Examining the Impact of the Whole-Process Companionship and Responsible Midwifery Model on Delivery Outcomes
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Keywords

Whole-process companionship and responsible midwifery model
Delivery outcome
Maternal

DOI

10.26689/aogr.v1i2.5385

Submitted : 2024-02-18
Accepted : 2024-03-04
Published : 2024-03-19

Abstract

Objective: To explore and analyze the impact of the whole-process companionship and responsible midwifery model on delivery outcomes. Methods: 200 women who were about to give birth admitted to Lianyungang Maternal and Child Health Hospital’s Obstetrics and Gynecology Department from May 2021 to May 2023 were recruited and divided into whole process and ordinary groups by flipping a coin, with 100 cases in each group. The whole process group implemented the whole process companionship and responsible midwifery model, while the ordinary group implemented the conventional midwifery model. The duration of labor, delivery outcomes, psychological status, postpartum bleeding volume, and incidence of adverse neonatal outcomes were compared between groups. Results: All three stages of labor in the whole process group were significantly shorter than those in the ordinary group (P < 0.05). The natural delivery rate and cesarean section rate in the whole process group were significantly better than those in the ordinary group (P < 0.05). The difference was not statistically significant after comparing the lateral incision rate between the whole process group and the ordinary group (P > 0.05). Before the intervention, the anxiety and depression scores between the groups were similar (P > 0.05); after the intervention, the anxiety and depression scores in the whole process group were significantly lower than in the ordinary group (P < 0.05). The amount of postpartum hemorrhage and the incidence of adverse neonatal outcomes in the whole process group were significantly better than those in the ordinary group (P < 0.05). Conclusion: The whole-process companionship and responsible midwifery model has specific positive significance for delivery outcomes, and this midwifery model deserves to be widely used and promoted in clinical practice.

References

Wei X, Wang X, Hou F, et al., 2023, The Impact of Midwife Companion Intervention Based on Gentle Delivery Combined with Late Pregnancy Birth Dance on First-Time Mothers’ Degree of Labor Pain and Delivery Outcomes. Clinical Medical Research and Practice, 8(9): 134–136.

Chang X, Song Y, 2023, The Impact of Midwife Accompaniment Based on Gentle Delivery Combined with Intrapartum Free Position Intervention on Primiparous Women’s Degree of Labor Pain, Labor Self-Control, and Labor Confidence. Clinical Medical Research and Practice, 8(6): 149–151.

Li X, 2022, Analysis of the Application Effect and Quality of Life of Responsible Midwifery and Holistic Nursing Models in Painless Delivery Care. Heilongjiang Traditional Chinese Medicine, 51(6): 218–220.

Su H, Zhang S, 2022, Effects of One-to-One Responsible Midwives’ Perinatal Care on the Psychological State and Labor Process of Pregnant Women with Hypertension and Painless Delivery. Cardiovascular Disease Prevention and Control Knowledge, 12(33): 49–52.

Li X, Luo H, Wang Y, 2022, The Effect of the Greeting-Introduction-Process-Interpretation-Acknowledgment Communication Mode Combined with Midwives’ Full-Time Companionship on the Total Labor Process of Primiparous Women with Water Bladder. Henan Medical Research, 31(14): 2649–2652.

Gong Y, 2022, The Application of Closed-Loop Management of Responsible Midwives Combined with Whole Process Escort in Primiparas Promotes Cervical Ripening with CRB Balloon. Primary Medical Forum, 26(20): 106–108.

Fan X, Chen Y, 2021, The Effect of One-on-One Midwives’ Full-Time Companionship Combined with Free Posture on Primiparous Women’s Natural Delivery Rate and Total Labor Process with Water Bladder Trials. Heilongjiang Medicine, 45(14): 1550–1552.

Bai L, Li C, Fan X, 2021, Analysis of the Application Effect of Midwives’ One-on-One Whole Process Companionship and Spouse’s Labor Support Intervention in the Vaginal Delivery of Singleton Term Primiparous Women. Clinical Medical Engineering, 28(2): 233–234.

Xing L, Jiang W, 2020, Experience in the Role of High-Quality Nursing Intervention Based on the Responsible Midwifery Model in Improving Maternal and Infant Outcomes of Pregnant Women with Painless Delivery. Electronic Journal of Cardiovascular Diseases with Integrated Traditional Chinese and Western Medicine, 8(19): 7 + 10.

Yang L, 2020, The Impact of “One-on-One” Full-Process Companionship and Responsible Midwifery Care on Postpartum Adverse Emotions. Chinese and Foreign Medical Research, 18(15): 127–129.

Zhang J, 2020, Observation on Applying Bean Bag Hot Compress to Reduce Pain Combined with One-on-One Midwife Accompaniment in the Natural Delivery of Elderly Primiparous Women. Capital Food and Medicine, 27(8): 184.

Feng S, 2020, Research on the Impact of Midwives’ Full One-to-One Accompanying Care on Negative Emotions, Pain Levels, and Delivery Outcomes of Primiparous Women. Medical Diet and Health, 18(6): 123 + 125.

Zhang L, 2019, Explore the Effect of Midwives’ One-to-One Companionship Throughout the Process on First-Time Mothers’ Negative Emotions, Pain Levels, and Delivery Outcomes. Wisdom and Health, 5(29): 185–186.

Niu C, Kong X, Sun H, Li et al., 2019, Observing the Practical Value of Using Midwives’ One-on-One Companionship Throughout the Process to Improve Primiparous Women’s Negative Emotions, Pain Levels, and Delivery Outcomes. Journal of Practical Gynecological Endocrinology (Electronic Version), 6(1): 159–160.

Hou J, Zhu X, 2018, The Impact of Nursing Intervention Based on the Responsible Midwifery Model on the Mood, Maternal and Infant Outcomes, and Satisfaction of Pregnant Women with Hypertension. Nursing Practice and Research, 15(18): 76–78.