Published online Aug 19, 2023. doi: 10.5498/wjp.v13.i8.543
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
Processing time: 98 Days and 6 Hours
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).
To discusses the impact of nursing responsibility in midwifery and postural and psychological interventions on maternal and fetal outcomes as well as primiparas’ NEs.
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.
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.
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.
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.