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
ARTICLE HIGHLIGHTS
Research background

There are many drawbacks to the traditional midwifery service management model that can no longer meet the needs of the new era. Dominated by midwives and combined with the advantages of the Internet, continuous midwifery services are provided to women with high-risk pregnancies (HRP) to alleviate adverse psychological emotions and improve pregnancy outcomes.

Research motivation

It is necessary to determine the feasibility and effectiveness of the midwife-led Internet + continuous midwifery service model, especially the psychological emotions and pregnancy outcomes of women with HRP.

Research objectives

To analyze the effect of a midwife-led Internet + continuous midwifery service model on the psychological mood and pregnancy outcomes of women with HRP.

Research methods

The clinical data of 439 women with HRP were retrospectively analyzed. They were divided into different midwifery service modes (traditional and continuous groups). Psychological and emotional conditions, self-efficacy, incidence of adverse delivery outcomes, and nursing satisfaction were compared between the two groups.

Research results

The State-Trait Anxiety Inventory and Edinburgh Postnatal Depression Scale scores of the two groups gradually decreased, with the continuous group decreasing faster than the traditional group. The incidence of adverse delivery and neonatal outcomes in the continuous group was 10.50% (21/200) and 8.50% (17/200), respectively, significantly lower than in the traditional group (18.83%, 45/239; 15.90%, 38/239, respectively).

Research conclusions

The Internet + continuous midwifery service model gives full play to the subjective initiatives of pregnant women and midwives. It is of great significance to realize long-term, continuous, and real-time maternal management and ensure maternal and child safety through “prenatal-intrapartum-postpartum,” in-hospital and out-of-hospital, online, and offline care.

Research perspectives

Midwives carry out corresponding Internet services according to different stages of pregnancy (early, middle, and late pregnancy), including the release of popular science articles on the public account, WeChat group communication, questionnaire star collection of relevant information, and network video conferences answering questions to guide women with HRP to carry out prenatal examinations and self-monitoring. Midwives can not only provide professional advice during pregnancy and childbirth but also provide extended quality nursing services to improve maternal satisfaction.