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Nursing model of midwifery and postural and psychological interventions:Impact on maternal and fetal outcomes and negative emotions of primiparas

作     者:Ping Gao Cai-Qiong Guo Ma-Yu Chen Hui-Ping Zhuang 

作者机构:Department of Obstetrics and GynecologyQuanzhou Maternity and Child Healthcare HospitalQuanzhou 362017Fujian ProvinceChina School of NursingFujian Medical UniversityQuanzhou 350108Fujian ProvinceChina Department of Obstetrics and GynecologyThe 910th Hospital of the People's Liberation Army Joint Logistic Support ForceQuanzhou 362008Fujian ProvinceChina 

出 版 物:《World Journal of Psychiatry》 (世界精神病学杂志)

年 卷 期:2023年第13卷第8期

页      面:543-550页

核心收录:

学科分类:100208[医学-临床检验诊断学] 1002[医学-临床医学] 10[医学] 

主  题:Nursing model of midwifery Postural intervention Primipara Maternal and fetal outcomes Negative emotions 

摘      要: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 ***,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’*** As participants,115 primiparas admitted to Quanzhou Maternity and Child Healthcare Hospital between May 2020 and May 2022 were *** them,56 primiparas(control group,Con)were subjected to conventional midwifery and routine *** remaining 59(research group,Res)were subjected to the nursing model of midwifery and postural and psychological *** 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 *** The Res exhibited a markedly higher natural delivery rate and nursing satisfaction than the ***,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 *** also showed statistically lower post-interventional HAMA and HAMD scores than the Con and pre-interventional *** The nursing model of midwifery and postural and psychological interventions increase the natural delivery rate and reduce the duration of each labor *** are also conducive to improving maternal and fetal outcomes and mitigating primiparas’NEs and thus deserve popularity in clinical practice.

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