BACKGROUND First-time mothers may encounter various problems during postpartum,which can result in negative emotions that can affect infant care.In today’s Internet era,continuous nursing services can be provided to ...BACKGROUND First-time mothers may encounter various problems during postpartum,which can result in negative emotions that can affect infant care.In today’s Internet era,continuous nursing services can be provided to mothers and their babies after delivery through Internet-based platforms.This approach can help reduce negative emotions of primiparas and promote better health for both mothers and babies.AIM To explore the effect of Internet Plus-based postpartum healthcare services on postpartum depression of primiparas and neonatal growth and development and thus provide a scientific basis for strengthening postpartum healthcare measures and better protect maternal and child health.METHODS The study retrospectively collected data of primiparas and their newborns who underwent prenatal examination and successfully delivered at the Ninth People’s Hospital of Suzhou City.The observation group included 30 primiparas and their newborns who received Internet Plus-based postpartum healthcare services between July and December 2024.According to the principle of matching(1:1)control study,the control group included 30 primiparas and their newborns who received routine postpartum healthcare services between January and June 2024.The maternal role adaptation questionnaire scores,breastfeeding rates,Edinburgh postnatal depression scale(EPDS)scores,and newborn growth and development(height,head circumference,and weight)were compared between the two groups at the time of discharge after delivery and 6-week postpartum follow-up.RESULTS Upon hospital discharge,the two groups did not demonstrate significant differences in maternal role adaptation scores,breastfeeding rates,EPDS scores,as well as newborn height,head circumference,and weight at birth(P>0.05).At the 6-week postpartum follow-up,the maternal role adaptation score and breastfeeding rate were higher in the observation group than in the control group(P<0.05).In addition,one case of postpartum depression was reported in the observation group and eight in the control group.Moreover,the control group exhibited a significant increase in EPDS scores compared with scores at hospital discharge(P<0.05),whereas the observation group showed only a marginal,nonsignificant increase in EPDS scores(P>0.05).The EPDS score of the observation group was significantly lower than that of the control group(P<0.05),indicating a lower risk of postpartum depression in the observation group.The length,head circumference,and weight of the newborns 6 weeks after birth were increased compared with those at birth,and the growth rate was higher in the observation group than in the control group(P<0.05),indicating better growth and development in the observation group.CONCLUSION Internet Plus-based postpartum healthcare services improve maternal role adaptation,increase breastfeeding rates,mitigate postpartum depression risk,and promote neonatal growth and development in primiparas.展开更多
BACKGROUND Primiparas are usually at high risk of experiencing perinatal depression,which may cause prolonged labor,increased blood loss,and intensified pain,affecting maternal and fetal outcomes.Therefore,interventio...BACKGROUND Primiparas are usually at high risk of experiencing perinatal depression,which may cause prolonged labor,increased blood loss,and intensified pain,affecting maternal and fetal outcomes.Therefore,interventions are necessary to improve maternal and fetal outcomes and alleviate primiparas’negative emotions(NEs).AIM To discusses the impact of nursing responsibility in midwifery and postural and psychological interventions on maternal and fetal outcomes as well as primiparas’NEs.METHODS As participants,115 primiparas admitted to Quanzhou Maternity and Child Healthcare Hospital between May 2020 and May 2022 were selected.Among them,56 primiparas(control group,Con)were subjected to conventional midwifery and routine nursing.The remaining 59(research group,Res)were subjected to the nursing model of midwifery and postural and psychological interventions.Both groups were comparatively analyzed from the perspectives of delivery mode(cesarean,natural,or forceps-assisted),maternal and fetal outcomes(uterine inertia,postpartum hemorrhage,placental abruption,neonatal pulmonary injury,and neonatal asphyxia),NEs(Hamilton Anxiety/Depressionrating Scale,HAMA/HAMD),labor duration,and nursing satisfaction.RESULTS The Res exhibited a markedly higher natural delivery rate and nursing satisfaction than the Con.Additionally,the Res indicated a lower incidence of adverse events(e.g.,uterine inertia,postpartum hemorrhage,placental abruption,neonatal lung injury,and neonatal asphyxia)and shortened duration of various stages of labor.It also showed statistically lower post-interventional HAMA and HAMD scores than the Con and pre-interventional values.CONCLUSION The nursing model of midwifery and postural and psychological interventions increase the natural delivery rate and reduce the duration of each labor stage.These are also conducive to improving maternal and fetal outcomes and mitigating primiparas’NEs and thus deserve popularity in clinical practice.展开更多
BACKGROUND Postpartum depression refers to a depressive episode or depressive symptoms up to 12 mo after delivery.Trait mindfulness has presented a protective factor for postpartum depressive symptoms and proved effic...BACKGROUND Postpartum depression refers to a depressive episode or depressive symptoms up to 12 mo after delivery.Trait mindfulness has presented a protective factor for postpartum depressive symptoms and proved efficient in improving relationship satisfaction among couples.AIM To investigate the correlations among mindfulness,marital quality,anxiety,and depression in a large city in western China during the post-corona virus infectious disease-2019 era and determine whether trait mindfulness mediates the relationship between marital quality and postpartum anxiety and depression among primiparas.METHODS A cross-sectional study was conducted.The self-administered questionnaire was submitted online through smartphones.The levels of mindfulness,anxiety,depression,and marital quality were respectively investigated by the mindful attention awareness scale(MAAS),the self-rating anxiety scale(SAS),the selfrating depression scale(SDS),and the marriage perception scale(MPS)in these enrolled Han and Tujia primiparas.RESULTS No statistical significance was observed in the prevalence of postpartum anxiety and depression,nor scores of MAAS and MPS-Total in different regions or ethnicities(P>0.05).However,MPSMarital interaction(P<0.05),MPS-Family relationship(MPS-FR)(P<0.01),and MPS-Marital conflict(MPS-MC)(P<0.01)scores of urban primiparas were higher than those of rural primiparas.The MPS-MC score of Han primiparas was higher than that of Tujia primiparas(P<0.05).Negative correlations were observed between MAAS and SAS(r=-0.457,P<0.01),and MAAS and SDS(r=-0.439,P<0.01).SAS has revealed a highly positive correlation with SDS(r=0.720,P<0.01)and a weak negative correlation with MPS(r=-0.200,P<0.05).Besides,a weak negative correlation was observed between MAAS and MPS-MC(r=-0.184,P<0.05),and a weak positive correlation was noticed between SAS and MPS-MC(r=-0.225,P<0.01).Mediation analysis demonstrated a full mediation effect of mindfulness level on the relationship between MPS-FR and postpartum anxiety(P<0.05,95%CI:-0.384 to 0.033),MPS-MC and postpartum anxiety(P<0.01,95%CI:0.027-0.193),MPS-FR and postpartum depression(P<0.05,95%CI:-0.365 to 0.031),and MPS-MC and postpartum depression(P<0.01,95%CI:0.022-0.206).CONCLUSION Mindfulness demonstrates negative correlations with marital conflict,postpartum anxiety and depression,and it may have cross-ethnic and trans-regional characteristics.Although the mindfulness levels have revealed no significant mediating effect between the total score of marital quality and postpartum depression in this study,it demonstrates a full mediation effect on the relationships between family relationships,marital conflict,and postpartum anxiety and depression.展开更多
