Effect of Obstetric Fine Nursing on Pain during Natural Childbirth and Postpartum Recovery

  • Youliang OU Dept. of Obstetrics and Gynecology, Nanfang Hospital of Southern Medical University, Guangzhou, China
  • Yanli ZHOU Dept. of Obstetrics and Gynecology, Nanfang Hospital of Southern Medical University, Guangzhou, China
  • Ping XIANG Dept. of Medical Quality Management, Nanfang Hospital of Southern Medical University, Guangzhou, China
Keywords: Fine care, Natural childbirth, Pain, Labor, Postpartum recovery

Abstract

Abstract Background: This study aimed to observe the effect of fine nursing on pain and postpartum recovery during natural delivery of pregnant women. Methods: The clinical data of 192 primiparas who were expecting labor in Nanfang Hospital, Southern Medical University, Guangzhou, China from 2015-2016 were retrospectively analyzed. Among them, 100 cases were treated with fine nursing before and after delivery, and 92 cases were treated with routine nursing. The pain rate, the second stage of labor, the amount of bleeding 2 hours postpartum, and postpartum recovery were compared between the two groups. Results: The number of cases of grade 0 and 1 pain and the good rate of pain were significantly higher in the observation group than in the control group, the number of cases with grade 2 pain in the observation group was significantly lower than that of the control group (P<0.01). The second stage of labor and the 2h postpartum hemorrhage in the observation group were significantly lower than those in the control group (P<0.001). The number of maternal cases with good postpartum sleep, good lactation and good mental health in the observation group was significantly higher than that in the control group (P<0.05). Conclusion: Fine nursing before and after delivery can reduce maternal pain rate, shorten the second stage of labor, reduce the amount of bleeding after 2 hours postpartum, promote good sleep, lactation, psychological conditions, reduce postpartum infection rate, which is conducive to maternal body recovery, worthy of clinical promotion.     

References

1. Peters S, Wearden A, Morriss R et al (2011). Challenges of nurse delivery of psycho-logical interventions for long-term condi-tions in primary care: a qualitative explo-ration of the case of chronic fatigue syn-drome/myalgic encephalitis. Implement Sci, 6: 132.
2. Young P, Emery NC, Reisin R (2010). Epi-dural analgesia for labor and delivery. N Engl J Med, 363: 395.
3. Black RE, Allen LH, Bhutta ZA et al (2008). Maternal and child undernutrition: global and regional exposures and health con-sequences. Lancet, 371: 243-260.
4. Nohr EA, Vaeth M, Baker JL, Sorensen TI, Olsen J, Rasmussen KM (2009). Preg-nancy outcomes related to gestational weight gain in women defined by their body mass index, parity, height, and smoking status. Am J Clin Nutr, 90: 1288-1294.
5. Chen Y, Liu J, Xiao S, Liu X, Tang X, Zhou Y (2014). Model construction of nursing service satisfaction in hospitalized tumor patients. Int J Clin Exp Med, 7: 3621-3629.
6. Nolan A, Lawrence C (2009). A pilot study of a nursing intervention protocol to minimize maternal-infant separation after Cesarean birth. J Obstet Gynecol Neonatal Nurs, 38: 430-442.
7. Almeida Mde A, Seganfredo DH, Unicov-sky MR (2010). [Nursing outcome indica-tor validation for patients with orthope-dic problems]. Rev Esc Enferm USP, 44: 1059-1064.
8. Poslawsky IE, Schuurmans MJ, Lindeman E, Hafsteinsdottir TB (2010). A systemat-ic review of nursing rehabilitation of stroke patients with aphasia. J Clin Nurs, 19: 17-32.
9. Agboado G, Michel E, Jackson E, Verma A (2010). Factors associated with breast-feeding cessation in nursing mothers in a peer support programme in Eastern Lancashire. BMC Pediatr, 10: 3.
10. Vargens OM, Silva AC, Progianti JM (2013). Non-invasive nursing technologies for pain relief during childbirth--the Brazilian nurse midwives' view. Midwifery, 29: e99-e106.
11. Eicher M, Kadmon I, Claassen S et al (2012). Training breast care nurses throughout Europe: the EONS postbasic curriculum for breast cancer nursing. Eur J Cancer, 48: 1257-1262.
12. Oyelese Y, Scorza WE, Mastrolia R, Smulian JC (2007). Postpartum hemorrhage. Obstet Gynecol Clin North Am, 34: 421-441.
13. Salonen AH, Oommen H, Kaunonen M (2014). Primiparous and multiparous mothers' perceptions of social support from nursing professionals in postnatal wards. Midwifery, 30: 476-485.
14. Chowdhary N, Sikander S, Atif N et al V (2014). The content and delivery of psy-chological interventions for perinatal de-pression by non-specialist health workers in low and middle income countries: a systematic review. Best Pract Res Clin Obstet Gynaecol, 28: 113-133.
15. Clarke MA, Haire-Joshu DL, Schwarz CD, Tabak RG, Joshu CE (2015). Influence of Home and School Environments on Specific Dietary Behaviors Among Post-partum, High-Risk Teens, 27 States, 2007–2009. Prev Chronic Dis, 12: E68.
16. Lovic V, Fleming AS (2015). Propagation of maternal behavior across generations is associated with changes in non-maternal cognitive and behavioral processes. Behav Processes, 117: 42-47.
17. Ebneshahidi A, Akbari M, Heshmati B (2012). Patient-controlled versus nurse-controlled post-operative analgesia after caesarean section. Adv Biomed Res, 1: 6.
18. Timmins F, Horan P (2007). A critical analy-sis of the potential contribution of Orem's (2001) self-care deficit nursing theory to contemporary coronary care nursing practice. Eur J Cardiovasc Nurs, 6: 32-39.
19. Houser J (2003). A model for evaluating the context of nursing care delivery. J Nurs Adm, 33: 39-47.
20. Artieta-Pinedo I, Paz-Pascual C, Grandes G et al (2010). The benefits of antenatal ed-ucation for the childbirth process in Spain. Nurs Res, 59: 194-202.
21. McGrath L, Peters S, Wieck A, Wittkowski A (2013). The process of recovery in women who experienced psychosis fol-lowing childbirth. BMC Psychiatry, 13: 341.
22. Gjerdingen D (2003). The effectiveness of various postpartum depression treat-ments and the impact of antidepressant drugs on nursing infants. J Am Board Fam Pract, 16: 372-382.
23. Charbit B, Mandelbrot L, Samain E et al (2007). The decrease of fibrinogen is an early predictor of the severity of postpar-tum hemorrhage. J Thromb Haemost, 5: 266-273.
24. Magann EF, Evans S, Hutchinson M, Col-lins R, Howard BC, Morrison JC (2005). Postpartum hemorrhage after vaginal birth: an analysis of risk factors. South Med J, 98: 419-422.
25. Praveen P, Jordan F, Priami C, Morine MJ (2015). The role of breast-feeding in in-fant immune system: a systems perspec-tive on the intestinal microbiome. Microbi-ome, 3:41.
Published
2018-11-01
How to Cite
1.
OU Y, ZHOU Y, XIANG P. Effect of Obstetric Fine Nursing on Pain during Natural Childbirth and Postpartum Recovery. IJPH. 47(11):1703-8.
Section
Original Article(s)