Effect of modified midwifery in natural childbirth of low risk primipara

Abstract

Objective To observe the application effect of modified midwifery technique in natural childbirth of low-risk primipara, thus to provide technical support for the delivery of continuous quality improvement. Methods From June 2015 to September 2017, 120 low-risk primipara with natural childbirth in the Maternal and Child Health Care Hospital of Zhoushan were selected and randomly divided into two groups by computer random coding method, with 60 cases in each group. The control group received traditional midwifery technique, and the observation group adopted improved midwifery technique. The perineum incision rate, perineal laceration classification, the condition of maternal and infant, and perineum incision and not cut maternal bleeding amount, the second available labor of the two groups were compared. Results The incision rate was lower in the observation group(53.33%), and the rate of non-split wound was higher(76.67%), and the incidences of adverse events in the observation group were lower than that in the control group(all P<0.05). The total amount of bleeding in the observation group was less [(151.05±64.59)mL], and the second labor time was shorter[(24.63±19.58)min] than those in the control group (t=2.21, 4.32, all P<0.05). Conclusion Application of improved midwifery in natural delivery of low-risk primipara is effective. Key words: Natural childbirth; Nurse midwives; Improved midwifery technique; Primipara; Hemorrhage; Labor stage, second