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| title: 無痛分娩の費用、都民に最大10万円を助成へ 10月から都が導入 | ||
| date: 2025-01-16 | ||
| slug: the-cost-of-painless-childbirth-will-be-subsidized-by-up-to-100-000-yen-for-tokyo-residents-starting-from-october | ||
| --- | ||
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| [Link to the original article](https://asahi.com/articles/AST1C3J1XT1COXIE01TM.html?iref=pc_edu_top__n) | ||
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| {{< rawhtml >}} | ||
| <p><ruby>東京都<rt>とうきょうと</rt></ruby>は<ruby>11<rt>じゅういち</rt></ruby>日<ruby>にち<rt>にち</rt></ruby>、<ruby>出産<rt>しゅっさん</rt></ruby>時<ruby>じ<rt>じ</rt></ruby>の<ruby>痛み<rt>いたみ</rt></ruby>を<ruby>麻酔<rt>ますい</rt></ruby>で<ruby>やわらげる<rt>やわらげる</rt></ruby><ruby>無痛分娩<rt>むつうぶんべん</rt></ruby>（<ruby>ぶんべん<rt>ぶんべん</rt></ruby>）の<ruby>費用<rt>ひよう</rt></ruby>について、<ruby>10<rt>じゅう</rt></ruby>月<ruby>から<rt>から</rt></ruby><ruby>最大<rt>さいだい</rt></ruby><ruby>10<rt>じゅう</rt></ruby>万円<ruby>を<rt>を</rt></ruby><ruby>助成<rt>じょせい</rt></ruby>する<ruby>方針<rt>ほうしん</rt></ruby>を<ruby>明らか<rt>あきらか</rt></ruby>にした。<ruby>少子化<rt>しょうしか</rt></ruby>対策<ruby>の<rt>の</rt></ruby><ruby>一環<rt>いっかん</rt></ruby>で、<ruby>都内<rt>とない</rt></ruby>で<ruby>無痛分娩<rt>むつうぶんべん</rt></ruby>する<ruby>都民<rt>とみん</rt></ruby>が<ruby>対象<rt>たいしょう</rt></ruby>。<ruby>規模<rt>きぼ<rt></ruby>は<ruby>9500<rt>きゅうせんごひゃく</rt></ruby>件<ruby>を<rt>を</rt></ruby><ruby>想定<rt>そうてい</rt></ruby>し、<ruby>2025<rt>にせんにじゅうご</rt></ruby>年度<ruby>の<rt>の</rt></ruby><ruby>予算案<rt>よさんあん</rt></ruby>に<ruby>11<rt>じゅういち</rt></ruby>億円<ruby>を<rt>を</rt></ruby><ruby>計上<rt>けいじょう</rt></ruby>する。</p> | ||
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| <p><ruby>都<rt>と</rt></ruby>によると、<ruby>無痛<rt>むつう</rt></ruby><ruby>分娩<rt>ぶんべん</rt></ruby>の<ruby>費用<rt>ひよう</rt></ruby><ruby>助成<rt>じょせい</rt></ruby>は<ruby>都道府県<rt>とどうふけん</rt></ruby>では<ruby>初<rt>はじ</rt></ruby>めてという。</p> | ||
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| <p><ruby>助成<rt>じょせい</rt></ruby>の<ruby>対象<rt>たいしょう</rt></ruby>となる<ruby>医療機関<rt>いりょうきかん</rt></ruby>は、<ruby>安全管理<rt>あんぜんかんり</rt></ruby><ruby>対策<rt>たいさく</rt></ruby>や<ruby>人員<rt>にんいん</rt></ruby><ruby>体制<rt>たいせい</rt></ruby>など<ruby>国<rt>くに</rt></ruby>が<ruby>定める<rt>さだめる</rt></ruby><ruby>自主<rt>じしゅ</rt></ruby><ruby>点検表<rt>てんけんひょう</rt></ruby>の<ruby>項目<rt>こうもく</rt></ruby>を<ruby>満たし<rt>みたし</rt></ruby>、<ruby>都<rt>と</rt></ruby>に<ruby>届け出<rt>とどけで</rt></ruby>た<ruby>病院<rt>びょういん</rt></ruby>や<ruby>診療所<rt>しんりょうじょ</rt></ruby>。<ruby>無痛分娩<rt>むつうぶんべん</rt></ruby>は<ruby>過去<rt>かこ</rt></ruby>に<ruby>妊婦<rt>にんぷ</rt></ruby>の<ruby>死亡例<rt>しぼうれい</rt></ruby>もあり、<ruby>ウェブサイト<rt>うぇぶさいと</rt></ruby>で<ruby>診療実績<rt>しんりょうじつせき</rt></ruby>や<ruby>安全管理体制<rt>あんぜんかんりたいせい</rt></ruby>を<ruby>公開<rt>こうかい</rt></ruby>することも<ruby>義務づける<rt>ぎむづける</rt></ruby>。<ruby>体制づくり<rt>たいせいづくり</rt></ruby>のため、<ruby>急変時<rt>きゅうへんじ</rt></ruby>の<ruby>対応研修<rt>たいおうけんしゅう</rt></ruby>の<ruby>関連経費<rt>かんれんけいひ</rt></ruby>として<ruby>3千万円<rt>さんぜんまんえん</rt></ruby>を<ruby>25年度<rt>にじゅうごねんど</rt></ruby><ruby>予算案<rt>よさんあん</rt></ruby>で<ruby>計上<rt>けいじょう</rt></ruby>する。</p> | ||
