Effects of Group Prenatal Care model on the fear of childbirth and pregnancy outcome of primipara
10.3760/cma.j.cn115682-20200422-02950
- VernacularTitle:中心群组化孕期保健模式对初产妇分娩恐惧及妊娠结局的影响
- Author:
Suqin XIAO
1
;
Yanchun FANG
;
Fen LIU
;
Jiajia WANG
;
Na LI
Author Information
1. 南华大学护理学院，衡阳 421001
- Keywords:
Pregnancy outcome;
Primipara;
Fear of childbirth;
Group Prenatal Care model
- From:
Chinese Journal of Modern Nursing
2021;27(1):11-16
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effects of Group Prenatal Care (GPC) model on the fear of childbirth and pregnancy outcome of primiparas.Methods:This study was a quasi-experiment study. Totally 60 primiparas with fear of childbirth who established medical records in the Department of Obstetrics of a Class Ⅲ Grade A hospital in Hunan Province between December 2019 and April 2020 were selected by convenient sampling and divided into the intervention group and control group, with 30 cases in each group. Primiparas in the control group received routine care, while primiparas in intervention group received the central group-based pregnancy care model. The Childbirth Attitudes Questionnaire and pregnancy outcome evaluation were used to evaluate the effects in the two groups before and after intervention. SPSS 22.0 was used for data analysis.Results:After 1 month of intervention and at the end of the intervention, the total scores of fear of childbirth in the intervention group were (24.93±3.27) and (22.93±2.29) , which were lower than (35.30±8.58) and (34.47±8.70) in the control group, respectively. Repeated measurement variance analysis showed that there were temporal, grouping and interaction effects in the total scores of the two groups, and the differences were statistically significant ( Ftime=36.117, Fgroup=15.990, Finteraction=26.802; P<0.05) . The natural delivery rate in the intervention group was 86.7% (26/30) , which was higher than 63.3% (19/30) in the control group; the perineal injury rate in the intervention group was 16.7% (5/30) , which was lower than 43.3% (13/30) in the control group, and the differences were statistically significant (χ 2=4.356, 5.079; P<0.05) . There was no statistically significant difference in 2 h postpartum blood loss of primiparas and 1min Apgar score of newborns between the two groups of primipara ( P>0.05) . Conclusions:GPC model in primiparas with fear of childbirth can help to relieve the fear of childbirth in primiparas, and improve their negative pregnancy outcome, which is of significance for clinical practice.
