The impact of the responsibility based midwifery nursing model on the delivery mode and maternal and infant outcomes of obstetric women
责任制助产护理模式对产科产妇分娩方式及母婴结局的影响

摘要

目的 探究在产科产妇分娩中应用责任制助产护理对产妇分娩方式和母婴结局的影响。方法 选取2024年1月至2025年1月在我院产科分娩的30例产妇作为研究对象，按照随机数字表法将其分为对照组和观察组，每组各15例。对照组采用常规产科护理模式，观察组采用责任制助产护理模式，对比本次实验数据。结果 观察组产妇第一产程、第二产程及总产程时间均优于对照组，对比（P<0.05），产妇产后2h出血量对比中观察组更低，且新生儿Apgar评分更优，对比（P<0.05）。结论 在产科产妇分娩中应用责任制助产护理对产妇分娩方式和母婴结局的影响显著，可缩短产妇产程，降低产妇产后出血量，提高新生儿Apgar评分，证明该护理方法可在临床应用。

Abstract

Objective To explore the impact of the application of responsibility based midwifery nursing on the delivery mode and maternal and infant outcomes in obstetrics and gynecology.
Methods 30 parturients who gave birth in our obstetrics department from January 2024 to January 2025 were selected as the research subjects. They were randomly divided into a control group and an observation group, with 15 cases in each group, using a random number table method. The control group adopts the conventional obstetric nursing mode, while the observation group adopts the responsibility based midwifery nursing mode. Compare the data of this experiment.
Results The observation group had better first and second stages of labor, as well as total labor time, compared to the control group (P<0.05). In the comparison, the observation group had a lower amount of postpartum 2-hour bleeding and a better Apgar score for newborns (P<0.05).
Conclusion   The application of responsibility based midwifery nursing in obstetric delivery has a significant impact on the delivery mode and maternal and infant outcomes, which can shorten the delivery process, reduce postpartum bleeding, and improve the Apgar score of newborns. This proves that this nursing method can be clinically applied.