Effects of midwife-led maternity services on postpartum wellbeing and clinical outcomes in primiparous women under China's one-child policy
Abstract Background The Midwife-led maternity services have been implemented in China in response to the high rates of primiparous women and Caesarean Sections (CS) which may be related to China's one-child policy. However, few studies in China have been reported on the effectiveness of Midwife...
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2018-08-01T00:00:00Z.
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LEADER | 00000 am a22000003u 4500 | ||
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001 | doaj_59a113e7d8c94e778336b3f4b0182b28 | ||
042 | |a dc | ||
100 | 1 | 0 | |a Jing Hua |e author |
700 | 1 | 0 | |a Liping Zhu |e author |
700 | 1 | 0 | |a Li Du |e author |
700 | 1 | 0 | |a Yu Li |e author |
700 | 1 | 0 | |a Zhuochun Wu |e author |
700 | 1 | 0 | |a Da Wo |e author |
700 | 1 | 0 | |a Wenchong Du |e author |
245 | 0 | 0 | |a Effects of midwife-led maternity services on postpartum wellbeing and clinical outcomes in primiparous women under China's one-child policy |
260 | |b BMC, |c 2018-08-01T00:00:00Z. | ||
500 | |a 10.1186/s12884-018-1969-9 | ||
500 | |a 1471-2393 | ||
520 | |a Abstract Background The Midwife-led maternity services have been implemented in China in response to the high rates of primiparous women and Caesarean Sections (CS) which may be related to China's one-child policy. However, few studies in China have been reported on the effectiveness of Midwife-led Care at Delivery (MCD) and the Continuity of Midwife-led Care (CMC) on postpartum wellbeing and other clinical outcomes. Therefore, evidence-based clinical validation is needed to develop an optimal maternity service for childbearing women in China. Methods A concurrent cohort study design was conducted with 1730 pregnant women recruited from 9 hospitals in Shanghai. Among the 1730 participants at baseline, 1568 participants completed the follow-up questionnaire, with a follow-up rate of 90.6%. Results Compared with the routine Obstetrician-led Maternity Care (OMC), Midwife-led Care at Delivery (MCD) was associated with CS rate (OR were 0.16; 95%CI: 0.11 to 0.25) and a higher total score of postpartum wellbeing (βwere 2.70; 95%CI: 0.70 to 4.70) when adjusting for the baseline differences and other confounders during delivery or postpartum period. Moreover, continuity of Midwife-led Care (CMC) was associated with CS rate (OR were 0.30; 95%CI: 0.23 to 0.41), as well as increased rate of breastfeeding within the first 24 h (OR were 2.49; 95% CI: 1.47 to 4.23), higher postpartum satisfaction (β = 4.52; 95% CI: 1.60 to 12.68), lower anxiety (βwere 0.66; 95% CI: 0.16 to 1.17), increased self-control (βwere 0.39; 95% CI: 0.02 to 0.76) and a higher total score of postpartum wellbeing (βwere 3.14; 95% CI: 1.54 to 4.75). Conclusion CMC is the optimal service for low-risk primiparous women under China's one-child policy, and is worthwhile for a general implementation across China. | ||
546 | |a EN | ||
690 | |a Midwife-led maternity services | ||
690 | |a Postpartum wellbeing | ||
690 | |a China's one-child policy | ||
690 | |a Gynecology and obstetrics | ||
690 | |a RG1-991 | ||
655 | 7 | |a article |2 local | |
786 | 0 | |n BMC Pregnancy and Childbirth, Vol 18, Iss 1, Pp 1-9 (2018) | |
787 | 0 | |n http://link.springer.com/article/10.1186/s12884-018-1969-9 | |
787 | 0 | |n https://doaj.org/toc/1471-2393 | |
856 | 4 | 1 | |u https://doaj.org/article/59a113e7d8c94e778336b3f4b0182b28 |z Connect to this object online. |