Objective:To analyze the nursing effect of psychological resilience support combined with midwife-integrated full-course care on primiparous women.Methods:A total of 66 primiparous women who were admitted to the hospi...Objective:To analyze the nursing effect of psychological resilience support combined with midwife-integrated full-course care on primiparous women.Methods:A total of 66 primiparous women who were admitted to the hospital for delivery from April 2022 to April 2024 were selected,all of whom underwent vaginal delivery.They were randomly divided into two groups using a random number table.The combined group received integrated full-course care from midwives under the premise of psychological resilience support,while the conventional group only received routine care.The nursing effects were compared between the two groups.Results:The breastfeeding rate of the combined group was higher than that of the conventional group at different time points after delivery,the postpartum complication rate was lower than that of the conventional group,the psychological resilience scores were higher than those of the conventional group at different stages of labor,and the nursing satisfaction was higher than that of the conventional group(P<0.05).Conclusion:Under the premise of psychological resilience support,integrated full-course care implemented by midwives can improve the breastfeeding rate,actively prevent postpartum complications,significantly improve psychological resilience,and achieve better nursing satisfaction.展开更多
BACKGROUND There are many drawbacks to the traditional midwifery service management model,which can no longer meet the needs of the new era.The Internet+continuous midwifery service management model extends maternal m...BACKGROUND There are many drawbacks to the traditional midwifery service management model,which can no longer meet the needs of the new era.The Internet+continuous midwifery service management model extends maternal management from prenatal to postpartum,in-hospital to out-of-hospital,and offline to online,thereby improving maternal and infant outcomes.Applying the Internet+continuous midwifery service management model to manage women with highrisk pregnancies(HRP)can improve their psycho-emotional opinion and,in turn,minimize the risk of adverse maternal and/or fetal outcomes.AIM To explore the effectiveness of a midwife-led Internet+continuous midwifery service model for women with HRP.METHODS We retrospectively analyzed the clinical data of 439 women with HRP who underwent prenatal examination and delivered at Shanghai Sixth People's Hospital(affiliated to the Shanghai Jiao Tong University School of Medicine)from April to December 2022.Among them,239 pregnant women underwent routine obstetric management,and 200 pregnant women underwent Internet+continuous midwifery service mode management.We used the State-Trait Anxiety Inventory,Edinburgh Postnatal Depression Scale,and analysis of delivery outcomes to compare psychological mood and the incidence of adverse delivery outcomes between the two groups.RESULTS The data showed that in early pregnancy,the anxiety and depression levels of the two groups were similar;the levels gradually decreased as pregnancy progressed,and the decrease in the continuous group was more significant[31.00(29.00,34.00)vs 34.00(32.00,37.00),8.00(6.00,9.00)vs 12.00(10.00,13.00),P<0.05].The maternal self-efficacy level and strategy for weight gain management were better in the continuous group than in the traditional group,and the effective rate of midwifery service intervention in the continuous group was significantly higher than in the control group[267.50(242.25,284.75)vs 256.00(233.00,278.00),74.00(69.00,78.00)vs 71.00(63.00,78.00),P<0.05].The incidence of adverse delivery outcomes in pregnant women and newborns and fear of maternal childbirth were lower in the continuous group than in the traditional group,and nursing satisfaction was higher[10.50%vs 18.83%,8.50%vs 15.90%,24.00%vs 42.68%,89.50%vs 76.15%,P<0.05].CONCLUSION The Internet+continuous midwifery service model promotes innovation through integration and is of great significance for improving and promoting maternal and child health in HRP.展开更多
Effective communication and emotional support of parturient women improve the outcome of childbirth. Reduction in Duration of labor, cesarean rate, use of anesthesia, and 5 minute Apgar Score less than 7 can achieve. ...Effective communication and emotional support of parturient women improve the outcome of childbirth. Reduction in Duration of labor, cesarean rate, use of anesthesia, and 5 minute Apgar Score less than 7 can achieve. This study was a part of a large mixed method study during 2013-2014. In this qualitative study, in-depth interviews were conducted with 32 participants (16 mother and 16 midwife), using semi-structured interviews. Participants were recruited by pur-posive sampling with maximum diversity in terms of age, occupation, education and etc. Educational