{"title":"Combined Psychological Nursing and Midwife-Led Positional Care Reduces Labor Duration in Nulliparous Women: A Retrospective Study.","authors":"Jing Liu, Jiaqi Yang, Na Sun","doi":"10.2147/IJWH.S539612","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effects of psychological nursing combined with midwife-led positional care on labor duration and delivery outcomes in nulliparous women undergoing vaginal delivery.</p><p><strong>Methods: </strong>This retrospective study included 110 nulliparous women who underwent vaginal delivery in our hospital's obstetrics department between August 2023 and January 2025. Participants were divided into an observation group (n = 55, receiving psychological nursing combined with midwife-led positional care) and a control group (n = 55, receiving routine nursing interventions). Labor duration, sense of labor control, anxiety/depression scores, health knowledge mastery, and self-efficacy were compared between the two groups.</p><p><strong>Results: </strong>No significant differences were observed in baseline clinical characteristics (eg, age) between the groups (P > 0.05), indicating comparability. The observation group exhibited significantly shorter labor durations during both the first and second stages of labor compared to the control group (402.65 ± 61.51/39.78 ± 5.91 vs 311.56 ± 50.69/26.58 ± 5.31, P < 0.05). Scores on the Labor Control Scale were markedly higher in the observation group (141.56 ± 11.6 1 vs 68.54 ± 12.61, P < 0.05). Post-intervention, the observation group reported lower anxiety (HAMA) and depression (HAMD) scores than the control group (13.14 ± 2.11/10.65 ± 1.45 vs 8.25 ± 1.52/7.34 ± 1.28, P < 0.05). Health knowledge levels regarding childbirth were significantly superior in the observation group (78.23 ± 5.56 vs 90.11 ± 5.14, P < 0.05), as were post-intervention CBSEI-C32 self-efficacy scores (88.23 ± 2.88 vs 98.56 ± 1.17, P < 0.05).</p><p><strong>Conclusion: </strong>The integration of psychological nursing with midwife-led positional care effectively shortens labor duration, enhances health knowledge mastery and sense of labor control, alleviates negative emotions, and improves self-efficacy in nulliparous women. This joint intervention plan has empirical basis for clinical implementation.</p>","PeriodicalId":14356,"journal":{"name":"International Journal of Women's Health","volume":"17 ","pages":"3375-3383"},"PeriodicalIF":2.6000,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12493099/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Women's Health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/IJWH.S539612","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To investigate the effects of psychological nursing combined with midwife-led positional care on labor duration and delivery outcomes in nulliparous women undergoing vaginal delivery.
Methods: This retrospective study included 110 nulliparous women who underwent vaginal delivery in our hospital's obstetrics department between August 2023 and January 2025. Participants were divided into an observation group (n = 55, receiving psychological nursing combined with midwife-led positional care) and a control group (n = 55, receiving routine nursing interventions). Labor duration, sense of labor control, anxiety/depression scores, health knowledge mastery, and self-efficacy were compared between the two groups.
Results: No significant differences were observed in baseline clinical characteristics (eg, age) between the groups (P > 0.05), indicating comparability. The observation group exhibited significantly shorter labor durations during both the first and second stages of labor compared to the control group (402.65 ± 61.51/39.78 ± 5.91 vs 311.56 ± 50.69/26.58 ± 5.31, P < 0.05). Scores on the Labor Control Scale were markedly higher in the observation group (141.56 ± 11.6 1 vs 68.54 ± 12.61, P < 0.05). Post-intervention, the observation group reported lower anxiety (HAMA) and depression (HAMD) scores than the control group (13.14 ± 2.11/10.65 ± 1.45 vs 8.25 ± 1.52/7.34 ± 1.28, P < 0.05). Health knowledge levels regarding childbirth were significantly superior in the observation group (78.23 ± 5.56 vs 90.11 ± 5.14, P < 0.05), as were post-intervention CBSEI-C32 self-efficacy scores (88.23 ± 2.88 vs 98.56 ± 1.17, P < 0.05).
Conclusion: The integration of psychological nursing with midwife-led positional care effectively shortens labor duration, enhances health knowledge mastery and sense of labor control, alleviates negative emotions, and improves self-efficacy in nulliparous women. This joint intervention plan has empirical basis for clinical implementation.
期刊介绍:
International Journal of Women''s Health is an international, peer-reviewed, open access, online journal. Publishing original research, reports, editorials, reviews and commentaries on all aspects of women''s healthcare including gynecology, obstetrics, and breast cancer. Subject areas include: Chronic conditions including cancers of various organs specific and not specific to women Migraine, headaches, arthritis, osteoporosis Endocrine and autoimmune syndromes - asthma, multiple sclerosis, lupus, diabetes Sexual and reproductive health including fertility patterns and emerging technologies to address infertility Infectious disease with chronic sequelae including HIV/AIDS, HPV, PID, and other STDs Psychological and psychosocial conditions - depression across the life span, substance abuse, domestic violence Health maintenance among aging females - factors affecting the quality of life including physical, social and mental issues Avenues for health promotion and disease prevention across the life span Male vs female incidence comparisons for conditions that affect both genders.