麻酔を誰が行うかは別項目。判定に使った原文（availability_quote）の無い値は採用しない。4 値が正（サイト側 zod の拡張は #154c）。規則 E 追加項: 原文が無痛分娩を説明するページ、または無痛分娩の見出し配下の節に属する場合は、文中に『無痛』『麻酔』の語がなくても無痛分娩の対応時間の記載として扱う（お産全般の受入時間を述べる文は対象外）","shussan_navi.manager_qualification":"無痛分娩麻酔管理者の資格（出産なび申告）。enum: 麻酔科専門医|麻酔科標榜医|産婦人科専門医|非掲載","delivery.navi_annual_deliveries_min":"年間【経腟分娩】取扱件数レンジの下限（出産なび・総分娩数ではない）","delivery.navi_annual_deliveries_max":"年間【経腟分娩】取扱件数レンジの上限（出産なび・総分娩数ではない）","delivery.navi_annual_cesarean_min":"年間帝王切開術取扱件数レンジの下限（出産なび）","delivery.navi_annual_cesarean_max":"年間帝王切開術取扱件数レンジの上限（出産なび）","delivery.annual_deliveries":"公式サイトが実数を公開している場合のみの年間分娩実数（int・source必須。レンジ・概数からの変換は禁止）","delivery.annual_deliveries_published":"件数を自ら公開している事実（true）。概数公開も true とし annual_deliveries は null（概数規則・2026-07-07監修裁定）。未確認は null","facility_type":"施設種別（病院|診療所|助産所|未確認）。医療情報ネット オープンデータの種別をそのまま収載。オープンデータと未一致（出産なびのみ掲載）の施設は『未確認』（#53-7 で旧・助産所フォールバックを廃止。推定充填禁止の原則に整合）","consistency.*":"【東京版では常に null】大阪版で deprecated（#53-8）。列は互換のため維持","shussan_navi.fee_quartiles":"分娩費用総額の四分位 [Q1, Q3]（円・出産なび請求実績由来）","painless.fee_wato":"【#154b-3】和痛分娩の金額（円・公式サイト明記時のみ）。無痛分娩の費用とは別項目","painless.fee_painless_addon_multipara":"【#154b-4 F7】経産婦の無痛分娩追加額（円）。公式が初産婦・経産婦で異なる額を公表する場合、fee_painless_addon＝初産婦（または区別のない）額、本列＝経産婦の額。経産婦の額しか公表がない施設は fee_painless_addon を null にし本列のみ。fee_quote に両方の原文","painless.fee_conditions_note（F8）":"【#154b-4 F8】計画分娩限定（計画無痛・予定無痛 等）の額を fee_painless_addon に採用した場合、その限定を述べた原文を本列に必ず含める（無ければ採用しない）","delivery.annual_deliveries（D2）":"【#154b-4 D2】1 以上の整数のみ。原文が分娩件数 0 を明記する場合は null＋annual_deliveries_note に原文。抽出値が 0 以下で原文が分娩件数でない（無痛の実施件数等）場合は null＋review「分娩件数・原文不一致」","painless.fee_quote":"【#154b-3・公開列】採用した無痛分娩費用の原文（行全体。表の行が複数行に割れている場合は連結）。プラン総額型は先頭プランの原文。原文のない金額は採用しない（F5）","painless.fee_source_url":"【#154b-3・公開列】fee_quote が実在した公式サイトのページ URL（保全本文から機械的に特定）","painless.fee_note":"【#154b-3】費用の改定に関する原文（旧額・改定日・施行前の予告額）と、東京都無痛分娩費用助成の記載がある場合の定型句『都助成対象医療機関の記載あり』のみ","painless.fee_conditions_note":"【#154b-3】時間帯・曜日による無痛分娩費用の加算の原文（fee_night_surcharge / fee_ondemand_surcharge の根拠行）","navi_painless_24h":"【#154b-2・出産なび由来】出産なび「無痛分娩麻酔の対応可能時間」欄の原文（24時間対応可能|24時間は対応していない）。未記入「ー」・欄なしは null。施設の申告値であり、公式サイト由来 painless.availability・JALA 由来 jala_availability_24h とは別出典として併記する","painless.availability_quote":"【#154b・公開列】painless.availability の判定に使った公式サイト原文（逐語・個人名と電話番号はマスク済み）。availability が null の行は null。規則 E 追加項（無痛分娩を説明するページ／無痛分娩の見出し配下の節）で採用した行は review_items の INFO_hp_availability_adopted_by_context にページ・見出しの文脈を記録","painless.availability_source_url":"【#154b・公開列】availability_quote の出所ページ群（抽出入力にした公式サイト URL の JSON 配列）","jala_source_url":"【#154b・公開列】JALA 施設ページ URL（https://www.jalasite.org/hp/NNNNN.html 形式を検証済み）。sources 配列にも『JALA（URL・取得日）』を収載","jala_induction_target_raw":"【#154b】JALA『無痛分娩の導入対象』の原文（空白正規化のみ）","jala_availability_24h":"【#154b 規則 E・JALA 由来】JALA の『無痛分娩の導入対象』『対応方針・その他』の原文を規則 E で機械判定した値（24時間対応|計画分娩のみ|時間帯限定|null）。