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| <p><ruby>都<rt>みやこ</rt></ruby>の<ruby>調査<rt>ちょうさ</rt></ruby>によると、<ruby>都内<rt>とない</rt></ruby>の<ruby>産婦<rt>さんぷ</rt></ruby>の<ruby>6<rt>ろく</rt></ruby>割<ruby>超<rt>ちょう</rt></ruby>が<ruby>無痛分娩<rt>むつうぶんべん</rt></ruby>を<ruby>希望<rt>きぼう</rt></ruby>。ただし<ruby>都内<rt>とない</rt></ruby>の<ruby>分娩<rt>ぶんべん</rt></ruby>費用は<ruby>平均<rt>へいきん</rt></ruby>65<ruby>万円<rt>まんえん</rt></ruby>で<ruby>国<rt>くに</rt></ruby>の<ruby>出産育児<rt>しゅっさんいくじ</rt></ruby><ruby>一時金<rt>いちじきん</rt></ruby>（50<ruby>万円<rt>まんえん</rt></ruby>）を<ruby>超<rt>こえる</rt></ruby>うえ、<ruby>無痛分娩<rt>むつうぶんべん</rt></ruby>にはさらに<ruby>平均<rt>へいきん</rt></ruby>12.4<ruby>万円<rt>まんえん</rt></ruby>の<ruby>費用<rt>ひよう</rt></ruby>が<ruby>かかる<rt>かかる</rt></ruby>という。<ruby>小池百合子<rt>こいけ ゆりこ</rt></ruby>知事は11<ruby>日<rt>にち</rt></ruby>、「<ruby>無痛分娩<rt>むつうぶんべん</rt></ruby>を<ruby>希望<rt>きぼう</rt></ruby>する<ruby>女性<rt>じょせい</rt></ruby>が、<ruby>費用<rt>ひよう</rt></ruby>や<ruby>リスク<rt>りすく</rt></ruby>を<ruby>理由<rt>りゆう</rt></ruby>に<ruby>断念<rt>だんねん</rt></ruby>することなく、<ruby>安心<rt>あんしん</rt></ruby>して<ruby>出産<rt>しゅっさん</rt></ruby>できる、そんな<ruby>環境<rt>かんきょう</rt></ruby>を<ruby>つくりたい<rt>つくりたい</rt></ruby>」と<ruby>話<rt>はな</rt></ruby>した。</p> | ||
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| <p><ruby>都<rt>みやこ</rt></ruby>はほかに、<ruby>第<rt>だい</rt></ruby><ruby>1<rt>いち</rt></ruby><ruby>子<rt>こ</rt></ruby>まで<ruby>対象<rt>たいしょう</rt></ruby>を<ruby>拡大<rt>かくだい</rt></ruby>させる<ruby>保育料<rt>ほいくりょう</rt></ruby>の<ruby>無償化<rt>むしょうか</rt></ruby>の<ruby>費用<rt>ひよう</rt></ruby>として<ruby>763<rt>ななひゃくろくじゅうさん</rt></ruby><ruby>億円<rt>おくえん</rt></ruby>、<ruby>国<rt>くに</rt></ruby>より<ruby>厳しい<rt>きびしい</rt></ruby><ruby>運営<rt>うんえい</rt></ruby><ruby>基準<rt>きじゅん</rt></ruby>とする<ruby>都<rt>みやこ</rt></ruby><ruby>独自<rt>どくじ</rt></ruby>の<ruby>学童クラブ<rt>がくどうくらぶ</rt></ruby>の<ruby>認証制度<rt>にんしょうせいど</rt></ruby>に<ruby>関連<rt>かんれん</rt></ruby>する<ruby>経費<rt>けいひ</rt></ruby>として<ruby>24<rt>にじゅうよん</rt></ruby><ruby>億円<rt>おくえん</rt></ruby>を<ruby>25<rt>にじゅうご</rt></ruby><ruby>年度<rt>ねんど</rt></ruby><ruby>予算案<rt>よさんあん</rt></ruby>に<ruby>計上<rt>けいじょう</rt></ruby>する<ruby>方針<rt>ほうしん</rt></ruby>を<ruby>決めた<rt>きめた</rt></ruby>。</p> | ||
| {{< /rawhtml >}} | ||
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| ## Vocabulary | ||
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| {{< sortabletable >}} | ||
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| | Word (Furigana) | JLPT Level | Part of Speech | Meaning | | ||
| |-----------------------|------------|------------------------|----------------------------------| | ||
| |[出産](https://jisho.org/search/%E5%87%BA%E7%94%A3) (しゅっさん)| N2 | noun | childbirth | | ||
| |[麻酔](https://jisho.org/search/%E9%BA%BB%E9%85%94) (ますい)| N2 | noun | anesthesia | | ||