hospital of Arak University of Medical Sciences was considered as the setting. Each interview was conducted at a private and convenient location and took about 30 to 45 minutes. Interviews were audio taped and transcribed verbatim. Conventional content analysis was done for data analysis. Interviews continued until data saturation was obtained. Data were coded in MAXQDA software (version 11). The main category emerged as “outcome” of midwife-mother relationship. Facilitating childbirth, positive experience, mental health promotion and improvement in quality of life were derived as subcategories. Good midwife-mother relationship could promote positive outcome in labour. Results could assist midwives in providing holistic quality care to mothers during labour, thus providing positive consequence in child birth. Also, results could provide a framework and guidance for policymakers to create appropriate context for the midwife-mother relationship in maternity care.展开更多
The expectations of a successful outcome during childbirth are high for all of the parties concerned. The overall objective of prenatal care and birth care is that midwives contribute to create the most positive exper...The expectations of a successful outcome during childbirth are high for all of the parties concerned. The overall objective of prenatal care and birth care is that midwives contribute to create the most positive experience for the expectant parents concerning their pregnancy, the actual childbirth and the child’s infancy. During the past thirty years, there has been a significant increase in Caesarean section frequency both in Sweden and in the rest of the Western World. More parents feel an overall insecurity when it comes to the labor phase leading up to childbirth. The purpose of this study was to describe how midwives experience their work of creating a sense of security and providing good nursing care when meeting with the expectant parents. A phenomenological approach was implemented using eleven qualitative interviews and these were analyzed with Giorgis’ method of analysis. The results of this analysis revealed three themes: organizational-professional conditions, the communicative ability of the midwives and their reflective-emotional competence. The ability of the midwives to trust their inner sensibility and intuition was something that was characteristic of all the interviews and consequently this was the essence of the results. Managements’ organization of the workload and how management utilized competent and experienced midwives affected the midwives’ ability to contribute to a sense of security and provide competent nursing care for expectant parents. When the communication was based on sensibility and compassion, the midwives’ were enabled to create a sound and trusting relationship between themselves, the MVC and with the expectant parents. The emotional involvement on the part of the midwives was an essential requirement for carrying out the work in a satisfactory manner. Perhaps a question for future research is how inner knowledge based on practical experience can benefit new personnel and how the organization and the education of healthcare providers can utilize the intuitive knowledge of midwives.展开更多
The term medicalization has been defined as the process by which non-medical issues come to be defined and treated as medical problems. There are no better examples of this than pregnancy and childbirth. Prior to the ...The term medicalization has been defined as the process by which non-medical issues come to be defined and treated as medical problems. There are no better examples of this than pregnancy and childbirth. Prior to the intervention of physicians and hospitals, most females delivered unassisted or assisted by a relative or a midwife who usually had no formal education. As long as this remained the practice, pregnancy could not become a medical procedure. Through systematic changes, discussed in detail herein, this primarily female-oriented event involving family and amateur aids would come to be dominated by males who were the sole legally authorized providers of obstetrical care [1]. The increasing cultural authority of medicine facilitated the transfer of home delivery to hospital delivery and changed normal birth into a surgical procedure. This paper will examine the history of obstetrics and how a profession comes to redefine a normal life event as a disease state.展开更多
