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| Influences of midwife-led group health care model during pregnancy on the fear of childbirth, the neonatal Apgar score, and the breastfeeding rate of primiparas |
| Jinhua Maternal and Child Health Care Hospital, Zhejiang Province, 321000 |
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Abstract To explore the influence of midwife-led group health care model during pregnancy on the fear of childbirth, the neonatal Apgar score, and the breastfeeding rate of primiparas. Methods: A total of 192 pregnant women who had established the card of pregnant health care and had accepted antenatal examination were selected and were divided into two groups by convenience sampling method from June 2020 to Norember 2020. 96 women in the control group were given the traditional pregnancy health care model, and 96 women in the observation group were given midwife-led group health care model during pregnancy. The score of fear of childbirth of the women, neonatal Apgar score, and the rate of exclusive breastfeeding of the women were compared between the two groups. Results: After intervention, the fear score of childbirth of the women in both groups had decreased significantly, and which (29.32±2.78 points) of the women in the observation group was significantly lower than that (32.76±3.14 points) of the women in the control group (P＜0.05). Apgar score of newborns at 1min after birth showed no significant different between the two groups (P＞0.05), but Apgar score of newborns at 5min after birth (9.67±1.68 points) in the observation group was significantly higher than that (9.15±1.53 points) of the women in the control group (P＜0.05). The exclusive breast-feeding rate (75.0%) of the women in the observation group was significantly higher than that (57.3%) of the women in the control group (all P＜0.05). Conclusion: The midwife-led group health care model during pregnancy can effectively reduce the fear of childbirth, and can improve the neonatal Apgar score and the rate of exclusive.
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