| |[やわらげる](https://jisho.org/search/%E3%82%84%E3%82%8F%E3%82%89%E3%81%92%E3%82%8B) (やわらげる)| N2 | ichidan verb | to alleviate | | ||
| |[無痛](https://jisho.org/search/%E7%84%A1%E7%97%9B) (むつう)| N2 | noun | painless | | ||
| |[分娩](https://jisho.org/search/%E5%88%86%E5%A8%A9) (ぶんべん)| N2 | noun | delivery | | ||
| |[助成](https://jisho.org/search/%E5%8A%A9%E6%88%90) (じょせい)| N2 | noun | subsidy | | ||
| |[方針](https://jisho.org/search/%E6%96%B9%E9%87%9D) (ほうしん)| N2 | noun | policy | | ||
| |[明らか](https://jisho.org/search/%E6%98%8E%E3%82%89%E3%81%8B) (あきらか)| N2 | な-adjective | clear, evident | | ||
| |[対策](https://jisho.org/search/%E5%AF%BE%E7%AD%96) (たいさく)| N2 | noun | countermeasure | | ||
| |[対象](https://jisho.org/search/%E5%AF%BE%E8%B1%A1) (たいしょう)| N2 | noun | target | | ||
| |[規模](https://jisho.org/search/%E8%A6%8F%E6%A8%A1) (きぼ)| N2 | noun | scale | | ||
| |[想定](https://jisho.org/search/%E6%83%B3%E5%AE%9A) (そうてい)| N2 | noun | assumption | | ||
| |[計上](https://jisho.org/search/%E8%A8%88%E4%B8%8A) (けいじょう)| N2 | noun | budget allocation | | ||
| |[安全](https://jisho.org/search/%E5%AE%89%E5%85%A8) (あんぜん)| N2 | noun | safety | | ||
| |[管理](https://jisho.org/search/%E7%AE%A1%E7%90%86) (かんり)| N2 | noun | management | | ||
| |[自主](https://jisho.org/search/%E8%87%AA%E4%B8%BB) (じしゅ)| N2 | noun | voluntary | | ||
| |[点検](https://jisho.org/search/%E7%82%B9%E6%A4%9C) (てんけん)| N2 | noun | inspection | | ||
| |[義務](https://jisho.org/search/%E7%BE%A9%E5%8B%99) (ぎむ)| N2 | noun | obligation | | ||
| |[研修](https://jisho.org/search/%E7%A0%94%E4%BF%AE) (けんしゅう)| N2 | noun | training | | ||
| |[環境](https://jisho.org/search/%E7%92%B0%E5%A2%83) (かんきょう)| N2 | noun | environment | | ||
| |[希望](https://jisho.org/search/%E5%B8%8C%E6%9C%9B) (きぼう)| N2 | noun | hope | | ||
| |[断念](https://jisho.org/search/%E6%96%AD%E5%BF%B5) (だんねん)| N2 | godan verb | to give up | | ||
| |[安心](https://jisho.org/search/%E5%AE%89%E5%BF%83) (あんしん)| N2 | noun | peace of mind | | ||
| |[拡大](https://jisho.org/search/%E6%8B%A1%E5%A4%A7) (かくだい)| N2 | noun | expansion | | ||
| |[無償](https://jisho.org/search/%E7%84%A1%E5%84%9F) (むしょう)| N2 | noun | free of charge | | ||
| |[基準](https://jisho.org/search/%E5%9F%BA%E6%BA%96) (きじゅん)| N2 | noun | standard | | ||
| |[認証](https://jisho.org/search/%E8%AA%8D%E8%A8%BC) (にんしょう)| N2 | noun | certification | | ||
| |[決める](https://jisho.org/search/%E6%B1%BA%E3%82%81%E3%82%8B) (きめる)| N2 | ichidan verb | to decide | | ||
| |[超える](https://jisho.org/search/%E8%B6%85%E3%81%88%E3%82%8B) (こえる)| N2 | ichidan verb | to exceed | | ||
| |[体制](https://jisho.org/search/%E4%BD%93%E5%88%B6) (たいせい)| N2 | noun | system | | ||
| |[公開](https://jisho.org/search/%E5%85%AC%E9%96%8B) (こうかい)| N2 | noun | disclosure | | ||
| |[例](https://jisho.org/search/%E4%BE%8B) (れい)| N2 | noun | example | | ||
