Purpose: The purpose of this study was to clarify the thoughts of medical professionals regarding unassisted childbirth on remote islands at the request of pregnant women and to obtain suggestions on how to be involved.

Methods: A total of four medical workers working on remote islands participated in the study. The data obtained were qualitatively and inductive, using thematic analysis.

Results: The following five main themes were extracted. “Especially in remote islands, in order to protect the lives of the mother and child, unassisted childbirth is not recommended”, “As medical professionals, we have a responsibility to be involved without bending our beliefs and sometimes make tough decisions”, “We need to listen to the mindset of those who wish for an unassisted childbirth and persistent effort and involvement is necessary”, “Medical professionals need to have a mission to constantly think and act for the safety of mothers and children, and to spread the word about the current condition of remote island healthcare”, and “Various island people surrounding mothers and children must always work together to support mothers and children on the island as a whole”.

Conclusion: It became clear that the research subjects, when interacting with those who wished to have an unassisted delivery, were conflicted between their belief that they should protect the life of the mother and child as medical professionals and their desire to respect the woman's right to make her own choices. It can be inferred that while maintaining their beliefs as medical professionals, they need to tenaciously face women and think about childbirth together.

We examined the monthly changes of mental stress indices and lifestyle factors in elementary school students, and examined the relationship between whether or not they took junior high school entrance examination. The survey subjects were 67 sixth-grade elementary school students, and a total of eight surveys were conducted, once in each month. The survey method was a self-administered questionnaire survey, and the contents of the survey were basic information (age, gender, sleep time), “stress”, “exercise”, “sleep”, and “diet”. As a result of this study, it was revealed that there were more children who felt mental stress in the examinee group than in the non-examinee group, and that the timing was higher until around November, when the examinee school was decided. In addition, it was inferred that the examinee group had fewer opportunities to exercise than that of the non-examinee group over a long period of time. In the examinee group where many children felt mental stress, a significant positive correlation between stress and exercise index was observed. These results suggest that the students in the upper grades of elementary school had fewer opportunities to exercise in the junior high school entrance examination group than that of non-examinee group, and that many of them felt more stressed at the time of deciding which school to take the examination than just before the examination.