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

本研究旨在发展一套以叙述为基础的围产损失照护指南。首先，我描述了发展过程中的叙事为基础的指南在其他国家的围产期损失护理。然后，我们翻译并修订了一套在英国使用的指南，以供日本使用。这些新修订的指导方针通过在丧亲之痛后1-3个月举行的自助会议为父母提供持续的照顾。此外，该指南还包含了对自助会议自身效能的内部评估，例如自助会议对家长的影响。此外，作为围产期损失护理的一项新举措，许多国家都采用了专业护理人员--围产期临终关怀和丧亲助产士--我们建议日本也采用这些措施。

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.