| |[予算](https://jisho.org/search/%E4%BA%88%E7%AE%97) (よさん)| N2 | noun | budget | | ||
| |[産婦](https://jisho.org/search/%E7%94%A3%E5%A9%A6) (さんぷ)| N2 | noun | pregnant woman | | ||
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| {{< /sortabletable >}} | ||
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| ## Grammar and Sentence Structure | ||
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| 1. **Sentence:** 「助成の対象となる医療機関は、安全管理対策や人員体制など国が定める自主点検表の項目を満たし、都に届け出た病院や診療所。」 | ||
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| - **Grammatical Points:** | ||
| - 「助成の対象となる」: This phrase uses the passive form of the verb "なる" (to become) to indicate that the medical institutions are those that will become the target of the subsidy. | ||
| - 「国が定める」: This is a relative clause where "国" (the country) is the subject, and "定める" (to establish) is the verb. It modifies "自主点検表の項目" (items of the self-inspection sheet). | ||
| - 「届け出た」: This is the past tense of the verb "届け出る" (to report or notify), indicating that the hospitals and clinics have already completed the action of notifying. | ||
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| - **Structure:** | ||
| - The main subject is "助成の対象となる医療機関" (medical institutions that are the target of the subsidy). | ||
| - The sentence consists of two main clauses connected by "満たし" (to meet), which indicates that the institutions must fulfill certain conditions. | ||
| - The first clause describes the conditions that must be met (safety management measures, personnel structure), while the second clause specifies that these institutions must have reported to the Tokyo Metropolitan Government. | ||
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| 2. **Sentence:** 「無痛分娩は過去に妊婦の死亡例もあり、ウェブサイトで診療実績や安全管理体制を公開することも義務づける。」 | ||
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| - **Grammatical Points:** | ||
| - 「過去に妊婦の死亡例もあり」: This phrase uses "あり" (to exist) in a past context, indicating that there have been cases of maternal death in the past. | ||
| - 「義務づける」: This verb means "to obligate" or "to mandate," indicating that the action of publishing information on the website is required. | ||
| - 「ことも」: This phrase emphasizes that the obligation to publish is an additional requirement. | ||
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| - **Structure:** | ||
| - The sentence begins with the subject "無痛分娩" (painless childbirth) and provides background information about its risks. | ||
| - It then presents two main points: the existence of past maternal deaths and the obligation to publish safety information on the website. | ||
| - The two clauses are connected by "も" (also), which adds emphasis to the second point. | ||
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| 3. **Sentence:** 「都の調査によると、都内の産婦の6割超が無痛分娩を希望。」 | ||
