基于妊娠风险评估的助产士分层管理在初产妇中的应用

Objective To explore the effect of applying the midwife hierarchical management model based on pregnancy risk assessment in primipara. Methods A total of 98 primipara from April 2023 to July 2024 who gave birth at Yantai Yeda Hospital were selected, and randomly divided into the intervention group(n=49) and the control group(n=49). The control group was given routine obstetric management, and the intervention group implemented the miduife hierarchical model based on pregnancy risk assessment on the basis of the control group. The delivery methods, processes, delivery fears, and risk events in both groups were compared. Results The rate of natural delivery was higher in the intervention group than in the control group(P<0.05). The first, second, and total labor processes in the intervention group were shorter than the control group(P<0.05). After intervention, the Childbirth Attitudes Questionnaires(CAQ) scores in both groups were decreased, and the intervention group was lower than the control group(P<0.05). The incidence of postpartum hemorrhage and neonatal transfer to the intensive care unit in the intervention group were lower than the control group(P<0.05). There were no statistically significant differences in the rates of perineal laceration and shoulder dystocia in both groups(P>0.05). Conclusion The application of the midwife hierarchical management model based on pregnancy risk assessment in primipara can improve the natural delivery rate, promote shortened labor process, reduce childbirth fear, and prevent the occurrence of risk events.