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| Influence of the group midwifery service model based on the maternal needs for primiparas on their role transition and lactation effect after delivery |
| Hangzhou Obstetrics and Gynecology Hospital, Hangzhou, Zhejiang Province, 310000 |
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Abstract To explore the influence of the group midwifery service model based on the maternal needs for primiparas on their role transition and lactation effect after delivery. Methods: The primiparas who were registered in the hospital and had regular antenatal examination from January 2023 to December 2023 were selected as the research subjects. According to the implementation time of the group midwifery service model based on the maternal needs in the hospital, 67 primiparas who admitted to hospital from January 2023 to June 2023 were included in control group and were given routine nursing, and another 67 primiparas who admitted to hospital between July 2023 and December 2023 were included in observation group and were given the group midwifery service model based on the maternal needs combined with the routine nursing. The role transition adaptability evaluated by the maternal role adaptation questionnaire, the parenting competence evaluated by Chinese version of parenting sense of competence scale (C-PSOC), the breastfeeding success rate evaluated by the exclusive breastfeeding, mixed feeding and artificial feeding situations, the breastfeeding indicators, such as the lactation onset time, the lactation volume at 24 hours after delivery and the lactation stimulation rate, and the postpartum depression evaluated by Edinburgh postnatal depression scale (EPDS) of the primiparas were compared between the two groups. Results: The score of the mother role adaptation of the primiparas in the observation group after postpartum 30d was significantly higher than that of the primiparas in the control group. The scores of C-PSOC parenting self-efficacy (41.28±2.36 points) and the satisfaction (46.74±3.08 points), the breast feeding rate (91.0%) and the breastfeeding index value of the primiparas in the observation group after postpartum 30d were significantly higher than those (37.92±2.18 points, 44.13±2.84 points and 77.6%) of the primiparas in the control group. The EPDS scores of the primiparas in the observation group in the postpartum 3rd d (7.58±1.21 points), in the postpartum 8th week (7.58±1.21 points) and in the postpartum 24th week group (7.27±1.06 points) were significantly lower than those (8.76±1.28 points, 8.14±1.23 points and 8.09±1.19 points) of the primiparas in the control group (P<0.05). Conclusion: The group midwifery service model based on the maternal needs for the primiparas can promote their smoothly role transition, enhance their parenting competence and breastfeeding success rate, improve their breastfeeding indicators and reduce their postpartum depression.
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