Objective To investigate the influence of prenatal integrated intervention model for the childbirth respond and birth outcomes of primiparous mothers. Methods A total of 417 cases patients were the objects for the study, which were treated in our hospital from Jan 2012 to Feb 2014, all the patients were divided into control group (203 cases) and intervention group (214 cases). After 28 weeks pregnant, the control group received regular check-ups and care, while the intervention group received comprehensive intervention contrary to the four paths of the sources of self-efficacy. Results After intervention, the score of OE-16 scores and EE-16 score of control group with only a small increase, while the intervention group was increased obviously, and the difference between the two groups was statistically signifi-cant(P<0.05). The degree of childbirth pain of intervention group was more slight than control group, and the difference between the two groups was statistically significant (P<0.05). In addition, except the scores of 1 min Apgar was no dif-ference between two groups, the childbirth time and the cesarean section rate of intervention group was improved com-pared with control group, and the difference was statistically significant (P<0.05). Conclusion The prenatal comprehen-sive intervention is benefit to improve the childbirth early self-efficacy levels and reduce the cesarean section rate, worthy of further promoting in clinical obstetrics.

Objective To investigate the effect of non-accompany nursing on mood of caesarean section maternal. Methods A total of 320 caesarean section maternal were selected and divided into the observation group and the con-trol group with each group 160 cases. The both groups were given routine nursing. But the daily life nursing in the control group was performed by family members, the daily life nursing in the observation group was performed by hos-pital escort. The self-rating anxiety scale(SAS), salf-rating depression scale(SDS) were and satisfaction at 1 d before surgery and 6 d after surgery in two groups were recorded and compared. Results The SAS scores in two group at 1d before surgery were similiar. The difference was not statistically significant(P>0.05). But the SAS score of the observa-tion group(45.98±1.94) were lower than that of the control group(49.15±2.88), the difference was statistically signifi-cant(P<0.05). The SDS scores in two group at 1 d before surgery were similiar. The difference was not statistically significant(P>0.05). But the SDS score of the observation group(46.15±2.25)were lower than that of the control group(51.74±3.09), the difference was statistically significant(P<0.05). The satisfaction of the observation group was better than that of the control group. The difference was statistically significant(P<0.05). Conclusion Implementing the non-accompany nursing can effectively improve reduce the anxiety and depression of caesarean section maternal, contribute to improve the quality of rehabilitation.