Objective:To systematically review the influence of psychological intervention of midwives on the delivery mode and outcomes.Methods:Databases including Cochrane Library,PubMed,Medline,EMBASE,CINAHL,CNKI,Wangfang,and ...Objective:To systematically review the influence of psychological intervention of midwives on the delivery mode and outcomes.Methods:Databases including Cochrane Library,PubMed,Medline,EMBASE,CINAHL,CNKI,Wangfang,and VIP were searched for randomized controlled trials studying the effects of midwife-led psychological nursing on puerpera.Two evaluators independently searched and screened the papers,extracted relevant data,and quality assessment of the included studies,followed by a meta-analysis of the papers using RevMan 5.3 software.Results:12 studies with 1,395 patients were included.The results of the meta-analysis showed that compared to conventional nursing,midwife-led psychological intervention can improve the number of people who choose natural delivery[Z=7.53,95%CI(2.07,3.45),P<0.001],shorten the duration of the first stage of delivery[Z=45.10,95%CI(-4.43,-4.06),P<0.001),reduce postpartum hemorrhage after delivery for two hours[Z=21.68,95%CI(-63.92,-53.32),P<0.001];these differences were statistically significant.Conclusion:Psychological interventions led by midwives can improve the natural delivery rate of pregnant women,shorten the duration of the first stage of delivery,and decrease postpartum hemorrhage after delivery for two hours;thus,it can be popularized for clinical use.展开更多
Background:The midwife plays a critical role in health counselling and education,not just for women but also for their families and communities.At the current time,with the growth of the midwifery workforce globally,t...Background:The midwife plays a critical role in health counselling and education,not just for women but also for their families and communities.At the current time,with the growth of the midwifery workforce globally,there is still a lack of understanding regarding the full scope and role of the midwife.Aim:To evaluate the current situation of knowledge of midwives’role among women in Makkah.In addition,this study identifies the effect of women’s knowledge on their preferences for receiving maternity care from health professionals.Methods:This study employed a descriptive quantitative cross-sectional method.The total resultant sample size(N)equalled 379 global respondents,of which 306,with a response rate=of 80.73%completed the entire survey as requested.An electronic questionnaire in the Arabic language was used in this study.Results:Results revealed that most women had incorrect knowledge regarding three aspects of the midwives’roles during pregnancy 53.9%,labour 52.8%and childbirth 61.9%.Also,results presented that most women preferred obstetricians to follow up on an uncomplicated pregnancy,labour,childbirth,and maternity care 69.6%,53.9%,64.7%and 46.1%,respectively.The study found that the women’s knowledge about midwives’roles affects their preferences for healthcare professionals in receiving maternity care(P<0.05).Conclusion:Responses showed that most participants had no experience and had negative views about midwives’roles.Thus,it would affect their health professionals’preferences for receiving maternity care.Therefore,midwifery services and maternity care professionals should prioritize educating women about midwives’competencies in maternity care.展开更多
Objective: to explore the clinical efficacy and nursing satisfaction of midwife-led family members with childbirth. Methods: from January 2021 to October 2021 in our hospital, 60 pregnant women were randomized, that i...Objective: to explore the clinical efficacy and nursing satisfaction of midwife-led family members with childbirth. Methods: from January 2021 to October 2021 in our hospital, 60 pregnant women were randomized, that is, control group (n=30) and observation group (n=30). Pregnant women in the control group used routine nursing intervention, and pregnant women in the observation group used midwife-led family companion delivery intervention based on the control group. Results: delivery time, delivery outcome, care satisfaction and pain degree were significantly better than the control group, with P <0.05. Conclusion: the midwife-led family companion delivery intervention method was highly effective.展开更多
Objective: to understand the risk factors of occupational exposure in midwives, explore the causes, and formulate effective preventive measures. Methods: 126 cases of puerpera who delivered in our hospital from Februa...Objective: to understand the risk factors of occupational exposure in midwives, explore the causes, and formulate effective preventive measures. Methods: 126 cases of puerpera who delivered in our hospital from February 2018 to November 2019 were divided into two groups. The control group was given routine nursing, and the experimental group was given risk management during midwifery. The differences of nursing risk, satisfaction, and pregnancy outcome and delivery mode between the two groups were observed. Results: the incidence of nurse patient disputes and complaints in the experimental group were 1.59% and 0.00%, which were significantly lower than those in the control group, and the satisfaction rate was 98.41% (P < 0.05);the incidence of dystocia, postpartum hemorrhage and neonatal asphyxia in the experimental group were 0.00%, 0.00% and 3.17%, respectively, which were significantly lower than those in the control group (P < 0.05);the incidence of spontaneous labor in the experimental group was 63.49%, which was higher than that in the control group, and the cesarean section was 25.40%, which was 11.11% lower than that in the control group(P<0.05).The emergency nursing of midwives in the delivery room can optimize the delivery outcome, shorten the labor process, reduce the amount of bleeding, and promote the recovery of puerpera, which is worthy of application and promotion.展开更多