Introduction: The delivery of a primipara, a woman giving birth for the first time, is challenging and may lead to complications and influence the obstetrical future of a woman. Materials and Methods: We carried out a...Introduction: The delivery of a primipara, a woman giving birth for the first time, is challenging and may lead to complications and influence the obstetrical future of a woman. Materials and Methods: We carried out a cross-sectional and analytical study at the maternity of the regional hospital annex of Ayos, a semi-rural locality in Cameroon, for the period between January 2012 and December 2020. The objective was to determine the frequency and the determinants of primipara delivery. Results: We recruited 440 cases. The frequency of primipara delivery was 31.8%. The ages of the participants ranged from 12 to 35 years with a mean age of 18.01 ± 3.52 years. Single women contributed to 95.5% of cases while 97.5% were unemployed. The delivery occurred at term in 90.2% and 98.4% of pregnancies were singleton. The delivery was vaginal in 91.6%, while caesarean delivery was done in 8.4% (8% emergency and 0.4% elective). The most frequent maternal complications were genital tract tears (15.7%), post-partum hemorrhage (12.5%) and endometritis (2.7%). The birth weight of newborns ranged from 1070 to 4500 g with a mean of 3024.5 ± 511.4 g. The single marital status, a gestational age between 37 and 42 weeks and a birth weight between 1500 g and 2499 g were significantly associated with vaginal delivery. Conclusion: The frequency of primiparous delivery was relatively high (31.8%) in the Ayos semi-rural health district of Cameroon. Major complications associated with delivery included genital tract tears, post-partum hemorrhage, cesarean section and neo-natal infection.展开更多
Background: Labor induction has a low success rate, especially in primiparas with unruptured membranes. Previous studies focused on pregnant women with unruptured membranes, but none specifically targeted primiparas. ...Background: Labor induction has a low success rate, especially in primiparas with unruptured membranes. Previous studies focused on pregnant women with unruptured membranes, but none specifically targeted primiparas. Aims: To compare the effectiveness of a controlled-release dinoprostone vaginal delivery system for cervical dilatation (PROPESS) with that of mechanical dilation for labor induction in primiparous women with unruptured membranes. Materials and Methods: We retrospectively analyzed the data of 90 primiparas with unruptured membranes (41 and 49 in the PROPESS and mechanical dilation groups, respectively). The primary outcome was the cesarean section (CS) rate. The secondary outcomes were the prevalence of vaginal delivery within 12 or 24 h after the initial insertion, oxytocin usage rate, chorioamnionitis, additional use of mechanical dilation in the PROPESS group, and neonatal outcomes. Results: The CS rate was significantly lower in the PROPESS group than in the mechanical dilation group (p = 0.02). A total of 13 patients (31.7%) delivered within 24 h with PROPESS alone, indicating a significantly higher rate of delivery within 24 h in the PROPESS group (p = 0.02). Fewer patients required additional oxytocin in the PROPESS group than in the mechanical dilation group (p = 0.001). However, 14 (34%) patients in the PROPESS group required additional mechanical cervical dilation, resulting in a longer time to delivery than mechanical dilation. Conclusions: PROPESS significantly reduced CS rates and increased delivery rates 24 h after the initial insertion in primiparas with unruptured membranes compared to mechanical dilatation. However, failure to respond to PROPESS resulted in an overall longer delivery time than that of the conventional mechanical dilation group;therefore, identifying predictors of response to PROPESS is necessary.展开更多
Objective:To explore the treatment of Morita therapy combined with transcranial magnetic stimulation in postpartum depression of primipara and its effect on prolactin.Method:From May 2018 to November 2019,92 cases of ...Objective:To explore the treatment of Morita therapy combined with transcranial magnetic stimulation in postpartum depression of primipara and its effect on prolactin.Method:From May 2018 to November 2019,92 cases of postpartum depression and postpartum women who were treated in our hospital were randomly divided into 2 groups,46 cases each.The control group was treated with transcranial magnetic stimulator,and the observation group was treated with Morita therapy on the basis of the control group.Both groups were treated continuously for 6 weeks.The degree of depression and prolactin levels of the two groups was observed.Results:After 6 weeks of treatment,the HAMD scores of the two groups were lower than before the treatment,and the observation group was the lowest.The prolactin levels of the two groups were higher than before the treatment,and the observation group was the highest.The difference was statistically significant(P<0.05).Conclusion:Morita therapy combined with transcranial magnetic stimulation can effectively improve the postpartum depression of primiparas,increase the level of prolactin,and have a good clinical effect.展开更多
Objective: to investigate the influence of postpartum personalized rehabilitation nursing on postpartum lactation and uterine rejuvenation. Methods: the first mothers were divided into 40 study group and control group...Objective: to investigate the influence of postpartum personalized rehabilitation nursing on postpartum lactation and uterine rejuvenation. Methods: the first mothers were divided into 40 study group and control group, with routine perinatal nursing, personalized perinatal rehabilitation nursing, and maternal lactation, uterine rejuvenation and perinatal complications were evaluated. Results: the time of first lactation in the observation group was significantly shorter than the normal group, and the excellent rate of milk was higher than the control group, the incidence of 4, the endometrial thickness within 10 mm, and the incidence of perinatal complications was lower (P < 0.05). Conclusion: personalized perinatal rehabilitation care can improve the rejuvenation of postpartum lactation and uterus, and reduce the occurrence of perinatal complications.展开更多
