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| Effects of midwife-led non-invasive delivery intervention mode of pregnant women on their labor duration, episiotomy rate, and delivery outcomes |
| General Hospital of Wanbei Coal and Electricity Group, Suzhou Anhui Province, 234000 |
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Abstract To explore the effects of midwife-led non-invasive delivery intervention mode of pregnant women on their labor duration, episiotomy rate, and delivery outcomes. Methods: A total of 92 pregnant women were selected and were randomly divided into two groups(46 cases in each group) from October 2021 to December 2022. The women in study group were given midwife-led non-invasive delivery intervention, and the women in control group were given traditional delivery intervention. The labor duration, the episiotomy rate, the degree of perineal tear, the pain score, and the delivery outcomes of the women were compared between the two groups. Multivariate Logistic regression was used to analyze the influencing factors of neonatal asphyxia of the women in the two groups. Results: The duration of the first, second, and third stages of labor of the women in the study group had shortened significantly. The rates of perineal tear(40.0%) and lateral perineal incision(15.2%) of the women in the study group were significantly lower than those(58.7% and 40.0%) of the women in the control group, and the postpartum pain score of the women in the study group was significantly lower. The neonatal Apgar score(7.22±2.21 points) and the incidence of asphyxia(13.0%) in the study group were significantly lower than those(5.53±1.43 points and 41.3%) in control group(all P＜0.05). Maternal age ≥30 years old, the abnormal labor, and the gestational diabetes mellitus were the independent risk factors of asphyxia(P＜0.05). Conclusion: The application of midwife-led non-invasive delivery intervention mode of the women can reduce their labor process and the rate of episiotomy, and relieve the perineal tear injury and pain, which is helpful to improve the delivery outcomes of women. The risk factors of the neonatal asphyxia can be used as the key prevention direction of neonatal asphyxia in the future.
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