Objective: to study the effect of a midwife-led comprehensive intervention in late pregnancy on maternal self-efficacy and delivery outcomes.Methods: the samples were selected from August 2021 to December 2021, and a ...Objective: to study the effect of a midwife-led comprehensive intervention in late pregnancy on maternal self-efficacy and delivery outcomes.Methods: the samples were selected from August 2021 to December 2021, and a total of 100 samples were randomly divided into the control group and the observation group. The application value of the third-pregnancy comprehensive intervention led by midwives was analyzed.Results: the natural delivery rate was higher than the control group (P <0.05);lower (P <0.05);Lower self-efficacy and social support scores in the control group (P <0.05): lower GAD-7 and PHQ-9 (P <0.05);lower GQOL-74 scores than the control group (P <0.05). Conclusion: the comprehensive nursing intervention in the field, improve the cognition of natural delivery, improve the natural delivery rate, promote the effective improvement of maternal self-efficacy and social support evaluation, reduce the influence of postpartum bad mood, optimize the overall quality of life, has high clinical application value.展开更多
Objective: to explore and analyze the effect of the delivery room midwife to reduce the postpartum bleeding. Methods: 60 women from January 2020 to February 2021 were randomly divided into 2 groups and 30 in each grou...Objective: to explore and analyze the effect of the delivery room midwife to reduce the postpartum bleeding. Methods: 60 women from January 2020 to February 2021 were randomly divided into 2 groups and 30 in each group;the observation group performed full care measures for midwives in the delivery room and the control group performed routine nursing intervention. Results: the difference between the two groups was not significant, P> 0.05. The labor schedule and clinical delivery indicators in the observation group were better than the control group, P <0.05. Conclusion: the delivery midwife can reduce the incidence of postpartum bleeding.展开更多
Objective:To discuss and analyze the effectiveness of the application of perineal wound model in teaching midwife interns.Methods:The research subjects in this study were 40 midwife interns who enrolled in our hospita...Objective:To discuss and analyze the effectiveness of the application of perineal wound model in teaching midwife interns.Methods:The research subjects in this study were 40 midwife interns who enrolled in our hospital from January 2020 to December 2022,which were divided into a control group(consisted of 20 interns,taught with the conventional method)and a research group(consisted of 20 participants,taught with the perineal wound model)using the random number table method.The outcomes of these two groups were compared.Results:The examination results of the research group were better than control group(P<0.05);the interns of the research group were more satisfied towards the teaching method compared to the control group(P<0.05).Conclusion:Applying the perineal wound model in teaching midwife interns could effectively improve their examination achievements and teaching satisfaction,which brings a significant clinical value.展开更多
Objective: to analyze the practical effect of postpartum hemorrhage. Methods: 94 women were included in the experimental study and divided into group A (observation group) and group B (control group), with 47 cases in...Objective: to analyze the practical effect of postpartum hemorrhage. Methods: 94 women were included in the experimental study and divided into group A (observation group) and group B (control group), with 47 cases in each group. To group B maternal to carry out general care, for group A maternal maternity midwife nursing care, during, the midwife needs to record the corresponding observation indicators, compare the final nursing effect, namely maternal evaluation of nursing mode, postpartum bleeding phenomenon, natural delivery, newborn asphyxia and maternal production time and postpartum time of bleeding. Results: In terms of the evaluation of the care mode in the two maternal groups, Most women in group A rated higher patterns of care, The total satisfaction rate was 97.9%, However, group B was relatively low, The total satisfaction rate was 78.7%, The gap between the two groups was significant (P <0.05);In terms of postpartum bleeding in both maternal groups, Few women had postpartum bleeding in group A, Only 4.3% of the total was represented, Relatively many women had postpartum bleeding in