Objective: to analyze and study the influence of continuous midwifery service nursing on the rate of non drug analgesia delivery and natural delivery of primipara. Methods: 90 primiparas were randomly selected as the ...Objective: to analyze and study the influence of continuous midwifery service nursing on the rate of non drug analgesia delivery and natural delivery of primipara. Methods: 90 primiparas were randomly selected as the research object, and randomly divided into control group and observation group, with 45 cases in each group. The control group was given routine nursing, and the observation group was given continuous midwifery nursing. The effects of the two nursing methods on the choice of delivery mode, delivery process, postpartum bleeding and satisfaction of primiparas were compared. Results: the natural delivery rate in the observation group was significantly higher than that in the control group (P < 0.05). The delivery time and bleeding volume in the observation group were significantly lower than those in the control group (P < 0.05). The maternal satisfaction in the observation group was significantly higher than that in the control group (P < 0.05). Conclusion: after the intervention of continuous midwifery nursing, more primiparas choose natural delivery and complete it smoothly, which is conducive to improve the nursing satisfaction of primiparas.展开更多
Objective: to analyze the influence of prenatal and postpartum nursing method on breast milk secretion and feeding. Methods: choose our obstetrics and gynecology in April 2020-2021 between 120 cases of maternal, rando...Objective: to analyze the influence of prenatal and postpartum nursing method on breast milk secretion and feeding. Methods: choose our obstetrics and gynecology in April 2020-2021 between 120 cases of maternal, randomized observation group maternal prenatal postpartum nursing intervention, control group maternal routine nursing intervention, statistical two groups of maternal postpartum lactation and other clinical indicators, summarizes the effect of prenatal postpartum nursing model in maternal nursing intervention. Methods: to compare the postpartum lactation situation between the two maternal groups, the proportion of adequate maternal milk volume in the observed group was significantly higher than that in the control group. The data varied significantly between the groups (P <0.05);comparison of postpartum infant feeding data between the two maternal groups, the proportion of breastfeeding in the observation group was significantly higher than that in the control group (P <0.05);comparing the postpartum lactation time between the two maternal groups, the postpartum lactation time was earlier than the control group, and the data varied significantly between the groups (P <0.05);comparison of maternal postpartum feeding-related knowledge scores between the two groups, maternal breastfeeding skills, self-care methods, and health behavior management scores were significantly higher than those in the control group, and the data varied significantly (P <0.05). Conclusion: in the current obstetric clinical nursing work, the active prenatal and postpartum nursing intervention method can further promote the secretion of breast milk, improve the level and enthusiasm of breastfeeding, and is worth promoting.展开更多
Objective: to observe the application effect of childbirth ball combined with free posture midwifery nursing for primiparas. Methods: according to a total of 100 pregnant and lying-in women admitted to our hospital in...Objective: to observe the application effect of childbirth ball combined with free posture midwifery nursing for primiparas. Methods: according to a total of 100 pregnant and lying-in women admitted to our hospital in recent years, they were randomly divided into two groups: the control group and the observation group. The control group used conventional midwifery care, while the observation group used delivery ball combined with free body position midwifery care in addition to conventional care during childbirth. Comprehensive evaluation and analysis were made on the delivery time, delivery bleeding and pain indicators of the two groups of lying-in women, and relevant conclusions were drawn. Results: the delivery time of the observation group was significantly shorter than that of the control group, and the amount of hemorrhage during delivery was less. The pain index is obviously lower, which reduces the pain of the parturient, P < 0.05, and is relatively safer and more effective for the overall delivery process. The labor pain scores (VAS, VRS, PPI) of the observation group were lower than those of the control group (P < 0.05). Conclusion: the delivery method of delivery ball combined with free body position midwifery nursing has a very wide range of significance for reducing the pain of the parturient, reducing the amount of bleeding and shortening the delivery time of the parturient, greatly improving the success rate of delivery, and is worthy of promotion and application in clinical aspects.展开更多
Objective: to improve the clinical effect of vaginal delivery of senile primiparas, and to explore the practical application effect of painless delivery technology. Method: before the study, in the obstetric into 78 c...Objective: to improve the clinical effect of vaginal delivery of senile primiparas, and to explore the practical application effect of painless delivery technology. Method: before the study, in the obstetric into 78 cases of the research object, after the basic situation investigation confirmed that belongs to the elderly primipara, to achieve the research purpose, the puerpera is divided into two groups with different delivery methods, including a set of named regular group, another group named painless group, strengthen the application of epidural technology, The effect was evaluated by analyzing its delivery index and analgesic effect. Results: after the application of painless delivery technology, the rate of vaginal delivery in painless group was significantly higher than that in conventional group, and its delivery time and analgesic effect were relatively better (P < 0.05). Conclusion: strengthening the application of painless delivery technology in senile primiparas can achieve good analgesic effect and promote primiparas to achieve vaginal delivery smoothly.展开更多
Objective: to analyze the effect of continuous nursing on the postpartum psychological status and the compliance of pelvic floor rehabilitation nursing for primipara. Methods: a total of 150 primipara were randomly di...Objective: to analyze the effect of continuous nursing on the postpartum psychological status and the compliance of pelvic floor rehabilitation nursing for primipara. Methods: a total of 150 primipara were randomly divided into control group and observation group, with 75 cases in each group. At discharge, the control group was given routine discharge guidance, and the observation group was given continuous care intervention. The psychological and pelvic floor rehabilitation and compliance of the two groups were compared after discharge. Results: at discharge, there was no significant difference in SAS score, SDS score and pelvic floor muscle strength grade between the two groups (P>0.05). Three months after discharge, SAS and SDS scores in the observation group were lower than those in the control group. The muscle strength of observation group was significantly higher than that of control group (P<0.05). Conclusion: continuous nursing for primipara can effectively promote the recovery of pelvic floor function and improve bad mood.展开更多
