Construction of early warning evaluation index system for high-risk pregnancy during childbirth
10.3760/cma.j.cn115682-20210301-00915
- VernacularTitle:分娩期高危妊娠预警评估指标体系的构建
- Author:
Hui FANG
1
;
Jingxuan YANG
;
Hua BAI
;
Xiaoyu YANG
;
Lixia QU
;
Ming ZHAO
;
Hongxia CUI
Author Information
1. 郑州大学第三附属医院产科，郑州 450052
- Keywords:
Delivery period;
Pregnancy, high-risk;
Early warning;
Delphi technique
- From:
Chinese Journal of Modern Nursing
2021;27(29):3976-3980
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a scientific and reasonable early warning evaluation index system for high-risk pregnancy during childbirth, so as to provide a content framework for the establishment of an information management platform.Methods:Convenience sampling was used to select 15 experts from 2 colleges and universities, 5 ClassⅢ Grade A general hospitals and 2 ClassⅢ Grade A maternal and child health hospitals in Henan Province as the subject of consultation. The early warning evaluation indicators of high-risk pregnancy during childbirth were determined through literature research, group discussion, and Delphi expert consultation method. Convenience sampling method was adopted to select 288 pregnant women admitted to the hospital for delivery from February to April 2020 in a ClassⅢ Grade A hospital in Henan Province as the research object. The early warning evaluation index system for high-risk pregnancy during childbirth was used to evaluate pregnant women.Results:The final early warning evaluation index system for high-risk pregnancy during childbirth included 7 first-level indicators and 27 second-level indicators. The expert authority coefficients of the two rounds of consultation were 0.91 and 0.93, respectively, and the Kendall harmony coefficients were 0.241 and 0.385, respectively ( P<0.001) . The area under the ROC curve predicted by the early warning evaluation index system for high-risk pregnancy during childbirth was> 0.85, and the best cut-off point was 9.98. Conclusions:The constructed early warning evaluation index system for high-risk pregnancy during childbirth has comprehensive content and high reliability, which will help midwives to identify high-risk pregnancy during childbirth.
