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
ARTICLE HIGHLIGHTS
Research background

Parturients are physically and psychologically burdened during the perinatal period, so both primiparas and multiparas are at higher risk of depression. In addition, the mode of delivery of primiparas has an impact on maternal and infant outcomes, and those given birth by cesarean section (CS) are at a higher risk of complications.

Research motivation

To increase people’s awareness of perinatal maternal management and provide reference for clinical care optimization of parturients during the perinatal period.

Research objectives

This study aims to analyze the effects of midwifery responsibility nursing plus postural interventions on maternal and fetal outcomes and negative emotions (NEs) of primiparas.

Research methods

In this study, 59 primiparas in the research group were treated by midwifery responsibility nursing plus posture interventions, and 56 primiparas in the control group were given conventional midwifery and routine nursing. The two groups were comparatively analyzed in terms of the mode of delivery, maternal and infant outcomes, NEs (Hamilton Anxiety/Depression-rating Scale, HAMA/HAMD), duration of labor, and nursing satisfaction.

Research results

Significantly higher natural delivery rate and nursing satisfaction, as well markedly lower CS and forceps delivery rates were determined in the research group compared with the control group; the research group also showed obviously lower incidence of uterine inertia, postpartum hemorrhage, placental abruption, neonatal lung injury, neonatal asphyxia and other events and shorter duration of each stage of labor than the control group; moreover, the HAMA and HAMD scores of the research group after intervention were significantly lower than those before treatment and in the control group.

Research conclusions

Midwifery responsibility nursing plus postural interventions is beneficial to improve maternal and infant outcomes, relieve maternal NEs, increase the rate of spontaneous labor, and shorten the duration of natural labor.

Research perspectives

This study mainly analyzes the application value of midwifery responsibility nursing plus postural intervention program in the care management of primiparas, focusing on the exploration and analysis of maternal and infant outcomes and NEs, in an attempt to provide an effective clinical basis for the care management of primiparas and contribute to improving their childbirth experience.