複数区分に同時に当たる原文は丸めず null とし review_items に出す。急変時の体制欄は判定に使わない","jala_availability_note":"【#154b・公開列】jala_availability_24h の判定に使った JALA 原文（項目名: 原文）","jala_*":"【JALA 由来】無痛分娩関係学会・団体連絡協議会（JALA）施設情報。名寄せは名称正規化一致+10・公式ドメイン一致+1 の採点で、同点・0 点・名称不一致は採用しない。deliveries_* は JALA 開示の期間累計値（年間換算・合算は禁止）。JALA 由来データは条件なしの全面許諾済み","region":"東京都内の地域区分（23区|多摩|島しょ）。住所の市区町村名から機械付与","id":"tky-<医療機関コード（医療情報ネット ID。未一致は出産なび個票 ID）>-<出産なび取得日 YYYYMMDD>。id の日付部分は施設の初回取得日で固定し、以後の再取得で変更しない（施設の同定キー）","pw_<n>_*（共通）":"【#167-2・妊婦視点 15 項目】各項目は 値（pw_<n>_value）／条件の原文（pw_<n>_condition）／出典 URL（pw_<n>_source_url）／取得日（pw_<n>_accessed）／状態（pw_<n>_status: 明記|条件付き|記載なし|未調査|判定不一致）の 5 つ組。項目 1〜13 は公式サイト保全本文からの 3 パス独立抽出（claude-sonnet-5・逐語照合→F10→独立再検証）の多数決＋決定的後処理（語彙・整数・URL スキーム）。3 パスすべて異なる場合は 判定不一致（review_items PW_judgement_conflict）。値は原文引用が無ければ採用しない。施設への問い合わせは行っていない。公開情報に無いものは 記載なし。painless.offered≠true の行・取得できなかった行は 未調査","pw_1_value":"【#167-2 項目 1】自然陣発時の新規麻酔開始（一般表現／限定あり／明記なし）","pw_2_value":"【#167-2 項目 2】計画日前の陣痛・破水時の対応方針","pw_3_value":"【#167-2 項目 3】当日希望（事前申込なし）の受付（可／不可／条件付き）","pw_4_value":"【#167-2 項目 4】事前に必須の手続き（説明会・動画・麻酔科外来・検査など）","pw_5_value":"【#167-2 項目 5】無痛分娩の申込期限（妊娠週数・整数）","pw_6_value":"【#167-2 項目 6】初産の可否（可／不可／条件付き）","pw_7_value":"【#167-2 項目 7】麻酔担当医の診療領域・資格（管理者とは別）","pw_8_value":"【#167-2 項目 8】日中の麻酔担当医の院内滞在（院内／院外待機／記載なし）","pw_9_value":"【#167-2 項目 9】夜間・休日の麻酔担当医の院内滞在（院内／オンコール／記載なし）","pw_10_value":"【#167-2 項目 10】加算の判定基準（入院時刻／麻酔開始時刻／出産時刻）","pw_11_value":"【#167-2 項目 11】帝王切開へ移行した場合の無痛費用の扱い","pw_12_value":"【#167-2 項目 12】無痛分娩を実施できなかった場合の費用の扱い","pw_13_value":"【#167-2 項目 13】緊急帝王切開の院内実施可否と夜間休日の体制","pw_14_value":"【#167-2 項目 14】NICU の有無・病床数（出産なびの値をそのまま）","pw_15_value":"【#167-2 項目 15】周産期母子医療センターの指定（厚労省一覧・令和 6 年 4 月 1 日現在）","pw_<n>_quote（共通）":"【#167-3】値の根拠とした公式サイト本文の逐語引用（該当行。PDF 等で行が割れている場合は連続行の連結）。3 パス多数決で採用した値に対応するパスの引用で、複数パスが同値なら最初のパスの引用。引用は保全本文との逐語照合・F10・独立再検証を通過したもの（個人名・電話番号はマスク済み）。状態が 明記・条件付き の項目 1〜13 は必ず値があり、空なら出力前検証で 判定不一致 に落とす（review_items PW_evidence_missing）。記載なし・未調査・判定不一致は空。項目 14・15 は出典が出産なび・厚労省一覧のため常に空","pw_<n>_accessed（補足）":"【#167-4】取得日は日本時間（JST）の日付。項目 1〜13 は保全本文のメタ（出典ページの取得時刻。出典の無い 記載なし・判定不一致 は施設の保全本文の最終取得時刻）から決める。項目 14 は出産なびの取得日、項目 15 は厚労省一覧 PDF の取得日（いずれも JST）。未調査 以外で取得日が空の行は出力前検証で不合格。明記・条件付き で引用が空の行は 判定不一致 に落とす","pw_1_quote":"【#167-3 項目 1】自然陣発時の新規麻酔開始（一般表現／限定あり／明記なし） の根拠とした逐語引用","pw_2_quote":"【#167-3 項目 2】計画日前の陣痛・破水時の対応方針 の根拠とした逐語引用","pw_3_quote":"【#167-3 項目 3】当日希望（事前申込なし）の受付（可／不可／条件付き） の根拠とした逐語引用","pw_4_quote":"【#167-3 項目 4】事前に必須の手続き（説明会・動画・麻酔科外来・検査など） の根拠とした逐語引用","pw_5_quote":"【#167-3 項目 5】無痛分娩の申込期限（妊娠週数・整数） の根拠とした逐語引用","pw_6_quote":"【#167-3 項目 6】初産の可否（可／不可／条件付き） の根拠とした逐語引用","pw_7_quote":"【#167-3 項目 7】麻酔担当医の診療領域・資格（管理者とは別） の根拠とした逐語引用","pw_8_quote":"【#167-3 項目 8】日中の麻酔担当医の院内滞在（院内／院外待機／記載なし） の根拠とした逐語引用","pw_9_quote":"【#167-3 項目 9】夜間・休日の麻酔担当医の院内滞在（院内／オンコール／記載なし） の根拠とした逐語引用","pw_10_quote":"【#167-3 項目 10】加算の判定基準（入院時刻／麻酔開始時刻／出産時刻） の根拠とした逐語引用","pw_11_quote":"【#167-3 項目 11】帝王切開へ移行した場合の無痛費用の扱い の根拠とした逐語引用","pw_12_quote":"【#167-3 項目 12】無痛分娩を実施できなかった場合の費用の扱い の根拠とした逐語引用","pw_13_quote":"【#167-3 項目 13】緊急帝王切開の院内実施可否と夜間休日の体制 の根拠とした逐語引用","pw_14_quote":"【#167-3 項目 14】常に空（出典が出産なびのため逐語引用なし）","pw_15_quote":"【#167-3 項目 15】常に空（出典が厚労省一覧のため逐語引用なし）","ai_anes_present":"【#181・#181-3・#181-4 AI 抽出用の統合判定】麻酔科医がいるか（JALA 麻酔科医数・出産なび管理者資格・pw_7・公式の麻酔科医の体制のいずれか）。