Dual perspective analysis of early admission to hospital for delivery among low-risk and full-term primipara
10.3969/j.issn.1672-8467.2025.05.008
- VernacularTitle:低风险足月初产妇入院分娩时机过早的双重视角分析
- Author:
Li-hua XU
1
;
Lin GUO
;
Yi-qian GONG
;
Yan DING
Author Information
1. 复旦大学附属妇产科医院产科 上海 200090;复旦大学护理学院 上海 200032
- Publication Type:Journal Article
- Keywords:
full-term primipara;
delivery;
admission time;
labor contractions
- From:
Fudan University Journal of Medical Sciences
2025;52(5):679-685
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the factors leading to early admission for delivery among low-risk and full-term primiparas from both the perspectives of pregnant women and healthcare professionals,and to formulate targeted interventions for reference in ameliorating early admission trend among these primiparas.Methods Using purposeful sampling,we enrolled 11 medical staff members and 13 pregnant women from the Department of Obstetrics,Obstetrics and Gynecology Hospital,Fudan University for semi-structured in-depth interviews.Content analysis was utilized to organize and analyze the collected data.Results From the perspective of pregnant women,the reasons were categorized into personal and environmental factors.Personal factors included cognition related to delivery and variability in the perception of labor contraction pain.Environmental factors included the difficulty in verifying the authenticity of labor-related information on the internet,the transmission of anxiety among family members,the convenience of obtaining medical resources,the lack of clear medical advice,and limited access to auxiliary equipment resources.From the perspective of healthcare professionals,the reasons were categorized into three aspects:factors related to pregnant women,i.e.,anxiety about delivery and fear of unknown pain during delivery;factors related to medical staff,i.e.,differences in medical practice and the provision of excessive information with insufficient pertinence in education;and objective factors,i.e.,primiparas were incapable of utilizing objective criteria to discern the start of delivery,and the convenience of accessing medical resources.Conclusion Factors leading to early admission for delivery among low-risk and full-term primiparas are personal factors,environmental factors,factors related to medical staff,and objective factors.To standardize the delivery admission timing,enhance prenatal health education,and develop outpatient support system will help assisting pregnant women in choosing an appropriate time for hospital admission.
