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
目的:探讨助产士强化沟通模式在初产妇分娩应激表现及母婴结局中的作用。方法:选取2018年10月-2019年10月于笔者所在医院产科分娩的初产妇53例,按照随机数字表法将其分为对照组(26例)和观察组(27例)。对照组采用助产士常规沟通模式,观...目的:探讨助产士强化沟通模式在初产妇分娩应激表现及母婴结局中的作用。方法:选取2018年10月-2019年10月于笔者所在医院产科分娩的初产妇53例,按照随机数字表法将其分为对照组(26例)和观察组(27例)。对照组采用助产士常规沟通模式,观察组采用助产士强化沟通模式。比较两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、妊娠结局、新生儿Apgar评分及产后并发症发生情况。结果:入待产室前观察组SAS及SDS评分均明显低于对照组,差异有统计学意义(P<0.05)。观察组自然分娩率为92.59%,明显高于对照组的65.38%,差异有统计学意义(P<0.05)。观察组新生儿出生后5、10 min Apgar评分均显著高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为7.41%,明显低于对照组的34.62%,差异有统计学意义(P<0.05)。结论:助产士强化沟通模式可明显降低初产妇分娩应激表现,减少产后并发症的发生,改善母婴结局。展开更多
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.
文摘目的:探讨助产士强化沟通模式在初产妇分娩应激表现及母婴结局中的作用。方法:选取2018年10月-2019年10月于笔者所在医院产科分娩的初产妇53例,按照随机数字表法将其分为对照组(26例)和观察组(27例)。对照组采用助产士常规沟通模式,观察组采用助产士强化沟通模式。比较两组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、妊娠结局、新生儿Apgar评分及产后并发症发生情况。结果:入待产室前观察组SAS及SDS评分均明显低于对照组,差异有统计学意义(P<0.05)。观察组自然分娩率为92.59%,明显高于对照组的65.38%,差异有统计学意义(P<0.05)。观察组新生儿出生后5、10 min Apgar评分均显著高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为7.41%,明显低于对照组的34.62%,差异有统计学意义(P<0.05)。结论:助产士强化沟通模式可明显降低初产妇分娩应激表现,减少产后并发症的发生,改善母婴结局。