値の語彙: conflict／false／true／unknown","ai_anes_count_fulltime":"【#181・#181-3・#181-4 AI 抽出用の統合判定】JALA の常勤麻酔科医数（JALA 未掲載・空欄は空）。値の語彙: 整数（空＝未掲載・未確認）","ai_anes_count_parttime":"【#181・#181-3・#181-4 AI 抽出用の統合判定】JALA の非常勤麻酔科医数。値の語彙: 整数（空＝未掲載・未確認）","ai_anes_count_total":"【#181・#181-3・#181-4 AI 抽出用の統合判定】JALA の麻酔科医数の計。値の語彙: 整数（空＝未掲載・未確認）","ai_painless_manager_is_anes":"【#181・#181-3・#181-4 AI 抽出用の統合判定】無痛分娩の麻酔管理者が麻酔科系の資格者か（出産なびと JALA の照合）。値の語彙: conflict／false／true／unknown","ai_painless_anes_by_anesthesiologist":"【#181・#181-3・#181-4 AI 抽出用の統合判定】無痛分娩の麻酔（穿刺・導入）を誰が担当するか（true＝麻酔科医・mixed＝麻酔科医と産婦人科医の両方または「麻酔科医または同等の医師」・false＝産婦人科医。公式 pw_7 の担当・施行・穿刺・導入の原文を優先し、無ければ JALA の麻酔担当医一覧の資格）。値の語彙: conflict／false／mixed／true／unknown","ai_painless_managed_by_anes":"【#181・#181-3・#181-4 AI 抽出用の統合判定】分娩中の麻酔管理が麻酔科医か（公式に役割分担が明記されている場合だけ。true＝麻酔科医が分娩中も麻酔を管理、false＝導入後は産科医・助産師が管理）。値の語彙: conflict／false／true／unknown","ai_anes_24h_coverage":"【#181・#181-3・#181-4 AI 抽出用の統合判定】麻酔科医の体制が24時間か（true＝常駐・24時間・365日、oncall＝オンコール・自宅待機・呼び出し）。値の語彙: conflict／oncall／true／unknown","ai_painless_24h":"【#181・#181-3・#181-4 AI 抽出用の統合判定】無痛分娩そのものを24時間提供しているか（出産なび・JALA・公式の照合）。値の語彙: conflict／false／true／unknown","ai_spontaneous_supported":"【#181・#181-3・#181-4 AI 抽出用の統合判定】自然陣発（陣痛が来てから）でも無痛分娩を導入できるか。値の語彙: conflict／false／true／unknown","ai_spontaneous_24h":"【#181・#181-3・#181-4 AI 抽出用の統合判定】自然陣発後も24時間、無痛分娩を新規に開始できるか（時間帯・曜日の限定があれば conditional）。値の語彙: conditional／conflict／false／true／unknown","ai_planned_principle":"【#181・#181-3・#181-4 AI 抽出用の統合判定】原則は計画分娩としているか。値の語彙: conflict／false／true／unknown","ai_planned_only":"【#181・#181-3・#181-4 AI 抽出用の統合判定】計画分娩のみか。値の語彙: conflict／false／true／unknown","ai_night_weekend_limit":"【#181・#181-3・#181-4 AI 抽出用の統合判定】夜間・休日の限定の有無（limited／none／unknown）。値の語彙: limited／none／unknown","ai_emergency_cs_inhouse":"【#181・#181-3・#181-4 AI 抽出用の統合判定】緊急帝王切開を院内で実施できるか（pw_13）。値の語彙: conflict／false／true／unknown","ai_nicu":"【#181・#181-3・#181-4 AI 抽出用の統合判定】NICU があるか（pw_14・出産なび）。値の語彙: conflict／false／true／unknown","ai_perinatal_center":"【#181・#181-3・#181-4 AI 抽出用の統合判定】周産期母子医療センターの指定（総合／地域／none／unknown・pw_15）。値の語彙: none／unknown／地域／総合","ai_fee_painless_addon":"【#181・#181-3・#181-4 AI 抽出用の統合判定】無痛分娩の加算額（初産または区別なし・painless.fee_painless_addon の写し。同一サイト内で額が食い違えば conflict）。値の語彙: 整数または conflict（空＝未掲載・未確認）","ai_fee_painless_addon_multipara":"【#181・#181-3・#181-4 AI 抽出用の統合判定】経産婦の加算額（写し）。値の語彙: 整数（空＝未掲載・未確認）","ai_fee_model":"【#181・#181-3・#181-4 AI 抽出用の統合判定】料金の示し方（写し）。