group B, For 14.9%, The gap between the two groups was significant (P <0.05);In terms of natural birth rates and neonatal asphyxia in both groups, More women gave natural naturally in group A, For 87.23%, And very few newborns have suffocation, The total chance of occurrence was only 4.26%, However, the natural delivery rate in group B was 74.47%, Among them, neonatal asphyxia is relatively many cases, For 10.64%, The gap between the two groups was significant (P <0.05);In terms of production time and 2h in 2 h and 24h, Maternal took a short time in group A, And the amount of bleeding at 2h and 24h postpartum was relatively normal, And Group B women took a relatively long production time, More bleeding occurred at 2h and 24h postpartum, The gap between the two groups was significant (P <0.05).In conclusion, the nursing effect of group A was significantly better. Conclusion: maternity midwife nursing is crucial to prevent postpartum bleeding, and the application effect is very significant. On the one hand, it has a certain control and preventive effect on the maternal postpartum hemorrhage, which can also promote the rapid recovery of maternal prognosis, which is worth vigorously promoting and popularizing.展开更多
文摘Objective:To analyze the nursing effect of psychological resilience support combined with midwife-integrated full-course care on primiparous women.Methods:A total of 66 primiparous women who were admitted to the hospital for delivery from April 2022 to April 2024 were selected,all of whom underwent vaginal delivery.They were randomly divided into two groups using a random number table.The combined group received integrated full-course care from midwives under the premise of psychological resilience support,while the conventional group only received routine care.The nursing effects were compared between the two groups.Results:The breastfeeding rate of the combined group was higher than that of the conventional group at different time points after delivery,the postpartum complication rate was lower than that of the conventional group,the psychological resilience scores were higher than those of the conventional group at different stages of labor,and the nursing satisfaction was higher than that of the conventional group(P<0.05).Conclusion:Under the premise of psychological resilience support,integrated full-course care implemented by midwives can improve the breastfeeding rate,actively prevent postpartum complications,significantly improve psychological resilience,and achieve better nursing satisfaction.
文摘BACKGROUND There are many drawbacks to the traditional midwifery service management model,which can no longer meet the needs of the new era.The Internet+continuous midwifery service management model extends maternal management from prenatal to postpartum,in-hospital to out-of-hospital,and offline to online,thereby improving maternal and infant outcomes.Applying the Internet+continuous midwifery service management model to manage women with highrisk pregnancies(HRP)can improve their psycho-emotional opinion and,in turn,minimize the risk of adverse maternal and/or fetal outcomes.AIM To explore the effectiveness of a midwife-led Internet+continuous midwifery service model for women with HRP.METHODS We retrospectively analyzed the clinical data of 439 women with HRP who underwent prenatal examination and delivered at Shanghai Sixth People's Hospital(affiliated to the Shanghai Jiao Tong University School of Medicine)from April to December 2022.Among them,239 pregnant women underwent routine obstetric management,and 200 pregnant women underwent Internet+continuous midwifery service mode management.We used the State-Trait Anxiety Inventory,Edinburgh Postnatal Depression Scale,and analysis of delivery outcomes to compare psychological mood and the incidence of adverse delivery outcomes between the two groups.RESULTS The data showed that in early pregnancy,the anxiety and depression levels of the two groups were similar;the levels gradually decreased as pregnancy progressed,and the decrease in the continuous group was more significant[31.00(29.00,34.00)vs 34.00(32.00,37.00),8.00(6.00,9.00)vs 12.00(10.00,13.00),P<0.05].The maternal self-efficacy level and strategy for weight gain management were better in the continuous group than in the traditional group,and the effective rate of midwifery service intervention in the continuous group was significantly higher than in the control group[267.50(242.25,284.75)vs 256.00(233.00,278.00),74.00(69.00,78.00)vs 71.00(63.00,78.00),P<0.05].The incidence of adverse delivery outcomes in pregnant women and newborns and fear of maternal childbirth were lower in the continuous group than in the traditional group,and nursing satisfaction was higher[10.50%vs 18.83%,8.50%vs 15.90%,24.00%vs 42.68%,89.50%vs 76.15%,P<0.05].CONCLUSION The Internet+continuous midwifery service model promotes innovation through integration and is of great significance for improving and promoting maternal and child health in HRP.
