Objective To develop the maternity nurse competency model,and provide references for nurse selection,training and evaluation of "family-centered" and maternal care model. MethodsUsing competency theory,and based on semi-structured interviews and "family-centered" maternal care model,the indicators of maternity nurse competency was shaped. By using Delphi method,seven experts from maternal care and management field were inquired to develop the maternity nurse competency.Results Maternity nurse competency model based on "family-centered" maternal care model included 4 dimensions such as nursing knowledge,nursing ability,intervention capability of family-centered obstetric care specialist,personal attitudes and traits,totally 29 indicators of behavioral competency. This model had expert representation and high reliability.Conclusions The maternity nurse competency model based on "family-centered" maternal care model are scientific and reliable,and it can be used as the reference standard of nurses' selection,training and assessment in "family-centered" maternal care model.

Objective To explore the effects of specialist outpatient nursing instruction on gestational impaired glucose tolerance ( GIGT ) , body weight and pregnancy outcomes of pregnant women .Methods A total of 60 cases of GIGT pregnant women from March 2011 to January 2012 were randomly divided into experimental group and control group , with 30 cases in each .The control group was given routine antenatal examination, childbirth care guidance from pregnant school , regular diet and exercise instructions and other related knowledge from obstetric nutrition clinic;the experimental group furthermore received maternal and child specialist nursing outpatient guidance . Instructors who had got maternal and child care nurse specialist qualifications issued according to each pregnant woman′s age, weight, gestational weeks, blood glucose, fetal growth, formulated personalized recipes and exercise program , and carried on personalized guidance with one to one counseling .Results After the intervention , other aspects of the self cognition and behavior , except for the diet condition , less sweets control , and regularly blood sugar monitor , had statistical significance ( P<0 .05 ) . Two-hour postprandial glucose values and weight gain during pregnancy of the experimental group at 32 , 36 and 40 weeks were significantly better than those of the control group (P <0.05).After the intervention, the incidences of gestational hypertension , preterm labor and premature rupture of membranes of the experimental group were 13.33%, 23.33% and 30.00%, respectively, which were significantly lower than those of the control group (χ2 =4.285 7, 7.924 5, 5.454 5, respectively;P<0.05).The neonatal birth weight of the experimental group was (3 316.13 ±364.78) g, which was significantly higher than that of the control group (t=2.83, P<0.01 ).Conclusions Maternal and child specialist nursing outpatient intervention can effectively improve the GIGT pregnant women′s cognitive and behavioral self-management , reduce blood glucose, body weight levels , and decrease the incidence of pregnancy complications .