Nursing model of midwifery and postural and psychological interventions:Impact on maternal and fetal outcomes and negative emotions of primiparas  

作　　者：Ping Gao Cai-Qiong Guo Ma-Yu Chen Hui-Ping Zhuang 

机构地区：[1]Department of Obstetrics and Gynecology,Quanzhou Maternity and Child Healthcare Hospital,Quanzhou 362017,Fujian Province,China [2]School of Nursing,Fujian Medical University,Quanzhou 350108,Fujian Province,China [3]Department of Obstetrics and Gynecology,The 910th Hospital of the People's Liberation Army Joint Logistic Support Force,Quanzhou 362008,Fujian Province,China

出　　处：《World Journal of Psychiatry》2023年第8期543-550,共8页世界精神病学杂志

摘　　要：BACKGROUND Primiparas are usually at high risk of experiencing perinatal depression,which may cause prolonged labor,increased blood loss,and intensified pain,affecting maternal and fetal outcomes.Therefore,interventions are necessary to improve maternal and fetal outcomes and alleviate primiparas’negative emotions(NEs).AIM To discusses the impact of nursing responsibility in midwifery and postural and psychological interventions on maternal and fetal outcomes as well as primiparas’NEs.METHODS As participants,115 primiparas admitted to Quanzhou Maternity and Child Healthcare Hospital between May 2020 and May 2022 were selected.Among them,56 primiparas(control group,Con)were subjected to conventional midwifery and routine nursing.The remaining 59(research group,Res)were subjected to the nursing model of midwifery and postural and psychological interventions.Both groups were comparatively analyzed from the perspectives of delivery mode(cesarean,natural,or forceps-assisted),maternal and fetal outcomes(uterine inertia,postpartum hemorrhage,placental abruption,neonatal pulmonary injury,and neonatal asphyxia),NEs(Hamilton Anxiety/Depressionrating Scale,HAMA/HAMD),labor duration,and nursing satisfaction.RESULTS The Res exhibited a markedly higher natural delivery rate and nursing satisfaction than the Con.Additionally,the Res indicated a lower incidence of adverse events(e.g.,uterine inertia,postpartum hemorrhage,placental abruption,neonatal lung injury,and neonatal asphyxia)and shortened duration of various stages of labor.It also showed statistically lower post-interventional HAMA and HAMD scores than the Con and pre-interventional values.CONCLUSION The nursing model of midwifery and postural and psychological interventions increase the natural delivery rate and reduce the duration of each labor stage.These are also conducive to improving maternal and fetal outcomes and mitigating primiparas’NEs and thus deserve popularity in clinical practice.

关 键 词：Nursing model of midwifery Postural intervention PRIMIPARA Maternal and fetal outcomes Negative emotions 

分 类 号：R440[医药卫生—诊断学]