文摘Effective communication and emotional support of parturient women improve the outcome of childbirth. Reduction in Duration of labor, cesarean rate, use of anesthesia, and 5 minute Apgar Score less than 7 can achieve. This study was a part of a large mixed method study during 2013-2014. In this qualitative study, in-depth interviews were conducted with 32 participants (16 mother and 16 midwife), using semi-structured interviews. Participants were recruited by pur-posive sampling with maximum diversity in terms of age, occupation, education and etc. Educational hospital of Arak University of Medical Sciences was considered as the setting. Each interview was conducted at a private and convenient location and took about 30 to 45 minutes. Interviews were audio taped and transcribed verbatim. Conventional content analysis was done for data analysis. Interviews continued until data saturation was obtained. Data were coded in MAXQDA software (version 11). The main category emerged as “outcome” of midwife-mother relationship. Facilitating childbirth, positive experience, mental health promotion and improvement in quality of life were derived as subcategories. Good midwife-mother relationship could promote positive outcome in labour. Results could assist midwives in providing holistic quality care to mothers during labour, thus providing positive consequence in child birth. Also, results could provide a framework and guidance for policymakers to create appropriate context for the midwife-mother relationship in maternity care.
文摘The expectations of a successful outcome during childbirth are high for all of the parties concerned. The overall objective of prenatal care and birth care is that midwives contribute to create the most positive experience for the expectant parents concerning their pregnancy, the actual childbirth and the child’s infancy. During the past thirty years, there has been a significant increase in Caesarean section frequency both in Sweden and in the rest of the Western World. More parents feel an overall insecurity when it comes to the labor phase leading up to childbirth. The purpose of this study was to describe how midwives experience their work of creating a sense of security and providing good nursing care when meeting with the expectant parents. A phenomenological approach was implemented using eleven qualitative interviews and these were analyzed with Giorgis’ method of analysis. The results of this analysis revealed three themes: organizational-professional conditions, the communicative ability of the midwives and their reflective-emotional competence. The ability of the midwives to trust their inner sensibility and intuition was something that was characteristic of all the interviews and consequently this was the essence of the results. Managements’ organization of the workload and how management utilized competent and experienced midwives affected the midwives’ ability to contribute to a sense of security and provide competent nursing care for expectant parents. When the communication was based on sensibility and compassion, the midwives’ were enabled to create a sound and trusting relationship between themselves, the MVC and with the expectant parents. The emotional involvement on the part of the midwives was an essential requirement for carrying out the work in a satisfactory manner. Perhaps a question for future research is how inner knowledge based on practical experience can benefit new personnel and how the organization and the education of healthcare providers can utilize the intuitive knowledge of midwives.
文摘The term medicalization has been defined as the process by which non-medical issues come to be defined and treated as medical problems. There are no better examples of this than pregnancy and childbirth. Prior to the intervention of physicians and hospitals, most females delivered unassisted or assisted by a relative or a midwife who usually had no formal education. As long as this remained the practice, pregnancy could not become a medical procedure. Through systematic changes, discussed in detail herein, this primarily female-oriented event involving family and amateur aids would come to be dominated by males who were the sole legally authorized providers of obstetrical care [1]. The increasing cultural authority of medicine facilitated the transfer of home delivery to hospital delivery and changed normal birth into a surgical procedure. This paper will examine the history of obstetrics and how a profession comes to redefine a normal life event as a disease state.
