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| Influence of warm midwifery nursing mode of accompanied by family members for primiparas on their delivery outcomes and postpartum recovery |
| The First Affiliated Hospital of Henan University of Science and Technology, Luoyang, Henan Province，471000 |
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Abstract To observe the influence of warm midwifery nursing mode of accompanied by family members for primiparas on their delivery outcomes and postpartum recovery. Methods: A total of 115 primiparas admitted to the obstetrics department were included and were divided into two groups by random number table method from April 2022 to May 2023. 58 primiparas in the control group received routine delivery care, and 57 primiparas in the observation group received warm midwife nursing of accompanied by family members. 2 cases in the control group and 1 case in the observation group were lost for follow-up. The delivery outcomes, the neonatal outcomes, the postpartum hemorrhage, the labor pain sore evaluated by visual analogue scale(FPS-R), the scores of postpartum anxiety(SAS) and depression(SDS) self-rating scale, the total labor process duration, the hospitalization time and the nursing satisfaction rate of the primiparas were compared between the two groups. Results: The rate of successful vaginal delivery of the primiparas in the two groups was 100.0%. The incidence of complications(0) of the primiparas after delivery in the observation group was significantly lower than that(7.1%) of the primiparas in the control group. The incidence of the neonatal adverse events(0) of the primiparas in the observation group was significantly lower than that(8.9%) of the primiparas in the control group. The amount of postpartum hemorrhage(216.2±10.8ml) of the primiparas in the observation group was significantly lower than that(289.7±15.2ml) of the primiparas in the control group. The scores of FPS-R(7.9±0.4 points), SAS(36.5±3.0 points) and SDS(34.8±5.2 points) of the primiparas in the observation group were significantly lower than those(8.9±0.5 points, 42.4±3.8 points and 41.8±4.8 points) of the primiparas in the control group. The total duration of labor(516.23±9.76 min) and the hospital stay(2.14±0.22 d) of the primiparas in the observation group were significantly shorter than those(612.34±10.65 min and 2.95±0.26 d) of the primiparas in the control group. The maternal nursing satisfaction rate(96.4%) of the primiparas in the observation group was significantly higher than that(85.7%) of the primiparas in the control group(all P<0.05). Conclusion: The warm midwifery nursing mode of accompanied by family members for the primiparas can alleviate their adverse psychological state of primiparas, improve their delivery outcomes, promote their postpartum recovery, and reduce their adverse delivery outcomes, and can increase their satisfaction.
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