Objective: to analyze the effectiveness of this method of helping pregnant women during pregnancy and childbirth. We selected the testing method for the first delivery in our hospital from January 2020 to January 2021...Objective: to analyze the effectiveness of this method of helping pregnant women during pregnancy and childbirth. We selected the testing method for the first delivery in our hospital from January 2020 to January 2021. A total of 60 cases were selected. Then all the infants were divided into two groups: observation group and control group with 30 cases each. The control group used traditional obstetric methods, while the observation group used unprotected obstetric methods. The frontal lobe ratio, pain degree, delivery time and bleeding degree of the two groups were compared. The comparative results show that the frontal lobe truncation rate of parturients in this group is significantly lower than that of the control group 14 (46.67%), and this group has maternal pain index (3.43%). In the case of maternal pain (5.73±1.34), duration of labor (643.15±49.3) and hemorrhage (341.7±16.27), the indicators of duration of labor (462.42±57.1) and hemorrhage (219.3±13.19) were also better than those of the control group. The difference of 16.27 between the two groups was statistically significant (P < 0.05). Conclusion: the use of untreated obstetric services for vaginal delivery of the first child in our hospital can effectively reduce the postpartum screening rate, shorten the delivery time of the parturient and relieve the pain of the mother, which is beneficial to the postpartum recovery of the mother and can be widely disseminated in clinical clinics.展开更多
Objective: to investigate the current situation of postpartum depression of primiparas in a community of Dongying City, and to analyze the causes affecting the occurrence of postpartum depression, so as to provide a s...Objective: to investigate the current situation of postpartum depression of primiparas in a community of Dongying City, and to analyze the causes affecting the occurrence of postpartum depression, so as to provide a strong basis for the prevention of postpartum depression. Methods: a questionnaire survey was conducted among 145 primiparas in a community of Dongying city by convenience sampling method. SPSS21.0 statistical software was used for statistical data analysis. Results: the incidence of postpartum depression was 31.03%. There were statistical significance in whether the primiparas were the only child, the per capita monthly income of the family, whether they lived with the elderly during the month, whether they were pregnant in the plan, the knowledge of maternal and maternal health care, the care of medical staff, and the influence on work and reemployment after childbirth (P < 0.05). Conclusion: the occurrence of postpartum depression is the result of a variety of factors, postpartum depression on the maternal physical and mental health, the healthy growth of infants, families, society in a burden.展开更多
The objective is to explore the effect of targeted nursing on the success rate of breast-feeding of primipara. The methods used are that 78 cases of primipara were selected from our hospital as the research subjects w...The objective is to explore the effect of targeted nursing on the success rate of breast-feeding of primipara. The methods used are that 78 cases of primipara were selected from our hospital as the research subjects who worked from May, 2019 to June, 2020. They were divided into experimental group and control group. The control group was given routine nursing, while the experimental group was given targeted nursing intervention. The nursing satisfaction and success rate of pure breastfeeding were compared between the two groups. The results are that the success rate of breast-feeding in the experimental group was significantly higher than that in the control group. The nursing satisfaction of primipara in the experimental group was significantly higher than that in the control group, and there was a difference (P < 0.05). The conclusion is that targeted nursing intervention can effectively promote the nursing satisfaction of primipara and improve the success rate of pure breastfeeding.展开更多
Objective:The purpose of this study was to evaluate the effect of continuous care on postpartum anxiety in primipara mothers in China.Methods:A quasi-experimental,non-equivalent control group design was employed.The i...Objective:The purpose of this study was to evaluate the effect of continuous care on postpartum anxiety in primipara mothers in China.Methods:A quasi-experimental,non-equivalent control group design was employed.The initial screening involved 120 primipara women from two hospitals in Shandong Province.Based on the inclusion criteria,60 eligible primipara mothers were selected to participate in the study.Results:The findings indicated that continuous care significantly reduced the anxiety levels of primipara mothers,as shown by a marked decrease in the scores on a researcher-developed anxiety scale.Conclusion:Continuous care has been proven to be an effective intervention for alleviating postpartum anxiety in Chinese primipara mothers and has a positive impact on their mental health and postpartum recovery.展开更多
Objective:This paper mainly explores the application value of unprotected midwifery care for primipara natural childbirth.Methods:120 primiparas in our hospital from January 2017 to February 2019 were divided into rou...Objective:This paper mainly explores the application value of unprotected midwifery care for primipara natural childbirth.Methods:120 primiparas in our hospital from January 2017 to February 2019 were divided into routine group and Research Group,60 cases in each group.The routine group was given routine perineal protection midwifery,and the Research Group was given routine midwifery nursing.The nursing intervention effects of the two groups were compared statistically.Results:After statistics,VAS score and bleeding volume of perineal pain in the Research Group were lower than those in the conventional group,and the length of hospital stay in the Research Group was less than that in the conventional group,P<0.05;There was no significant difference in the time of the first stage of labor,the second stage of labor and the third stage of labor between the Research Group and the conventional group(P>0.05);The incidence of complications in the Research Group was lower than that in the conventional group(P<0.05).Conclusion:The application value of unprotected midwifery nursing intervention in primipara natural childbirth is significant.展开更多
Objective To evaluate the effects of acupuncture at Hegu(LI4),Taichong(LR3)and Sanyinjiao(SP6)on pain,anxiety,intrapartum blood loss,labor stage,and neonatal outcomes in primiparas.Methods One hundred primiparas were ...Objective To evaluate the effects of acupuncture at Hegu(LI4),Taichong(LR3)and Sanyinjiao(SP6)on pain,anxiety,intrapartum blood loss,labor stage,and neonatal outcomes in primiparas.Methods One hundred primiparas were randomly divided into an acupuncture group(50 cases,1 case was eliminated)and a control group(50 cases).展开更多
基金Supported by 2024 Academy Level Research Start up Fund,No.YK202434.
