Effect of an Omaha theory-based input management program on labor outcomes in primiparous women
Objective To investigate the effect of the input management program based on the Omaha's theory on the labor outcome of primiparous women.Methods A total of 100 primiparous women who were delivered in the hospital from January 2021 to January 2023 were selected.They were randomly divided into control group and observation group by simple randomization method,with 50 cases per group.Primiparous women in the control group were given conventional input management,and those in the observation group were managed by input management program based on the Omaha's theory.All of them underwent spontaneous vaginal delivery.The duration of labor,maternal outcome,neonatal outcome,maternal comfort score,and maternal satisfaction were compared between the two groups.Results The duration of the first,second and third stages of labor and the total duration of labor in the observation group were significantly lower than those of the control group(P<0.05).The conversion rate to cesarean section,perineal lateralization rate,and 2-h postpartum bleeding in the observation group were significantly less than those in the control group,while the postpartum hemoglobin level was significantly higher than that in the control group(P<0.05).The Apgar scores of neonates in the observation group at 1min,5min and 10min after birth were significantly higher than those of the control group(P<0.05).The Kolcaba General Comfort Questionnaire(GCQ)scores,including physical,social and environmental,psychological,and spiritual scores were significantly higher in the observation group than those of the control group(P<0.05).Conclusion An input management program based on the Omaha theory significantly improves labor outcomes in primiparous women and neonatal health status,shortens labor duration,reduces postpartum hemorrhage,and increases maternal comfort and nursing care satisfaction.
primiparous womenlabor outcomeintake management programOmaha theoryduration of laborneonatalhealth status