値の語彙: 文字列の写し","ai_fee_night_surcharge":"【#181・#181-3・#181-4 AI 抽出用の統合判定】夜間加算（写し）。値の語彙: 整数（空＝未掲載・未確認）","ai_fee_addon_scope":"【#181・#181-3・#181-4 AI 抽出用の統合判定】加算額の適用範囲（計画のみ／自然陣発を含む／不明。加算額が無ければ空）。値の語彙: 不明／自然陣発を含む／計画のみ","ai_fee_emergency_addon":"【#181・#181-3・#181-4 AI 抽出用の統合判定】緊急・自然陣発時に公表されている額（painless.fee_ondemand_surcharge の写し。上乗せ額か緊急無痛の加算額かは evidence の原文のとおり）。値の語彙: 整数（空＝未掲載・未確認）","ai_anes_role_note":"【#181-3】麻酔担当の根拠（1 列）: pw_7 の正規化区分（麻酔科／産婦人科／両方／その他）と一致パス数・原文、JALA 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 王切開の麻酔管理料は保険診療の対象となります。","source_url":"https://hospital.luke.ac.jp:443/guide/maternity/pdf/painless.pdf","accessed":"2026-09-30","status":"条件付き"},{"n":12,"value":"麻酔効果が不十分であった場合でも無痛分娩費用は一律にかかる","condition":"分娩の麻酔は鎮痛効果を保証するものではありません。麻酔効果が不十分であった場合でも、無痛分娩費用","quote":"分娩の麻酔は鎮痛効果を保証するものではありません。麻酔効果が不十分であった場合でも、無痛分娩費用  は一律にかかります。無痛分娩の麻酔をしている時間が長くなっても延長料金はありません。無痛分娩を行う","source_url":"https://hospital.luke.ac.jp:443/guide/maternity/pdf/painless.pdf","accessed":"2026-09-30","status":"条件付き"},{"n":13,"value":"麻酔科医も常駐しているので、緊急手術への対応も可能","condition":null,"quote":"麻酔科医も常駐しているので、緊急手術への対応も可能です。また陣痛の痛みを和らげることのできる分娩方法の一つとして麻酔科医による無痛分娩を提供しており、ご希望される方にも安全な無痛分娩を実施できる体制を整えています。","source_url":"https://hospital.luke.ac.jp:443/guide/maternity/osan.html","accessed":"2026-09-30","status":"明記"},{"n":14,"value":"6床","condition":null,"quote":null,"source_url":"https://birth-navi.mhlw.go.jp/facilities/10433","accessed":"2026-09-17","status":"明記"},{"n":15,"value":"地域周産期母子医療センター（指定 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無痛分娩のための硬膜外麻酔のカテーテル挿入は麻酔科医師が行います。無痛分娩が開始されると、麻酔科医師・周麻酔期看護師がお部屋に伺い、鎮痛の範囲の診断・薬剤の調整・カテーテルの管理などを継続して行います。 ／ JALA 麻酔担当医 17 名（麻酔科系 17・産婦人科系 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無痛分娩の途中で帝王切開での分娩となった場合には、無痛分娩費用に帝王切開術での入院費","quote":"用が加算されます。この場合、無痛分娩実施までの入院費（自費）と帝王切開分娩実施日以降の 入院費（保険診療）の合算費用をいただきます。","source_url":"https://www.kohseichuo.jp/data/media/kohseichuo_sanka/page/obstetrics/painless/mutsuubunben_setumei_202603.pdf","accessed":"2026-09-30","status":"明記"},{"n":12,"value":null,"condition":null,"quote":null,"source_url":null,"accessed":"2026-09-30","status":"記載なし"},{"n":13,"value":null,"condition":null,"quote":null,"source_url":null,"accessed":"2026-09-30","status":"記載なし"},{"n":14,"value":"0床","condition":null,"quote":null,"source_url":"https://birth-navi.mhlw.go.jp/facilities/10488","accessed":"2026-09-17","status":"明記"},{"n":15,"value":"指定なし（一覧に記載なし）","condition":null,"quote":null,"source_url":"https://www.mhlw.go.jp/content/10800000/001238158.pdf","accessed":"2026-09-30","status":"明記"}],"ai":{"anes_24h_coverage":{"checked":"","conf":"","evidence":"","src":"","value":"unknown"},"anes_count_fulltime":{"checked":"2026-09-17","conf":"medium","evidence":"JALA 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無痛分娩中に帝王切開へ切り替わった場合は帝王切開にかかる費用が別途発生し、その部分は保険診療の対象となります。 