Examining the Impact of the Whole-Process Companionship and Responsible Midwifery Model on Delivery Outcomes

Abstract

Objective: To explore and analyze the impact of the whole-process companionship and responsible midwiferymodel on delivery outcomes. Methods: 200 women who were about to give birth admitted to Lianyungang Maternal and Child Health Hospital’s Obstetrics and Gynecology Department from May 2021 to May 2023 were recruited and divided into whole process and ordinary groups by flipping a coin, with 100 cases in each group. The whole process group implemented the whole process companionship and responsible midwifery model, while the ordinary group implemented the conventional midwifery model. The duration of labor, delivery outcomes, psychological status, postpartum bleeding volume, and incidence of adverse neonatal outcomes were compared between groups. Results: All three stages of labor in the whole process group were significantly shorter than those in the ordinary group (P < 0.05). The natural delivery rate and cesarean section rate in the whole process group were significantly better than those in the ordinary group (P < 0.05). The difference was not statistically significant after comparing the lateral incision rate between the whole process group and the ordinary group (P > 0.05). Before the intervention, the anxiety and depression scores between the groups weresimilar (P > 0.05); after the intervention, the anxiety and depression scores in the whole process group were significantly lower than in the ordinary group (P < 0.05). The amount of postpartum hemorrhage and the incidence of adverse neonatal outcomes in the whole process group were significantly better than those in the ordinary group (P < 0.05). Conclusion: The whole-process companionship and responsible midwifery model has specific positive significance for delivery outcomes, and this midwifery model deserves to be widely used and promoted in clinical practice.