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| - **Grammatical Points:** | ||
| - 「都の調査によると」: This phrase indicates the source of the information, using "によると" (according to) to attribute the statement to the Tokyo Metropolitan Government's survey. | ||
| - 「6割超が」: This means "more than 60%," where "超" (super) indicates exceeding a certain amount. | ||
| - 「希望」: This noun form of the verb "希望する" (to hope) indicates the desire of the subject. | ||
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| - **Structure:** | ||
| - The sentence starts with the source of the information, "都の調査によると," setting the context for the following statement. | ||
| - The main subject is "都内の産婦の6割超" (more than 60% of mothers in Tokyo), which is followed by the verb "希望" (hope). | ||
| - The structure is straightforward, presenting a statistic about the preferences of mothers regarding painless childbirth. | ||
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| ## Quiz | ||
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| Test your comprehension of the article! | ||
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| {{< quiz >}} |
This file contains bidirectional Unicode text that may be interpreted or compiled differently than what appears below. To review, open the file in an editor that reveals hidden Unicode characters.
Learn more about bidirectional Unicode characters
| Original file line number | Diff line number | Diff line change |
|---|---|---|
| @@ -0,0 +1,57 @@ | ||
| [ | ||
| { | ||
| "question": "東京都が無痛分娩の費用助成を開始するのはいつですか？", | ||
| "options": [ | ||
| "2025年から", | ||
| "10月から", | ||
| "来年の4月から", | ||
| "今年の12月から" | ||
| ], | ||
| "answer": 1, | ||
| "explanation": "東京都は無痛分娩の費用助成を10月から開始すると発表しています。" | ||
| }, | ||
| { | ||
| "question": "無痛分娩の助成対象となる医療機関は何を満たす必要がありますか？", | ||
| "options": [ | ||
| "国が定める自主点検表の項目", | ||
| "都内の全ての病院", | ||
| "無痛分娩の実績が豊富な病院", | ||
| "最新の医療機器を備えた病院" | ||
| ], | ||
| "answer": 0, | ||
| "explanation": "助成対象となる医療機関は、安全管理対策や人員体制など国が定める自主点検表の項目を満たす必要があります。" | ||
| }, | ||
| { | ||
| "question": "無痛分娩にかかる平均的な追加費用はいくらですか？", | ||
| "options": [ | ||
| "5万円", | ||
| "12.4万円", | ||
| "10万円", | ||
| "15万円" | ||
| ], | ||
| "answer": 1, | ||
| "explanation": "無痛分娩には平均して12.4万円の追加費用がかかるとされています。" | ||
| }, | ||
| { | ||
| "question": "小池百合子知事は無痛分娩について何を目指していますか？", | ||
| "options": [ | ||
| "無痛分娩を禁止すること", | ||
| "費用やリスクを理由に断念することなく出産できる環境を作ること", | ||
| "無痛分娩の費用を引き上げること", | ||
| "無痛分娩を全ての女性に強制すること" | ||
| ], | ||
| "answer": 1, | ||
| "explanation": "小池百合子知事は、無痛分娩を希望する女性が費用やリスクを理由に断念することなく、安心して出産できる環境を作りたいと述べています。" | ||
| }, | ||
| { | ||
| "question": "東京都が計上した2025年度の予算案に含まれる無痛分娩の助成金はいくらですか？", | ||
| "options": [ | ||
| "11億円", | ||
| "5億円", | ||
| "15億円", | ||
| "10億円" | ||
| ], | ||
| "answer": 0, | ||
| "explanation": "東京都は2025年度の予算案に無痛分娩の助成金として11億円を計上しています。" | ||
| } | ||
| ] |