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| Effect of the prenatal health care education by midwifery in outpatient combined with gentle delivery for promoting the natural delivery of primiparas |
| Mianyang Hospital Affiliated to Medical School, University of Electronic Science and Technology/ Mianyang Central Hospital, Mianyang, Sichuan Province, 621000 |
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Abstract To explore the effect of the prenatal health care education by midwifery in outpatient combined with gentle delivery for promoting the natural delivery of primiparas. Methods: A total of 95 primiparas were included and were divided into two groups by random number table method from January 2022 to December 2023. 48 primiparas in the control group received routine nursing intervention, and 47 primiparas in the observation group received routine nursing intervention combined with the prenatal health care education and gentle delivery intervention by midwifery in outpatient combined with gentle delivery. The delivery model, the breastfeeding rate, the cognitive behavior of pregnancy care, the complications rate, the labor pain score evaluated by visual analogue scale (VAS), the neonatal Apgar score, the total labor, the blood loss during labor, and the scores of self-rating anxiety scale (SAS) and self-rating depression scale (SDS) after intervention of the primiparas, and the satisfaction rate of the primiparas and her family members were compared between the two groups. Results: The rates of the natural births (91.5%) and the breastfeeding (100.0%) of the primiparas in the observation group were significantly higher than those (75.0% and 91.7%) of the primiparas in the control group. The pregnancy care cognitive behavior of the primiparas in the observation group was significantly superior to that of the primiparas in the control group. The complications rate of the primiparas in the observation group was significantly less than that that of the primiparas in the control group. The VAS score (4.32±1.05 points) of the primiparas and the neonatal Apgar score (9.80±0.40 points) in the observation group were significantly higher than those (6.77±1.11 points and 8.63±0.51 points) of the primiparas in the control group. The duration of the total labor (231.25±77.29 min) of the primiparas in the observation group was significantly shorter than that (316.23±77.35 min) of the primiparas in the control group. The amount of bleeding during labor (322.54±150.65ml) of the primiparas in the observation group was significantly less than that (423.35±181.25ml) of the primiparas in the control group. The scores of SAS (44.23±5.19 points) and SDS (43.56±3.85 points) in the observation group were significantly lower than those (48.23±5.23 points and 50.23±4.33 points) of the primiparas in the control group. The maternal satisfaction rate (95.7%) and the satisfaction rate of maternal family members (93.6%) in the observation group were significantly higher than that (79.2% and 75.0%) of the primiparas in the control group (all P<0.05). Conclusion: The prenatal health care education by midwifery in outpatient combined with gentle delivery for the primiparas can improve their cognition and behavior of pregnancy health care, shorten their stages of labor, reduce their amount of blood loss and complications rate, improve their natural delivery and breastfeeding rates and relieve their anxiety and depression, and with the higher satisfaction rates of themselves and their family members.
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