文摘BACKGROUND First-time mothers may encounter various problems during postpartum,which can result in negative emotions that can affect infant care.In today’s Internet era,continuous nursing services can be provided to mothers and their babies after delivery through Internet-based platforms.This approach can help reduce negative emotions of primiparas and promote better health for both mothers and babies.AIM To explore the effect of Internet Plus-based postpartum healthcare services on postpartum depression of primiparas and neonatal growth and development and thus provide a scientific basis for strengthening postpartum healthcare measures and better protect maternal and child health.METHODS The study retrospectively collected data of primiparas and their newborns who underwent prenatal examination and successfully delivered at the Ninth People’s Hospital of Suzhou City.The observation group included 30 primiparas and their newborns who received Internet Plus-based postpartum healthcare services between July and December 2024.According to the principle of matching(1:1)control study,the control group included 30 primiparas and their newborns who received routine postpartum healthcare services between January and June 2024.The maternal role adaptation questionnaire scores,breastfeeding rates,Edinburgh postnatal depression scale(EPDS)scores,and newborn growth and development(height,head circumference,and weight)were compared between the two groups at the time of discharge after delivery and 6-week postpartum follow-up.RESULTS Upon hospital discharge,the two groups did not demonstrate significant differences in maternal role adaptation scores,breastfeeding rates,EPDS scores,as well as newborn height,head circumference,and weight at birth(P>0.05).At the 6-week postpartum follow-up,the maternal role adaptation score and breastfeeding rate were higher in the observation group than in the control group(P<0.05).In addition,one case of postpartum depression was reported in the observation group and eight in the control group.Moreover,the control group exhibited a significant increase in EPDS scores compared with scores at hospital discharge(P<0.05),whereas the observation group showed only a marginal,nonsignificant increase in EPDS scores(P>0.05).The EPDS score of the observation group was significantly lower than that of the control group(P<0.05),indicating a lower risk of postpartum depression in the observation group.The length,head circumference,and weight of the newborns 6 weeks after birth were increased compared with those at birth,and the growth rate was higher in the observation group than in the control group(P<0.05),indicating better growth and development in the observation group.CONCLUSION Internet Plus-based postpartum healthcare services improve maternal role adaptation,increase breastfeeding rates,mitigate postpartum depression risk,and promote neonatal growth and development in primiparas.
文摘BACKGROUND Primiparas are usually at high risk of experiencing perinatal depression,which may cause prolonged labor,increased blood loss,and intensified pain,affecting maternal and fetal outcomes.Therefore,interventions are necessary to improve maternal and fetal outcomes and alleviate primiparas’negative emotions(NEs).AIM To discusses the impact of nursing responsibility in midwifery and postural and psychological interventions on maternal and fetal outcomes as well as primiparas’NEs.METHODS As participants,115 primiparas admitted to Quanzhou Maternity and Child Healthcare Hospital between May 2020 and May 2022 were selected.Among them,56 primiparas(control group,Con)were subjected to conventional midwifery and routine nursing.The remaining 59(research group,Res)were subjected to the nursing model of midwifery and postural and psychological interventions.Both groups were comparatively analyzed from the perspectives of delivery mode(cesarean,natural,or forceps-assisted),maternal and fetal outcomes(uterine inertia,postpartum hemorrhage,placental abruption,neonatal pulmonary injury,and neonatal asphyxia),NEs(Hamilton Anxiety/Depressionrating Scale,HAMA/HAMD),labor duration,and nursing satisfaction.RESULTS The Res exhibited a markedly higher natural delivery rate and nursing satisfaction than the Con.Additionally,the Res indicated a lower incidence of adverse events(e.g.,uterine inertia,postpartum hemorrhage,placental abruption,neonatal lung injury,and neonatal asphyxia)and shortened duration of various stages of labor.It also showed statistically lower post-interventional HAMA and HAMD scores than the Con and pre-interventional values.CONCLUSION The nursing model of midwifery and postural and psychological interventions increase the natural delivery rate and reduce the duration of each labor stage.These are also conducive to improving maternal and fetal outcomes and mitigating primiparas’NEs and thus deserve popularity in clinical practice.