無痛分娩をご希望の方は、妊婦健診時に担当医にお申し出下されば、説明・同意書をお渡しします。","source_url":"https://www.obstetrics-htu.jp/delivery/painless/","accessed":"2026-09-30","status":"明記"},{"n":12,"value":null,"condition":null,"quote":null,"source_url":null,"accessed":"2026-09-30","status":"記載なし"},{"n":13,"value":null,"condition":null,"quote":null,"source_url":null,"accessed":"2026-09-30","status":"記載なし"},{"n":14,"value":"21床","condition":null,"quote":null,"source_url":"https://birth-navi.mhlw.go.jp/facilities/10634","accessed":"2026-09-17","status":"明記"},{"n":15,"value":"総合周産期母子医療センター（指定 H23.4.1）","condition":null,"quote":null,"source_url":"https://www.mhlw.go.jp/content/10800000/001238158.pdf","accessed":"2026-09-30","status":"明記"}],"ai":{"anes_24h_coverage":{"checked":"","conf":"","evidence":"","src":"","value":"unknown"},"anes_count_fulltime":{"checked":"2026-09-17","conf":"medium","evidence":"JALA 麻酔科医 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原則は計画分娩だが自然陣発にも可能な日時（日勤帯のみ等）にて対応","pw":[{"n":1,"value":"限定あり","condition":"安全性の観点から、産婦人科、麻酔科、救急科医師の人員が潤沢な平日9:00−17:00を目安とさせていただいています。","quote":"安全性の観点から、産婦人科、麻酔科、救急科医師の人員が潤沢な平日9:00−17:00を目安とさせていただいています。","source_url":"https://www.saichu.jp/department/obstetrics-and-gynecology/gynecology/obstetrics/","accessed":"2026-09-30","status":"条件付き"},{"n":2,"value":null,"condition":null,"quote":null,"source_url":null,"accessed":"2026-09-30","status":"記載なし"},{"n":3,"value":null,"condition":null,"quote":null,"source_url":null,"accessed":"2026-09-30","status":"記載なし"},{"n":4,"value":"妊娠34～36週の妊婦健診時に麻酔科医の診察をお受けいただきます。","condition":"麻酔科医がカテーテルを挿入、薬剤投与は主に産婦人科医が担当します。妊娠34～36週の妊婦健診時に麻酔科医の診察をお受けいただきます。","quote":"麻酔科医がカテーテルを挿入、薬剤投与は主に産婦人科医が担当します。妊娠34～36週の妊婦健診時に麻酔科医の診察をお受けいただきます。","source_url":"https://www.saichu.jp/department/obstetrics-and-gynecology/gynecology/obstetrics/","accessed":"2026-09-30","status":"条件付き"},{"n":5,"value":null,"condition":null,"quote":null,"source_url":null,"accessed":"2026-09-30","status":"記載なし"},{"n":6,"value":"条件付き","condition":null,"quote":"当院では計画分娩、無痛分娩、計画無痛分娩を行うことが可能です。初産婦、経産婦どちらの方もご利用可能です。","source_url":"https://www.saichu.jp/department/obstetrics-and-gynecology/gynecology/obstetrics/","accessed":"2026-09-30","status":"明記"},{"n":7,"value":"麻酔科医がカテーテルを挿入、薬剤投与は主に産婦人科医が担当","condition":null,"quote":"麻酔科医がカテーテルを挿入、薬剤投与は主に産婦人科医が担当します。妊娠34～36週の妊婦健診時に麻酔科医の診察をお受けいただきます。","source_url":"https://www.saichu.jp/department/obstetrics-and-gynecology/gynecology/obstetrics/","accessed":"2026-09-30","status":"明記"},{"n":8,"value":null,"condition":null,"quote":null,"source_url":null,"accessed":"2026-09-30","status":"記載なし"},{"n":9,"value":null,"condition":null,"quote":null,"source_url":null,"accessed":"2026-09-30","status":"記載なし"},{"n":10,"value":null,"condition":null,"quote":null,"source_url":null,"accessed":"2026-09-30","status":"記載なし"},{"n":11,"value":null,"condition":null,"quote":