Retrospective Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Nov 19, 2023; 13(11): 862-871
Published online Nov 19, 2023. doi: 10.5498/wjp.v13.i11.862
Effect of Internet + continuous midwifery service model on psychological mood and pregnancy outcomes for women with high-risk pregnancies
Cao-Jun Huang, Wei Han, Cui-Qin Huang
Cao-Jun Huang, Delivery Room, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200233, China
Wei Han, Cui-Qin Huang, Department of Maternity Ward, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200233, China
Author contributions: Han W and Huang CJ contributed to the conceptualization; Han W contributed to the methodology; Huang CJ contributed to the writing; Huang CQ contributed to the data curation and formal analysis.
Institutional review board statement: The study was reviewed and approved by Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine.
Informed consent statement: As this is a retrospective study, an exemption from informed consent has been applied for.
Conflict-of-interest statement: The authors declare no conflict of interest.
Data sharing statement: The data used in this study can be obtained from the corresponding author.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wei Han, MBBS, Associate Chief Nurse, Department of Maternity Ward, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, No. 600 Yishan Road, Xuhui District, Shanghai 200233, China. han_weily@163.com
Received: August 16, 2023
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
Abstract
BACKGROUND

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.

AIM

To explore the effectiveness of a midwife-led Internet + continuous midwifery service model for women with HRP.

METHODS

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 + continuous midwifery service mode management. We used the State-Trait Anxiety Inventory, Edinburgh Postnatal Depression Scale, and analysis of delivery outcomes to compare psychological mood and the incidence of adverse delivery outcomes between the two groups.

RESULTS

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].

CONCLUSION

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.

Keywords: Internet + continuous midwifery service, High-risk-pregnancy management, Psychological mood, Pregnancy outcome, Traditional midwifery service model, Midwife

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.