基金Supported by Chongqing Science and Health Joint Medical Research Project,No.2021MSXM034.
文摘BACKGROUND Postpartum depression refers to a depressive episode or depressive symptoms up to 12 mo after delivery.Trait mindfulness has presented a protective factor for postpartum depressive symptoms and proved efficient in improving relationship satisfaction among couples.AIM To investigate the correlations among mindfulness,marital quality,anxiety,and depression in a large city in western China during the post-corona virus infectious disease-2019 era and determine whether trait mindfulness mediates the relationship between marital quality and postpartum anxiety and depression among primiparas.METHODS A cross-sectional study was conducted.The self-administered questionnaire was submitted online through smartphones.The levels of mindfulness,anxiety,depression,and marital quality were respectively investigated by the mindful attention awareness scale(MAAS),the self-rating anxiety scale(SAS),the selfrating depression scale(SDS),and the marriage perception scale(MPS)in these enrolled Han and Tujia primiparas.RESULTS No statistical significance was observed in the prevalence of postpartum anxiety and depression,nor scores of MAAS and MPS-Total in different regions or ethnicities(P>0.05).However,MPSMarital interaction(P<0.05),MPS-Family relationship(MPS-FR)(P<0.01),and MPS-Marital conflict(MPS-MC)(P<0.01)scores of urban primiparas were higher than those of rural primiparas.The MPS-MC score of Han primiparas was higher than that of Tujia primiparas(P<0.05).Negative correlations were observed between MAAS and SAS(r=-0.457,P<0.01),and MAAS and SDS(r=-0.439,P<0.01).SAS has revealed a highly positive correlation with SDS(r=0.720,P<0.01)and a weak negative correlation with MPS(r=-0.200,P<0.05).Besides,a weak negative correlation was observed between MAAS and MPS-MC(r=-0.184,P<0.05),and a weak positive correlation was noticed between SAS and MPS-MC(r=-0.225,P<0.01).Mediation analysis demonstrated a full mediation effect of mindfulness level on the relationship between MPS-FR and postpartum anxiety(P<0.05,95%CI:-0.384 to 0.033),MPS-MC and postpartum anxiety(P<0.01,95%CI:0.027-0.193),MPS-FR and postpartum depression(P<0.05,95%CI:-0.365 to 0.031),and MPS-MC and postpartum depression(P<0.01,95%CI:0.022-0.206).CONCLUSION Mindfulness demonstrates negative correlations with marital conflict,postpartum anxiety and depression,and it may have cross-ethnic and trans-regional characteristics.Although the mindfulness levels have revealed no significant mediating effect between the total score of marital quality and postpartum depression in this study,it demonstrates a full mediation effect on the relationships between family relationships,marital conflict,and postpartum anxiety and depression.
文摘Introduction: The delivery of a primipara, a woman giving birth for the first time, is challenging and may lead to complications and influence the obstetrical future of a woman. Materials and Methods: We carried out a cross-sectional and analytical study at the maternity of the regional hospital annex of Ayos, a semi-rural locality in Cameroon, for the period between January 2012 and December 2020. The objective was to determine the frequency and the determinants of primipara delivery. Results: We recruited 440 cases. The frequency of primipara delivery was 31.8%. The ages of the participants ranged from 12 to 35 years with a mean age of 18.01 ± 3.52 years. Single women contributed to 95.5% of cases while 97.5% were unemployed. The delivery occurred at term in 90.2% and 98.4% of pregnancies were singleton. The delivery was vaginal in 91.6%, while caesarean delivery was done in 8.4% (8% emergency and 0.4% elective). The most frequent maternal complications were genital tract tears (15.7%), post-partum hemorrhage (12.5%) and endometritis (2.7%). The birth weight of newborns ranged from 1070 to 4500 g with a mean of 3024.5 ± 511.4 g. The single marital status, a gestational age between 37 and 42 weeks and a birth weight between 1500 g and 2499 g were significantly associated with vaginal delivery. Conclusion: The frequency of primiparous delivery was relatively high (31.8%) in the Ayos semi-rural health district of Cameroon. Major complications associated with delivery included genital tract tears, post-partum hemorrhage, cesarean section and neo-natal infection.
文摘Background: Labor induction has a low success rate, especially in primiparas with unruptured membranes. Previous studies focused on pregnant women with unruptured membranes, but none specifically targeted primiparas. Aims: To compare the effectiveness of a controlled-release dinoprostone vaginal delivery system for cervical dilatation (PROPESS) with that of mechanical dilation for labor induction in primiparous women with unruptured membranes. Materials and Methods: We retrospectively analyzed the data of 90 primiparas with unruptured membranes (41 and 49 in the PROPESS and mechanical dilation groups, respectively). The primary outcome was the cesarean section (CS) rate. The secondary outcomes were the prevalence of vaginal delivery within 12 or 24 h after the initial insertion, oxytocin usage rate, chorioamnionitis, additional use of mechanical dilation in the PROPESS group, and neonatal outcomes. Results: The CS rate was significantly lower in the PROPESS group than in the mechanical dilation group (p = 0.02). A total of 13 patients (31.7%) delivered within 24 h with PROPESS alone, indicating a significantly higher rate of delivery within 24 h in the PROPESS group (p = 0.02). Fewer patients required additional oxytocin in the PROPESS group than in the mechanical dilation group (p = 0.001). However, 14 (34%) patients in the PROPESS group required additional mechanical cervical dilation, resulting in a longer time to delivery than mechanical dilation. Conclusions: PROPESS significantly reduced CS rates and increased delivery rates 24 h after the initial insertion in primiparas with unruptured membranes compared to mechanical dilatation. However, failure to respond to PROPESS resulted in an overall longer delivery time than that of the conventional mechanical dilation group;therefore, identifying predictors of response to PROPESS is necessary.
