Development of a Narrative-based Care Guideline for Care of Perinatal Loss

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The purpose of this study was to develop a narrative-based care guideline for care of perinatal loss. First, I describe the development process of narrative-based guidelines on perinatal loss care in other countries. Then, we translated and revised a set of guidelines used in the UK for use in Japan. These newly revised guidelines provide continued care for parents through self-help meetings that take place for 1-3 months after bereavement. Furthermore, this guideline contains internal assessments of their own efficacy, such as the impact of the self-help meetings on parents. Moreover, as a new initiative on care for perinatal loss, many countries have adopted specialized caregivers-perinatal hospice care and bereavement midwives-that we suggest should be adopted inJapan.