Effects of midwife-led psychological intervention on delivery outcomes:a meta-analysis

• 作者: Fan-Jie Meng Li-Ming Guo Qian Wu Si-Yuan Yang Yuan Jia
• 来源期刊: TMR非药物治疗
• 学科: 医学
• 关键词: MIDWIFE PSYCHOLOGICAL INTERVENTION Natural delivery DURATION of the first stage of delivery POSTPARTUM HEMORRHAGE
• 年，卷（期）: 2018,（3）
• 页码范围: 109-118
• 页数: 10页
• 分类号: R

摘要

Objective:To systematically review the influence of psychological intervention of midwives on the delivery mode and outcomes.Methods:Databases including Cochrane Library,PubMed,Medline,EMBASE,CINAHL,CNKI,Wangfang,and VIP were searched for randomized controlled trials studying the effects of midwife-led psychological nursing on puerpera.Two evaluators independently searched and screened the papers,extracted relevant data,and quality assessment of the included studies,followed by a meta-analysis of the papers using RevMan 5.3 software.Results:12 studies with 1,395 patients were included.The results of the meta-analysis showed that compared to conventional nursing,midwife-led psychological intervention can improve the number of people who choose natural delivery[Z=7.53,95%CI(2.07,3.45),P<0.001],shorten the duration of the first stage of delivery[Z=45.10,95%CI(-4.43,-4.06),P<0.001),reduce postpartum hemorrhage after delivery for two hours[Z=21.68,95%CI(-63.92,-53.32),P<0.001];these differences were statistically significant.Conclusion:Psychological interventions led by midwives can improve the natural delivery rate of pregnant women,shorten the duration of the first stage of delivery,and decrease postpartum hemorrhage after delivery for two hours;thus,it can be popularized for clinical use.