Application of midwife-led whole-process labor care in primiparous women with vaginal delivery
助产士主导的分娩期全流程护理在经阴道分娩初产妇中的应用

摘要

目的 观察助产士主导的分娩期全流程护理在经阴道分娩初产妇中的应用价值。方法 将2023年10月-2025年10月接收的90例经阴道分娩初产妇纳入研究，随机分为试验组与对比组，每组45例。对比组实施传统分娩护理，试验组实施助产士主导的分娩期全流程护理，比较两组分娩舒适、负性情绪指数及总不良妊娠结局率。结果 试验组的分娩舒适指数高于对比组（P＜0.05）；入院时，两组负性情绪指数均处于高水平（P＞0.05）；第二产程前，两组负性情绪指数均下降，试验组新生儿健康恐惧、疼痛刺激恐惧指数均低于对比组（P＜0.05）；试验组总不良妊娠结局率低于对比组（P＜0.05）。结论 助产士主导的分娩期全流程护理在经阴道分娩初产妇中的应用价值高，提高分娩舒适度，减轻产妇负性情绪，减少不良妊娠结局，更有利于保障产妇及新生儿健康。

Abstract

Objective To evaluate the application value of midwife-led comprehensive labor care in primiparas undergoing vaginal delivery.
Methods A total of 90 primiparas with vaginal deliveries admitted between October 2023 and October 2025 were enrolled in the study and randomly assigned to either a trial group or a control group (n=45 each). The control group received traditional delivery care, while the trial group received midwife-led comprehensive labor care. Comparison was made regarding delivery comfort, negative emotional index, and adverse pregnancy outcomes.
Results The trial group exhibited a higher delivery comfort index than the control group (P<0.05). At admission, both groups showed elevated negative emotional indices (P>0.05). Prior to the second stage of labor, negative emotional indices decreased in both groups. The trial group demonstrated lower neonatal health anxiety and pain stimulus fear indices compared to the control group (P<0.05), along with a lower rate of adverse pregnancy outcomes (P<0.05).
Conclusion   Midwife-led comprehensive labor care demonstrates significant clinical value in primiparas with vaginal deliveries, enhancing delivery comfort, alleviating maternal negative emotions, reducing adverse pregnancy outcomes, and better safeguarding maternal and neonatal health.