null,"source_url":null,"accessed":"2026-09-30","status":"記載なし"},{"n":12,"value":"血液凝固能の検査の結果により無痛分娩ができない場合があります","condition":"血液凝固能の検査（採血）の結果による","quote":"結果により無痛分娩ができない場合があります","source_url":"https://www.saichu.jp/wp/wp-content/uploads/2024/04/ea8742ac90e2c09d21fc5a9a433567bf.pdf","accessed":"2026-09-30","status":"条件付き"},{"n":13,"value":null,"condition":null,"quote":null,"source_url":null,"accessed":"2026-09-30","status":"記載なし"},{"n":14,"value":"0床","condition":null,"quote":null,"source_url":"https://birth-navi.mhlw.go.jp/facilities/10076","accessed":"2026-09-17","status":"明記"},{"n":15,"value":"指定なし（一覧に記載なし）","condition":null,"quote":null,"source_url":"https://www.mhlw.go.jp/content/10800000/001238158.pdf","accessed":"2026-09-30","status":"明記"}],"ai":{"anes_24h_coverage":{"checked":"","conf":"","evidence":"","src":"","value":"unknown"},"anes_count_fulltime":{"checked":"2026-09-17","conf":"medium","evidence":"JALA 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原則は計画分娩のみ","pw":[{"n":1,"value":null,"condition":null,"quote":null,"source_url":null,"accessed":"2026-09-30","status":"記載なし"},{"n":2,"value":"計画日よりも前に破水や陣痛が発来した場合には原則通常の分娩になる","condition":"当院では完全な計画分娩で和痛分娩を実施しており、経産婦さんでは38～39週、初産婦さんでは39～40週頃に入院して頂いております。基本的に前日に入院して頂き、入院翌日から陣痛促進剤を使用します。子宮頸管の熟化を促すために、入院日に子宮頸管拡張処置を行う場合もあります。計画日よりも前に破水や陣痛が発来した場合には原則通常の分娩になりますのでご注意下さい。","quote":"当院では完全な計画分娩で和痛分娩を実施しており、経産婦さんでは38～39週、初産婦さんでは39～40週頃に入院して頂いております。基本的に前日に入院して頂き、入院翌日から陣痛促進剤を使用します。子宮頸管の熟化を促すために、入院日に子宮頸管拡張処置を行う場合もあります。計画日よりも前に破水や陣痛が発来した場合には原則通常の分娩になりますのでご注意下さい。","source_url":"https://tokyo-mc.hosp.go.jp/section/obstetrics_ward_index/mild_delivery.html","accessed":"2026-09-30","status":"条件付き"},{"n":3,"value":"不可","condition":"和痛分娩は1週間に6人（初産・経産問わない）に限定して実施しており、非常に予約が取りづらい","quote":"和痛分娩は、安全上の問題から1週間に6人（初産・経産問わない）に限定して実施しており、非常に予約が取りづらい状況となっております。胎児心拍の確認できる6～8週には和通分娩の予約を取ることをお勧めいたしますが、ご希望に添えないこともあることはご理解ください。またお電話での予約は受け付けておりませんので、和痛分娩をご希望の方は一度外来にご相談にいらしてください。","source_url":"https://tokyo-mc.hosp.go.jp/section/obstetrics_ward_index/mild_delivery.html","accessed":"2026-09-30","status":"条件付き"},{"n":4,"value":"分娩当日また、36週前後に和痛分娩に必要な諸検査（血液検査、心電図検査、胸部レントゲン検査）","condition":"分娩当日また、36週前後に和痛分娩に必要な諸検査（血液検査、心電図検査、胸部レントゲン検査）費用として約20000円の費用がかかります。","quote":"分娩当日また、36週前後に和痛分娩に必要な諸検査（血液検査、心電図検査、胸部レントゲン検査）費用として約20000円の費用がかかります。","source_url":"https://tokyo-mc.hosp.go.jp/section/obstetrics_ward_index/mild_delivery.html","accessed":"2026-09-30","status":"条件付き"},{"n":5,"value":null,"condition":null,"quote":null,"source_url":null,"accessed":"2026-09-30","status":"記載なし"},{"n":6,"value":"条件付き","condition":"和痛分娩は、安全上の問題から1週間に6人（初産・経産問わない）に限定して実施しており、非常に予約が取りづらい状況となっております。胎児心拍の確認できる6～8週には和通分娩の予約を取ることをお勧めいたしますが、ご希望に添えないこともあることはご理解ください。またお電話での予約は受け付けておりませんので、和痛分娩をご希望の方は一度外来にご相談にいらしてください。","quote":"和痛分娩は、安全上の問題から1週間に6人（初産・経産問わない）に限定して実施しており、非常に予約が取りづらい状況となっております。