Retrospective Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Aug 19, 2023; 13(8): 543-550
Published online Aug 19, 2023. doi: 10.5498/wjp.v13.i8.543
Nursing model of midwifery and postural and psychological interventions: Impact on maternal and fetal outcomes and negative emotions of primiparas
Ping Gao, Cai-Qiong Guo, Ma-Yu Chen, Hui-Ping Zhuang
Ping Gao, Cai-Qiong Guo, Ma-Yu Chen, Department of Obstetrics and Gynecology, Quanzhou Maternity and Child Healthcare Hospital, Quanzhou 362017, Fujian Province, China
Ping Gao, School of Nursing, Fujian Medical University, Quanzhou 350108, Fujian Province, China
Hui-Ping Zhuang, Department of Obstetrics and Gynecology, The 910th Hospital of the People's Liberation Army Joint Logistic Support Force, Quanzhou 362008, Fujian Province, China
Author contributions: Gao P contributed to the study conception and design, drafting manuscript, data analysis and interpretation; Gao P, Zhuang HP and Guo CQ contributed to the study conception, critical revision of article for important intellectual content; Gao P and Chen MY contributed to the study conception and design, critical revision of article for important intellectual content.
Institutional review board statement: The study was reviewed and approved by the Quanzhou Maternity and Child Healthcare Hospital Institutional Review Board.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors declare no competing interests.
Data sharing statement: No additional data are available.
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: Hui-Ping Zhuang, MS, Department of Obstetrics and Gynecology, The 910th Hospital of the People's Liberation Army Joint Logistic Support Force, No. 180 Huayuan Road, Fengze District, Quanzhou 362008, Fujian Province, China. 15906017172@163.com
Received: May 11, 2023
Peer-review started: May 11, 2023
First decision: May 31, 2023
Revised: June 28, 2023
Accepted: July 14, 2023
Article in press: July 14, 2023
Published online: August 19, 2023
Abstract
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/Depression-rating 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.

Keywords: Nursing model of midwifery, Postural intervention, Primipara, Maternal and fetal outcomes, Negative emotions

Core Tip: Primiparas are at high risk for depression during the perinatal period, which can lead to prolonged labor, increased blood loss, and intensified pain that can affect maternal and fetal outcomes. Therefore, it is necessary to give relevant interventions to improve maternal and fetal outcomes and alleviate negative emotions in primiparas.