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