胎児心拍の確認できる6～8週には和通分娩の予約を取ることをお勧めいたしますが、ご希望に添えないこともあることはご理解ください。またお電話での予約は受け付けておりませんので、和痛分娩をご希望の方は一度外来にご相談にいらしてください。","source_url":"https://tokyo-mc.hosp.go.jp/section/obstetrics_ward_index/mild_delivery.html","accessed":"2026-09-30","status":"明記"},{"n":7,"value":"麻酔科医師","condition":null,"quote":"当院での和痛分娩は痛みを和らげることでいきむタイミングがご自身で分かり、より自然な形での経膣分娩ができます。そのため、出産時の痛みの緩和・産後早期の回復が期待できることなどのメリットがあります。当院では完全な計画分娩で、麻酔科医師の管理のもと安全に、和痛分娩を行っています。安全面の問題から、令和7年9月より1週間に6人に限定して行っております。主治医と相談のうえ予約することができますので、妊婦健診時に主治医にご相談ください。","source_url":"https://tokyo-mc.hosp.go.jp/section/obstetrics_ward_index/mild_delivery.html","accessed":"2026-09-30","status":"明記"},{"n":8,"value":null,"condition":null,"quote":null,"source_url":null,"accessed":"2026-09-30","status":"記載なし"},{"n":9,"value":null,"condition":null,"quote":null,"source_url":null,"accessed":"2026-09-30","status":"記載なし"},{"n":10,"value":null,"condition":null,"quote":null,"source_url":null,"accessed":"2026-09-30","status":"記載なし"},{"n":11,"value":null,"condition":null,"quote":null,"source_url":null,"accessed":"2026-09-30","status":"記載なし"},{"n":12,"value":null,"condition":null,"quote":null,"source_url":null,"accessed":"2026-09-30","status":"記載なし"},{"n":13,"value":null,"condition":null,"quote":null,"source_url":null,"accessed":"2026-09-30","status":"記載なし"},{"n":14,"value":"3床","condition":null,"quote":null,"source_url":"https://birth-navi.mhlw.go.jp/facilities/10724","accessed":"2026-09-17","status":"明記"},{"n":15,"value":"指定なし（一覧に記載なし）","condition":null,"quote":null,"source_url":"https://www.mhlw.go.jp/content/10800000/001238158.pdf","accessed":"2026-09-30","status":"明記"}],"ai":{"anes_24h_coverage":{"checked":"","conf":"","evidence":"","src":"","value":"unknown"},"anes_count_fulltime":{"checked":"2026-09-17","conf":"medium","evidence":"JALA 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※当院が東京都の助成対象医療機関になった場合は最大100,000円の助成となり、助成の上限額を超えた分は自己負担となります。 （この費用助成は一連の医療行為１","src":"official","value":"150000"},"fee_painless_addon_multipara":{"checked":"2026-09-17","conf":"high","evidence":"無痛分娩の場合は初産婦150,000円、経産婦120,000円が加算となります。 ※当院が東京都の助成対象医療機関になった場合は最大100,000円の助成となり、助成の上限額を超えた分は自己負担となります。 （この費用助成は一連の医療行為１","src":"official","value":"120000"},"nicu":{"checked":"2026-09-17","conf":"medium","evidence":"出産なび NICU 0床","src":"pw14","value":"false"},"night_weekend_limit":{"checked":"2026-09-30","conf":"medium","evidence":"pw1: 無痛分娩では、麻酔に伴う副作用/合併症が出現する可能性がゼロではありません。十分な安全管理体制のもとに行われるべき医療行為であり、お母さん、赤ちゃん共に継続的なモニター管理とそれを監視するスタッフが必要となります。そのため当院では","src":"pw1","value":"none"},"painless_24h":{"checked":"2026-09-17","conf":"high","evidence":"navi: 24時間は対応していない／jala: 無痛分娩の導入対象: 原則は計画分娩のみ／official: 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合にも、入院費用や無痛分娩費用などの実費がかかります。