Effect of Internet + continuous midwifery service model on psychological mood and pregnancy outcomes for women with high-risk pregnancies

Table 1 Clinical information of women with high-risk pregnancies

Variables	TG (n = 239)	CG (n = 200)	χ2/Z value	P value
Age (yr), IQR	29.00 (27.00, 32.00)	30.00 (26.25, 33.00)	-1.591	0.112
Types of pregnant women, n (%)			2.196	0.138
Primipara	49 (20.50)	53 (26.50)
Pluripara	190 (79.50)	147 (73.50)
Educational level, n (%)			0.415	0.813
Junior high school and below	40 (16.70)	37 (18.50)
High school or technical secondary school	124 (51.80)	98 (49.00)
Junior college and above	75 (31.30)	65 (32.50)
HRP factor, n (%)
Pregnancy complication	87 (36.40)	68 (34.00)	0.275	0.600
Abnormal body mass index	54 (22.50)	33 (16.50)	2.545	0.111
Scarred uterus	41 (17.10)	37 (18.50)	0.135	0.713
Adverse pregnancy	40 (16.70)	31 (15.50)	0.123	0.726
Arrhythmia	39 (16.30)	25 (12.50)	1.275	0.259

Pregnancy complications refer to pregnancy with anemia, diabetes, hypertension, etc.; Abnormal body mass index (BMI) refers to a BMI > 25 kg/m² or < 18.5 kg/m²; The same women with high-risk pregnancies can experience two or more risk factors. HRP: High-risk pregnancies; IQR: Interquartile range; TG: Traditional group; CG: Continuous group.

Table 2 Psychological and emotional changes of women with high-risk pregnancies

Groups		First trimester	Second trimester	Late pregnancy	Postpartum	F value	P value
Anxiety	TG	65.00 (60.00, 70.00)	57.00 (53.00, 61.00)	40.00 (37.00, 43.00)	34.00 (32.00, 37.00)	215.238	< 0.05
	CG	64.50 (59.00, 68.00)	50.00 (46.00, 54.00)	36.00 (31.25, 40.00)	31.00 (29.00, 34.00)
	Z value	-1.095	-10.591	-7.703	-7.913
	P value	0.274	< 0.05	< 0.05	< 0.05
Depression	TG	22.00 (20.00, 24.00)	19.00 (17.00, 22.00)	19.00 (16.00, 21.00)	12.00 (10.00, 13.00)	196.103	< 0.05
	CG	22.00 (19.00, 24.00)	17.00 (14.25, 19.00)	15.00 (13.00, 17.00)	8.00 (6.00, 9.00)
	Z value	-0.530	-5.941	-11.048	-12.116
	P value	0.596	< 0.05	< 0.05	< 0.05

TG: Traditional group; CG: Continuous group.

Table 3 Changes of self-efficacy in women with high-risk pregnancies

Groups	First trimester	Second trimester	Late pregnancy	Postpartum	F value	P value
TG	90.00 (83.00, 96.00)	133.00 (123.00, 148.00)	202.00 (187.00, 223.00)	256.00 (233.00, 278.00)	462.402	< 0.05
CG	92.00 (82.00, 97.00)	152.00 (139.00, 165.00)	234.50 (214.25, 257.75)	267.50 (242.25, 284.75)
Z value	-0.802	-8.374	-9.794	-3.229
P value	0.423	< 0.05	< 0.05	0.001

TG: Traditional group; CG: Continuous group.

Table 4 Changes in weight management in women with high-risk pregnancies

Groups	First trimester	Second trimester	Late pregnancy	Postpartum	F value	P value
TG	33.00 (29.00, 38.00)	42.00 (37.00, 47.00)	68.00 (60.00, 73.00)	71.00 (63.00, 78.00)	30.284	< 0.05
CG	33.00 (28.00, 36.00)	45.00 (40.00, 50.00)	68.00 (64.00, 73.00)	74.00 (69.00, 78.00)
Z value	-0.743	-3.992	-2.004	-3.059
P value	0.458	< 0.05	0.045	0.002

TG: Traditional group; CG: Continuous group.

Table 5 Adverse pregnancy outcomes of parturients and child, n (%)

Groups	Parturients				χ2 value	P value	Child				χ2 value	P value
	Postpartum hemorrhage	Postpartum infection	Premature rupture of membranes	Other			Neonatal asphyxia	Premature delivery	Abnormal fetal weight	Other
TG	15 (6.28)	9 (3.77)	8 (3.35)	13 (5.44)	5.912	0.015	8 (3.35)	11 (4.60)	7 (2.93)	12 (5.02)	5.44	0.02
CG	7 (3.50)	4 (2.00)	3 (1.50)	7 (3.50)			3 (1.50)	5 (2.50)	2 (1.00)	7 (3.50)

TG: Traditional group; CG: Continuous group.

Table 6 Nursing satisfaction

Groups	Not satisfied	More satisfactory	Satisfaction	Great satisfaction
TG	59	61	49	70
CG	21	31	55	93
Z value	-5.050
P value	< 0.05

TG: Traditional group; CG: Continuous group.