文摘Objective:To explore the treatment of Morita therapy combined with transcranial magnetic stimulation in postpartum depression of primipara and its effect on prolactin.Method:From May 2018 to November 2019,92 cases of postpartum depression and postpartum women who were treated in our hospital were randomly divided into 2 groups,46 cases each.The control group was treated with transcranial magnetic stimulator,and the observation group was treated with Morita therapy on the basis of the control group.Both groups were treated continuously for 6 weeks.The degree of depression and prolactin levels of the two groups was observed.Results:After 6 weeks of treatment,the HAMD scores of the two groups were lower than before the treatment,and the observation group was the lowest.The prolactin levels of the two groups were higher than before the treatment,and the observation group was the highest.The difference was statistically significant(P<0.05).Conclusion:Morita therapy combined with transcranial magnetic stimulation can effectively improve the postpartum depression of primiparas,increase the level of prolactin,and have a good clinical effect.
文摘Objective: to investigate the influence of postpartum personalized rehabilitation nursing on postpartum lactation and uterine rejuvenation. Methods: the first mothers were divided into 40 study group and control group, with routine perinatal nursing, personalized perinatal rehabilitation nursing, and maternal lactation, uterine rejuvenation and perinatal complications were evaluated. Results: the time of first lactation in the observation group was significantly shorter than the normal group, and the excellent rate of milk was higher than the control group, the incidence of 4, the endometrial thickness within 10 mm, and the incidence of perinatal complications was lower (P < 0.05). Conclusion: personalized perinatal rehabilitation care can improve the rejuvenation of postpartum lactation and uterus, and reduce the occurrence of perinatal complications.
文摘Objective: to analyze and study the influence of continuous midwifery service nursing on the rate of non drug analgesia delivery and natural delivery of primipara. Methods: 90 primiparas were randomly selected as the research object, and randomly divided into control group and observation group, with 45 cases in each group. The control group was given routine nursing, and the observation group was given continuous midwifery nursing. The effects of the two nursing methods on the choice of delivery mode, delivery process, postpartum bleeding and satisfaction of primiparas were compared. Results: the natural delivery rate in the observation group was significantly higher than that in the control group (P < 0.05). The delivery time and bleeding volume in the observation group were significantly lower than those in the control group (P < 0.05). The maternal satisfaction in the observation group was significantly higher than that in the control group (P < 0.05). Conclusion: after the intervention of continuous midwifery nursing, more primiparas choose natural delivery and complete it smoothly, which is conducive to improve the nursing satisfaction of primiparas.
文摘Objective: to analyze the influence of prenatal and postpartum nursing method on breast milk secretion and feeding. Methods: choose our obstetrics and gynecology in April 2020-2021 between 120 cases of maternal, randomized observation group maternal prenatal postpartum nursing intervention, control group maternal routine nursing intervention, statistical two groups of maternal postpartum lactation and other clinical indicators, summarizes the effect of prenatal postpartum nursing model in maternal nursing intervention. Methods: to compare the postpartum lactation situation between the two maternal groups, the proportion of adequate maternal milk volume in the observed group was significantly higher than that in the control group. The data varied significantly between the groups (P <0.05);comparison of postpartum infant feeding data between the two maternal groups, the proportion of breastfeeding in the observation group was significantly higher than that in the control group (P <0.05);comparing the postpartum lactation time between the two maternal groups, the postpartum lactation time was earlier than the control group, and the data varied significantly between the groups (P <0.05);comparison of maternal postpartum feeding-related knowledge scores between the two groups, maternal breastfeeding skills, self-care methods, and health behavior management scores were significantly higher than those in the control group, and the data varied significantly (P <0.05). Conclusion: in the current obstetric clinical nursing work, the active prenatal and postpartum nursing intervention method can further promote the secretion of breast milk, improve the level and enthusiasm of breastfeeding, and is worth promoting.
文摘Objective: to observe the application effect of childbirth ball combined with free posture midwifery nursing for primiparas. Methods: according to a total of 100 pregnant and lying-in women admitted to our hospital in recent years, they were randomly divided into two groups: the control group and the observation group. The control group used conventional midwifery care, while the observation group used delivery ball combined with free body position midwifery care in addition to conventional care during childbirth. Comprehensive evaluation and analysis were made on the delivery time, delivery bleeding and pain indicators of the two groups of lying-in women, and relevant conclusions were drawn. Results: the delivery time of the observation group was significantly shorter than that of the control group, and the amount of hemorrhage during delivery was less. The pain index is obviously lower, which reduces the pain of the parturient, P < 0.05, and is relatively safer and more effective for the overall delivery process. The labor pain scores (VAS, VRS, PPI) of the observation group were lower than those of the control group (P < 0.05). Conclusion: the delivery method of delivery ball combined with free body position midwifery nursing has a very wide range of significance for reducing the pain of the parturient, reducing the amount of bleeding and shortening the delivery time of the parturient, greatly improving the success rate of delivery, and is worthy of promotion and application in clinical aspects.
文摘Objective: to improve the clinical effect of vaginal delivery of senile primiparas, and to explore the practical application effect of painless delivery technology. Method: before the study, in the obstetric into 78 cases of the research object, after the basic situation investigation confirmed that belongs to the elderly primipara, to achieve the research purpose, the puerpera is divided into two groups with different delivery methods, including a set of named regular group, another group named painless group, strengthen the application of epidural technology, The effect was evaluated by analyzing its delivery index and analgesic effect. Results: after the application of painless delivery technology, the rate of vaginal delivery in painless group was significantly higher than that in conventional group, and its delivery time and analgesic effect were relatively better (P < 0.05). Conclusion: strengthening the application of painless delivery technology in senile primiparas can achieve good analgesic effect and promote primiparas to achieve vaginal delivery smoothly.
