Effects of Midwifery Care on Mode of Delivery, Duration of Labor and Postpartum Hemorrhage of Elderly Parturients
Background: We aimed to explore the influence of midwifery care on the mode of delivery (MOD), duration of labor and postpartum hemorrhage (PPH) of elderly parturients. Methods: A total of 165 elderly parturients admitted to Tongde Hospital of Zhejiang Province, China from May 2018 to Aug 2019 we...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Tehran University of Medical Sciences
2020-12-01
|
| Series: | Iranian Journal of Public Health |
| Subjects: | |
| Online Access: | https://ijph.tums.ac.ir/index.php/ijph/article/view/21542 |
| _version_ | 1818892366520516608 |
|---|---|
| author | Yuefang ZHOU Chunping YANG |
| author_facet | Yuefang ZHOU Chunping YANG |
| author_sort | Yuefang ZHOU |
| collection | DOAJ |
| description | Background: We aimed to explore the influence of midwifery care on the mode of delivery (MOD), duration of labor and postpartum hemorrhage (PPH) of elderly parturients.
Methods: A total of 165 elderly parturients admitted to Tongde Hospital of Zhejiang Province, China from May 2018 to Aug 2019 were allocated into a study group (n=85, midwifery care) and a control group (n=80, conventional nursing care). Visual analogue scale (VAS) was employed to estimate the pain of parturients, and self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were employed to evaluate the anxiety and depression status. The satisfaction of patients on nursing care was scored by a self-made satisfaction questionnaire.
Results: The parturients in the study group presented higher spontaneous vaginal delivery (SVD) rate (P < 0.05), and had shortened duration of first and second stages of labor and total duration of labor (P < 0.05). The incidence of both PPH and neonatal asphyxia in the study group was lower than that in the control group (both P < 0.05). The VAS, SAS and SDS scores in the study group were significantly lower than those in the control group (P < 0.05), and the patients’ satisfaction in the study group was significantly higher (P < 0.05).
Conclusion: Midwifery care is effective for the delivery of elderly parturients, which significantly improves VSD rate, shortens duration of labor, reduces incidence of PPH and neonatal asphyxia, as well as relives labor pain, anxiety and depression, and increases satisfaction of parturients. |
| first_indexed | 2024-12-19T17:55:34Z |
| format | Article |
| id | doaj.art-3965c1cefa554da59e93fd1f6582a1d3 |
| institution | Directory Open Access Journal |
| issn | 2251-6085 2251-6093 |
| language | English |
| last_indexed | 2024-12-19T17:55:34Z |
| publishDate | 2020-12-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Public Health |
| spelling | doaj.art-3965c1cefa554da59e93fd1f6582a1d32022-12-21T20:11:50ZengTehran University of Medical SciencesIranian Journal of Public Health2251-60852251-60932020-12-0150110.18502/ijph.v50i1.507521542Effects of Midwifery Care on Mode of Delivery, Duration of Labor and Postpartum Hemorrhage of Elderly ParturientsYuefang ZHOU0Chunping YANG1Tongde Hospital of Zhejiang Province, Hangzhou 310024, ChinaTongde Hospital of Zhejiang Province, Hangzhou 310024, ChinaBackground: We aimed to explore the influence of midwifery care on the mode of delivery (MOD), duration of labor and postpartum hemorrhage (PPH) of elderly parturients. Methods: A total of 165 elderly parturients admitted to Tongde Hospital of Zhejiang Province, China from May 2018 to Aug 2019 were allocated into a study group (n=85, midwifery care) and a control group (n=80, conventional nursing care). Visual analogue scale (VAS) was employed to estimate the pain of parturients, and self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were employed to evaluate the anxiety and depression status. The satisfaction of patients on nursing care was scored by a self-made satisfaction questionnaire. Results: The parturients in the study group presented higher spontaneous vaginal delivery (SVD) rate (P < 0.05), and had shortened duration of first and second stages of labor and total duration of labor (P < 0.05). The incidence of both PPH and neonatal asphyxia in the study group was lower than that in the control group (both P < 0.05). The VAS, SAS and SDS scores in the study group were significantly lower than those in the control group (P < 0.05), and the patients’ satisfaction in the study group was significantly higher (P < 0.05). Conclusion: Midwifery care is effective for the delivery of elderly parturients, which significantly improves VSD rate, shortens duration of labor, reduces incidence of PPH and neonatal asphyxia, as well as relives labor pain, anxiety and depression, and increases satisfaction of parturients.https://ijph.tums.ac.ir/index.php/ijph/article/view/21542Midwifery careElderly parturientsMode of deliveryDuration of laborPostpartum hemorrhage |
| spellingShingle | Yuefang ZHOU Chunping YANG Effects of Midwifery Care on Mode of Delivery, Duration of Labor and Postpartum Hemorrhage of Elderly Parturients Iranian Journal of Public Health Midwifery care Elderly parturients Mode of delivery Duration of labor Postpartum hemorrhage |
| title | Effects of Midwifery Care on Mode of Delivery, Duration of Labor and Postpartum Hemorrhage of Elderly Parturients |
| title_full | Effects of Midwifery Care on Mode of Delivery, Duration of Labor and Postpartum Hemorrhage of Elderly Parturients |
| title_fullStr | Effects of Midwifery Care on Mode of Delivery, Duration of Labor and Postpartum Hemorrhage of Elderly Parturients |
| title_full_unstemmed | Effects of Midwifery Care on Mode of Delivery, Duration of Labor and Postpartum Hemorrhage of Elderly Parturients |
| title_short | Effects of Midwifery Care on Mode of Delivery, Duration of Labor and Postpartum Hemorrhage of Elderly Parturients |
| title_sort | effects of midwifery care on mode of delivery duration of labor and postpartum hemorrhage of elderly parturients |
| topic | Midwifery care Elderly parturients Mode of delivery Duration of labor Postpartum hemorrhage |
| url | https://ijph.tums.ac.ir/index.php/ijph/article/view/21542 |
| work_keys_str_mv | AT yuefangzhou effectsofmidwiferycareonmodeofdeliverydurationoflaborandpostpartumhemorrhageofelderlyparturients AT chunpingyang effectsofmidwiferycareonmodeofdeliverydurationoflaborandpostpartumhemorrhageofelderlyparturients |