Published online Nov 19, 2023. doi: 10.5498/wjp.v13.i11.862
Peer-review started: August 16, 2023
First decision: August 31, 2023
Revised: September 5, 2023
Accepted: October 25, 2023
Article in press: October 25, 202
Published online: November 19, 2023
Processing time: 93 Days and 0.3 Hours
There are many drawbacks to the traditional midwifery service management model, which can no longer meet the needs of the new era. The Internet + continuous midwifery service management model extends maternal management from prenatal to postpartum, in-hospital to out-of-hospital, and offline to online, thereby improving maternal and infant outcomes. Applying the Internet + continuous midwifery service management model to manage women with high-risk pregnancies (HRP) can improve their psycho-emotional opinion and, in turn, minimize the risk of adverse maternal and/or fetal outcomes.
To explore the effectiveness of a midwife-led Internet + continuous midwifery service model for women with HRP.
We retrospectively analyzed the clinical data of 439 women with HRP who underwent prenatal examination and delivered at Shanghai Sixth People's Hospital (affiliated to the Shanghai Jiao Tong University School of Medicine) from April to December 2022. Among them, 239 pregnant women underwent routine obstetric management, and 200 pregnant women underwent Internet + contin
The data showed that in early pregnancy, the anxiety and depression levels of the two groups were similar; the levels gradually decreased as pregnancy progressed, and the decrease in the continuous group was more significant [31.00 (29.00, 34.00) vs 34.00 (32.00, 37.00), 8.00 (6.00, 9.00) vs 12.00 (10.00, 13.00), P < 0.05]. The maternal self-efficacy level and strategy for weight gain management were better in the continuous group than in the traditional group, and the effective rate of midwifery service intervention in the continuous group was significantly higher than in the control group [267.50 (242.25, 284.75) vs 256.00 (233.00, 278.00), 74.00 (69.00, 78.00) vs 71.00 (63.00, 78.00), P < 0.05]. The incidence of adverse delivery outcomes in pregnant women and newborns and fear of maternal childbirth were lower in the continuous group than in the traditional group, and nursing satisfaction was higher [10.50% vs 18.83%, 8.50% vs 15.90%, 24.00% vs 42.68%, 89.50% vs 76.15%, P < 0.05].
The Internet + continuous midwifery service model promotes innovation through integration and is of great significance for improving and promoting maternal and child health in HRP.
Core Tip: The Internet + continuous midwifery service model promotes innovation through integration, breaks the limitations of time and space in the traditional midwifery service supply mode, and enables pregnant women to enjoy high-quality nursing services at home. However, it is necessary to determine the feasibility and effectiveness of the midwife-led Internet + continuous midwifery service model, especially in women with high-risk pregnancies (HRP). By retrospectively analyzing the clinical data of 439 women with HRP, we clarified the positive effect of the midwife-led Internet + continuous midwifery service model on the psychological mood and pregnancy outcomes of women with HRP.