文摘Objective: to analyze the effect of continuous nursing on the postpartum psychological status and the compliance of pelvic floor rehabilitation nursing for primipara. Methods: a total of 150 primipara were randomly divided into control group and observation group, with 75 cases in each group. At discharge, the control group was given routine discharge guidance, and the observation group was given continuous care intervention. The psychological and pelvic floor rehabilitation and compliance of the two groups were compared after discharge. Results: at discharge, there was no significant difference in SAS score, SDS score and pelvic floor muscle strength grade between the two groups (P>0.05). Three months after discharge, SAS and SDS scores in the observation group were lower than those in the control group. The muscle strength of observation group was significantly higher than that of control group (P<0.05). Conclusion: continuous nursing for primipara can effectively promote the recovery of pelvic floor function and improve bad mood.
文摘Objective: to analyze the effectiveness of this method of helping pregnant women during pregnancy and childbirth. We selected the testing method for the first delivery in our hospital from January 2020 to January 2021. A total of 60 cases were selected. Then all the infants were divided into two groups: observation group and control group with 30 cases each. The control group used traditional obstetric methods, while the observation group used unprotected obstetric methods. The frontal lobe ratio, pain degree, delivery time and bleeding degree of the two groups were compared. The comparative results show that the frontal lobe truncation rate of parturients in this group is significantly lower than that of the control group 14 (46.67%), and this group has maternal pain index (3.43%). In the case of maternal pain (5.73±1.34), duration of labor (643.15±49.3) and hemorrhage (341.7±16.27), the indicators of duration of labor (462.42±57.1) and hemorrhage (219.3±13.19) were also better than those of the control group. The difference of 16.27 between the two groups was statistically significant (P < 0.05). Conclusion: the use of untreated obstetric services for vaginal delivery of the first child in our hospital can effectively reduce the postpartum screening rate, shorten the delivery time of the parturient and relieve the pain of the mother, which is beneficial to the postpartum recovery of the mother and can be widely disseminated in clinical clinics.
文摘Objective: to investigate the current situation of postpartum depression of primiparas in a community of Dongying City, and to analyze the causes affecting the occurrence of postpartum depression, so as to provide a strong basis for the prevention of postpartum depression. Methods: a questionnaire survey was conducted among 145 primiparas in a community of Dongying city by convenience sampling method. SPSS21.0 statistical software was used for statistical data analysis. Results: the incidence of postpartum depression was 31.03%. There were statistical significance in whether the primiparas were the only child, the per capita monthly income of the family, whether they lived with the elderly during the month, whether they were pregnant in the plan, the knowledge of maternal and maternal health care, the care of medical staff, and the influence on work and reemployment after childbirth (P < 0.05). Conclusion: the occurrence of postpartum depression is the result of a variety of factors, postpartum depression on the maternal physical and mental health, the healthy growth of infants, families, society in a burden.
文摘The objective is to explore the effect of targeted nursing on the success rate of breast-feeding of primipara. The methods used are that 78 cases of primipara were selected from our hospital as the research subjects who worked from May, 2019 to June, 2020. They were divided into experimental group and control group. The control group was given routine nursing, while the experimental group was given targeted nursing intervention. The nursing satisfaction and success rate of pure breastfeeding were compared between the two groups. The results are that the success rate of breast-feeding in the experimental group was significantly higher than that in the control group. The nursing satisfaction of primipara in the experimental group was significantly higher than that in the control group, and there was a difference (P < 0.05). The conclusion is that targeted nursing intervention can effectively promote the nursing satisfaction of primipara and improve the success rate of pure breastfeeding.
文摘Objective:The purpose of this study was to evaluate the effect of continuous care on postpartum anxiety in primipara mothers in China.Methods:A quasi-experimental,non-equivalent control group design was employed.The initial screening involved 120 primipara women from two hospitals in Shandong Province.Based on the inclusion criteria,60 eligible primipara mothers were selected to participate in the study.Results:The findings indicated that continuous care significantly reduced the anxiety levels of primipara mothers,as shown by a marked decrease in the scores on a researcher-developed anxiety scale.Conclusion:Continuous care has been proven to be an effective intervention for alleviating postpartum anxiety in Chinese primipara mothers and has a positive impact on their mental health and postpartum recovery.
文摘Objective:This paper mainly explores the application value of unprotected midwifery care for primipara natural childbirth.Methods:120 primiparas in our hospital from January 2017 to February 2019 were divided into routine group and Research Group,60 cases in each group.The routine group was given routine perineal protection midwifery,and the Research Group was given routine midwifery nursing.The nursing intervention effects of the two groups were compared statistically.Results:After statistics,VAS score and bleeding volume of perineal pain in the Research Group were lower than those in the conventional group,and the length of hospital stay in the Research Group was less than that in the conventional group,P<0.05;There was no significant difference in the time of the first stage of labor,the second stage of labor and the third stage of labor between the Research Group and the conventional group(P>0.05);The incidence of complications in the Research Group was lower than that in the conventional group(P<0.05).Conclusion:The application value of unprotected midwifery nursing intervention in primipara natural childbirth is significant.
文摘Objective To evaluate the effects of acupuncture at Hegu(LI4),Taichong(LR3)and Sanyinjiao(SP6)on pain,anxiety,intrapartum blood loss,labor stage,and neonatal outcomes in primiparas.Methods One hundred primiparas were randomly divided into an acupuncture group(50 cases,1 case was eliminated)and a control group(50 cases).
