Abstract:
BACKGROUND:The high caesarean section rate is a prominent public health problem in China. AIM:This study aimed to determine the effects of midwife-led care during labour on birth outcomes for healthy primiparas. DESIGN:Randomized controlled trial. SETTING:The Obstetrics Department of Fujian Provincial Maternity and Child Health Hospital. METHODS:A total of 666 primiparas in labour were randomly divided into an intervention and control group (333 in each group). The intervention group received a midwife-led model of care during labour. RESULTS:Data from 648 cases (331 intervention group and 317 control group) were analysed. The intervention group was less likely to experience caesarean section, postpartum haemorrhage, opiate analgesia, vaginal examinations, neonatal asphyxia, and neonatal hospitalization and was more likely to experience shorter length of labour and vaginal birth than the control group (all, P < 0.05). No differences were found in the number of artificial rupture of membranes and oxytocin use (P > 0.05). CONCLUSIONS:Midwife-led care can reduce the caesarean section rate, promote normal birth, improve birth outcomes, and promote maternal and child health.
journal_name
Int J Nurs Practjournal_title
International journal of nursing practiceauthors
Jiang XM,Chen QY,Guo SB,Jin LZ,Huang XX,Liu XW,Hong JX,Qu HB,Hu RFdoi
10.1111/ijn.12686subject
Has Abstractpub_date
2018-12-01 00:00:00pages
e12686issue
6eissn
1322-7114issn
1440-172Xjournal_volume
24pub_type
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