No abstract

My purpose in this qualitative research was to describe the meaning of fetal death in the lives of Japanese women in a local community by interviewing women who experienced intrauterine fetal death (IUFD) after 28 weeks of gestation in chronological order from the time they were told of the fetal death to the present day. The study included 17 women who had experienced fetal death and who raised the dead child through "the development process of becoming a parent" and "the grieving process after the loss of a child," comprising a year-long grieving process.

The purpose of this study was to describe the association between the regularity of sleep patterns for first-time Japanese mothers in the early postpartum period and the sleep and wake activity of their infants and partners. Longitudinal time-series studies of 101 healthy Japanese childbearing couples were conducted between May 2002 and January 2003. Data were obtained from couples at 32-6 weeks pregnancy and 4-5 weeks after birth. The questionnaire packet for each father and mother included a demographic questionnaire, a sleep-wake log for 7 days, a social rhythm metric for 7 days and a morningness-eveningness questionnaire. A four-stage hierarchical multiple regression analysis was performed in which the mother's sleep-wake rhythm strength was the dependent variable. The variance in postpartum sleep-wake rhythm strength for first-time mothers was explained by three predictor variables. Household income, the mother's chronotype during pregnancy and the father's daily social rhythm at 4-5 weeks after birth made unique contributions to the variance (24.7%) in the mother's sleep-wake rhythm strength at 4-5 weeks postpartum. A mother's own tendency to be a morning or evening chronotype and the regularity of the father's daily schedule of activities appear to influence first-time mother's sleep-wake rhythm strength during early postpartum recovery more than disruptions from the infant's sleep-wake activity itself. Health-care providers should counsel couples on how factors associated with the parents themselves may impact on the regularity of a mother's sleep patterns.The transition to first-time parenthood experienced by childbearing women and their families requires physiological and psycho-social adjustment, whereby the rhythm in their daily lives has to be re-established within this new parental role. Early postpartum women suffer from disturbed sleep patterns and time disruptions in family life. Since an infant's sleep-wake pattern has an ultradian rhythm (a biological rhythm that is shorter than circadian and less than 20 h) for the first several weeks of life, 1 the reconstruction of a first-time mother's circadian diurnal sleep-wake rhythm is one of her most distressing transition issues.One purpose of this study was to describe the association between sleep-wake rhythm strength for firsttime Japanese mothers in the early postpartum period and their family synchronizers to determine whether these family synchronizers have an effect on the sleepwake rhythm of early postpartum Japanese mothers. The family synchronizers examined in this research included various aspects of the infant's and father's sleep and wake activity. The sleep patterns for these mothers

The aim of this study was to evaluate the feasibility and short-term impact of case study training in family nursing care targeting midlevel nursing professionals. The intervention group participated in four 90-minute case study training sessions over 6 months, while the control group participated in two 90-minute lectures. Using primary outcome variables as evaluation indexes, we measured the participants' total scores on the Family Importance in Nursing Care Scale and 4 subitems 3 times (before, immediately after and 1 month after training) from May 2014 to March 2015 and then conducted 2-way repeated-measure analysis of variance. We asked the participants and training planners/managers to provide feedback on their evaluation and then performed content analysis on their responses. Although the primary impact due to the different measurement times was significant, no significant difference was observed in the interaction between measurement time and training differences. Of the 4 subitems, significant interactions because of measurement time and training differences were observed only in Fam-B. Feedback data showed all participants felt that their understanding of the importance of family nursing care was strengthened, and participants in the intervention group specifically described how they were utilizing what they had learned from training in practice.

The purpose of this study is to determine whether couples with the same chronotype differ from those with opposite chronotypes in their sleep and social rhythms or their infants' sleep and wake time over seven consecutive days between the 4th and 5th postpartum weeks. Data were collected from 101 Japanese couples during their transition period to parenthood while raising their first child. The chronotypes that were analyzed reveal no differences in the couple's lives or sleep-wake rhythms. However, comparisons indicate that infants' crying/fussing periods were significantly shorter for those couples with different chronotypes than for those with the same chronotype.