文摘Objective:To systematically review the influence of psychological intervention of midwives on the delivery mode and outcomes.Methods:Databases including Cochrane Library,PubMed,Medline,EMBASE,CINAHL,CNKI,Wangfang,and VIP were searched for randomized controlled trials studying the effects of midwife-led psychological nursing on puerpera.Two evaluators independently searched and screened the papers,extracted relevant data,and quality assessment of the included studies,followed by a meta-analysis of the papers using RevMan 5.3 software.Results:12 studies with 1,395 patients were included.The results of the meta-analysis showed that compared to conventional nursing,midwife-led psychological intervention can improve the number of people who choose natural delivery[Z=7.53,95%CI(2.07,3.45),P<0.001],shorten the duration of the first stage of delivery[Z=45.10,95%CI(-4.43,-4.06),P<0.001),reduce postpartum hemorrhage after delivery for two hours[Z=21.68,95%CI(-63.92,-53.32),P<0.001];these differences were statistically significant.Conclusion:Psychological interventions led by midwives can improve the natural delivery rate of pregnant women,shorten the duration of the first stage of delivery,and decrease postpartum hemorrhage after delivery for two hours;thus,it can be popularized for clinical use.
文摘Background:The midwife plays a critical role in health counselling and education,not just for women but also for their families and communities.At the current time,with the growth of the midwifery workforce globally,there is still a lack of understanding regarding the full scope and role of the midwife.Aim:To evaluate the current situation of knowledge of midwives’role among women in Makkah.In addition,this study identifies the effect of women’s knowledge on their preferences for receiving maternity care from health professionals.Methods:This study employed a descriptive quantitative cross-sectional method.The total resultant sample size(N)equalled 379 global respondents,of which 306,with a response rate=of 80.73%completed the entire survey as requested.An electronic questionnaire in the Arabic language was used in this study.Results:Results revealed that most women had incorrect knowledge regarding three aspects of the midwives’roles during pregnancy 53.9%,labour 52.8%and childbirth 61.9%.Also,results presented that most women preferred obstetricians to follow up on an uncomplicated pregnancy,labour,childbirth,and maternity care 69.6%,53.9%,64.7%and 46.1%,respectively.The study found that the women’s knowledge about midwives’roles affects their preferences for healthcare professionals in receiving maternity care(P<0.05).Conclusion:Responses showed that most participants had no experience and had negative views about midwives’roles.Thus,it would affect their health professionals’preferences for receiving maternity care.Therefore,midwifery services and maternity care professionals should prioritize educating women about midwives’competencies in maternity care.
文摘Objective: to explore the clinical efficacy and nursing satisfaction of midwife-led family members with childbirth. Methods: from January 2021 to October 2021 in our hospital, 60 pregnant women were randomized, that is, control group (n=30) and observation group (n=30). Pregnant women in the control group used routine nursing intervention, and pregnant women in the observation group used midwife-led family companion delivery intervention based on the control group. Results: delivery time, delivery outcome, care satisfaction and pain degree were significantly better than the control group, with P <0.05. Conclusion: the midwife-led family companion delivery intervention method was highly effective.
文摘Objective: to understand the risk factors of occupational exposure in midwives, explore the causes, and formulate effective preventive measures. Methods: 126 cases of puerpera who delivered in our hospital from February 2018 to November 2019 were divided into two groups. The control group was given routine nursing, and the experimental group was given risk management during midwifery. The differences of nursing risk, satisfaction, and pregnancy outcome and delivery mode between the two groups were observed. Results: the incidence of nurse patient disputes and complaints in the experimental group were 1.59% and 0.00%, which were significantly lower than those in the control group, and the satisfaction rate was 98.41% (P < 0.05);the incidence of dystocia, postpartum hemorrhage and neonatal asphyxia in the experimental group were 0.00%, 0.00% and 3.17%, respectively, which were significantly lower than those in the control group (P < 0.05);the incidence of spontaneous labor in the experimental group was 63.49%, which was higher than that in the control group, and the cesarean section was 25.40%, which was 11.11% lower than that in the control group(P<0.05).The emergency nursing of midwives in the delivery room can optimize the delivery outcome, shorten the labor process, reduce the amount of bleeding, and promote the recovery of puerpera, which is worthy of application and promotion.