なお、当院の計画無痛分娩は水曜日（予備日","source_url":"https://www.ogikubo-hospital.or.jp/official/wp-content/uploads/2025/08/InformedConsentFormforEpiduralDelivery.pdf","accessed":"2026-09-30","status":"条件付き"},{"n":13,"value":null,"condition":null,"quote":null,"source_url":null,"accessed":"2026-09-30","status":"記載なし"},{"n":14,"value":"0床","condition":null,"quote":null,"source_url":"https://birth-navi.mhlw.go.jp/facilities/10045","accessed":"2026-09-17","status":"明記"},{"n":15,"value":"指定なし（一覧に記載なし）","condition":null,"quote":null,"source_url":"https://www.mhlw.go.jp/content/10800000/001238158.pdf","accessed":"2026-09-30","status":"明記"}],"ai":{"anes_24h_coverage":{"checked":"2026-09-30","conf":"high","evidence":"pw9（夜間・休日の麻酔担当医）: - 麻酔科当直（夜間対応）","src":"pw9","value":"oncall"},"anes_count_fulltime":{"checked":"2026-09-17","conf":"medium","evidence":"JALA 麻酔科医 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受診の際には、「当院での無痛分娩に関する確認書」に☑とご本人と夫（またはパートナー・ご家族の方）のご署名のうえお持ちください。書類を確認し予約完了となります。","source_url":"https://www.tmhp.jp/ohtsuka/birth/hope.html","accessed":"2026-09-30","status":"条件付き"},{"n":4,"value":null,"condition":null,"quote":null,"source_url":null,"accessed":"2026-09-30","status":"記載なし"},{"n":5,"value":null,"condition":null,"quote":null,"source_url":null,"accessed":"2026-09-30","status":"記載なし"},{"n":6,"value":"条件付き","condition":"初産婦さん経産婦さん双方が対象となりますが、週に6人までの対応となり、予約枠に限りがありますので、詳細は外来で受診の際に担当医へご相談ください  。","quote":"初産婦さん経産婦さん双方が対象となりますが、週に6人までの対応となり、予約枠に限りがありますので、詳細は外来で受診の際に担当医へご相談ください  。","source_url":"https://www.tmhp.jp/ohtsuka/birth/hope.html","accessed":"2026-09-30","status":"条件付き"},{"n":7,"value":"麻酔科医師","condition":null,"quote":"なお、詳しい麻酔の内容については麻酔科受診時に麻酔科医師から説明を行う予定です。","source_url":"https://www.tmhp.jp/ohtsuka/birth/hope.html","accessed":"2026-09-30","status":"明記"},{"n":8,"value":null,"condition":null,"quote":null,"source_url":null,"accessed":"2026-09-30","status":"記載なし"},{"n":9,"value":null,"condition":null,"quote":null,"source_url":null,"accessed":"2026-09-30","status":"記載なし"},{"n":10,"value":null,"condition":null,"quote":null,"source_url":null,"accessed":"2026-09-30","status":"記載なし"},{"n":11,"value":null,"condition":null,"quote":null,"source_url":null,"accessed":"2026-09-30","status":"記載なし"},{"n":12,"value":"無痛分娩を途中で終了しても無痛分娩にかかわる費用は発生する","condition":"初産婦で日中に分娩が終了せず夜間帯の分娩となり無痛分娩を途中で終了した場合","quote":"※特に初産婦さんに関しては経産婦さんよりも分娩に時間がかかるため、上記のように様々な準備や介入を行っても日中に分娩が終了せず夜間帯の分娩となってしまうこともあります。その際は無痛分娩を途中で終了し、通常の分娩管理となりますことをご理解ください。またその際も無痛分娩にかかわる費用が発生します。","source_url":"https://www.tmhp.jp/ohtsuka/birth/hope.html","accessed":"2026-09-30","status":"条件付き"},{"n":13,"value":null,"condition":null,"quote":null,"source_url":null,"accessed":"2026-09-30","status":"記載なし"},{"n":14,"value":"15床","condition":null,"quote":null,"source_url":"https://birth-navi.mhlw.go.jp/facilities/10363","accessed":"2026-09-17","status":"明記"},{"n":15,"value":"総合周産期母子医療センター（指定 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