Application of group maternal and child health care model led by midwives in primary hospitals
Objective To explore the application of group maternal and child health care model led by midwives in primary hospitals.Methods From August 2022 to May 2023,200 parturiens giving birth in Hangzhou Fuyang Women and Children Hospital of Hangzhou were selected as the study subjects.According to the random number table method,they were divided into control group and observation group,with 100 in each group.The control group received routine care,and the observation group received group maternal and child health care based on the control group,starting from 12 weeks of pregnancy to six weeks after delivery,the methods of delivery,the course of labor,and the condition of newborns,the rate of breastfeeding at 1,3,and 6 months after delivery,the knowledge of pregnancy theory before and after intervention,the amount of blood loss at 2 and 24 hours after delivery and the complications of pregnancy at one month after delivery were compared between the two groups.Results After the intervention,the natural delivery rate in the observation group was higher than that in the control group,while the cesarean section rate and lateral perineal resection rate were lower than those in the control group,and the differences were statistically significant(P＜0.05);the breastfeeding rate of postpartum 1,3,and 6 months in the observation group was higher than that in the control group,and the differences were statistically significant(P＜0.05);After intervention,the score of theoretical knowledge mastery during pregnancy in the observation group was higher than that in the control group,and the difference was statistically significant(P＜0.05).After intervention,there was no significant difference in the number of complications between the two groups(P＞0.05);the amount of blood loss at 2 and 24 h after delivery in the observation group was lower than that in the control group,and the differences were statistically significant(P＜0.05).Conclusion The midwives group maternal and child health care model can shorten labor and improve pregnancy outcome,and is worthy of clinical application.
Group maternal and child health careMidwifePregnancy outcomeNewborn
万方数据
维普