文摘Objective: to study the effect of a midwife-led comprehensive intervention in late pregnancy on maternal self-efficacy and delivery outcomes.Methods: the samples were selected from August 2021 to December 2021, and a total of 100 samples were randomly divided into the control group and the observation group. The application value of the third-pregnancy comprehensive intervention led by midwives was analyzed.Results: the natural delivery rate was higher than the control group (P <0.05);lower (P <0.05);Lower self-efficacy and social support scores in the control group (P <0.05): lower GAD-7 and PHQ-9 (P <0.05);lower GQOL-74 scores than the control group (P <0.05). Conclusion: the comprehensive nursing intervention in the field, improve the cognition of natural delivery, improve the natural delivery rate, promote the effective improvement of maternal self-efficacy and social support evaluation, reduce the influence of postpartum bad mood, optimize the overall quality of life, has high clinical application value.
文摘Objective: to explore and analyze the effect of the delivery room midwife to reduce the postpartum bleeding. Methods: 60 women from January 2020 to February 2021 were randomly divided into 2 groups and 30 in each group;the observation group performed full care measures for midwives in the delivery room and the control group performed routine nursing intervention. Results: the difference between the two groups was not significant, P> 0.05. The labor schedule and clinical delivery indicators in the observation group were better than the control group, P <0.05. Conclusion: the delivery midwife can reduce the incidence of postpartum bleeding.
文摘Objective:To discuss and analyze the effectiveness of the application of perineal wound model in teaching midwife interns.Methods:The research subjects in this study were 40 midwife interns who enrolled in our hospital from January 2020 to December 2022,which were divided into a control group(consisted of 20 interns,taught with the conventional method)and a research group(consisted of 20 participants,taught with the perineal wound model)using the random number table method.The outcomes of these two groups were compared.Results:The examination results of the research group were better than control group(P<0.05);the interns of the research group were more satisfied towards the teaching method compared to the control group(P<0.05).Conclusion:Applying the perineal wound model in teaching midwife interns could effectively improve their examination achievements and teaching satisfaction,which brings a significant clinical value.
文摘Objective: to analyze the practical effect of postpartum hemorrhage. Methods: 94 women were included in the experimental study and divided into group A (observation group) and group B (control group), with 47 cases in each group. To group B maternal to carry out general care, for group A maternal maternity midwife nursing care, during, the midwife needs to record the corresponding observation indicators, compare the final nursing effect, namely maternal evaluation of nursing mode, postpartum bleeding phenomenon, natural delivery, newborn asphyxia and maternal production time and postpartum time of bleeding. Results: In terms of the evaluation of the care mode in the two maternal groups, Most women in group A rated higher patterns of care, The total satisfaction rate was 97.9%, However, group B was relatively low, The total satisfaction rate was 78.7%, The gap between the two groups was significant (P <0.05);In terms of postpartum bleeding in both maternal groups, Few women had postpartum bleeding in group A, Only 4.3% of the total was represented, Relatively many women had postpartum bleeding in group B, For 14.9%, The gap between the two groups was significant (P <0.05);In terms of natural birth rates and neonatal asphyxia in both groups, More women gave natural naturally in group A, For 87.23%, And very few newborns have suffocation, The total chance of occurrence was only 4.26%, However, the natural delivery rate in group B was 74.47%, Among them, neonatal asphyxia is relatively many cases, For 10.64%, The gap between the two groups was significant (P <0.05);In terms of production time and 2h in 2 h and 24h, Maternal took a short time in group A, And the amount of bleeding at 2h and 24h postpartum was relatively normal, And Group B women took a relatively long production time, More bleeding occurred at 2h and 24h postpartum, The gap between the two groups was significant (P <0.05).In conclusion, the nursing effect of group A was significantly better. Conclusion: maternity midwife nursing is crucial to prevent postpartum bleeding, and the application effect is very significant. On the one hand, it has a certain control and preventive effect on the maternal postpartum hemorrhage, which can also promote the rapid recovery of maternal prognosis, which is worth vigorously promoting and popularizing.
