Effect of family members participating nursing plan on the vaginal delivery rate and total labor in full-term and single fetal head position primiparas

ObjectiveTo analyze the influence of family members participating nursing plan on the vaginal delivery rate and total labor in full-term and single fetal head position primiparas.

MethodsA total of 186 fullterm head position, single fetal head position primiparas from August 2017 to December 2017 were divided into the control group(treated with rountine nursing) and observation group(treated with family members participating nursing plan based on control group) according to the order of admission(93 cases each group).The delivery outcome(including vaginal delivery rate and cesarean section rate), nursing satisfaction, labor time (first, second and third stage of labor and total labor time), postpartum haemorrhage amount within 2 h and childbirth knowledge mastery between two groups were compared, and the negative emotions and self-efficacy in two groups were evaluated using the self-rating scale for depression and anxiety(SDS and SAS) and general self-efficacy scale(GSES).

ResultsThe nursing satisfaction and cesarean section rate in observation group were better and lower than that in control group, respectively(P < 0.01).The first, second and third stage of labor time, total labor time and hospitalization time were significantly shorter than those in control group(P < 0.01).The postpartum blood loss within 2 h and hospitalization expense in observation group were lower than those in control group(P < 0.05 and P < 0.01).The differences of the scores of SDS, SAS, GSES and childbirth knowledge mastery between two groups on admission were not statistically significant(P>0.05).The scores of SDS and SAS in observation group before delivery were significantly lower than those in control group(P < 0.01), and the scores of GSES and childbirth knowledge mastery in observation group before delivery were higher than those in control group(P < 0.01).

ConclusionsFamily members participating nursing plan can improve the vaginal delivery rate of primiparas with full-term and single fetal head position, improve the negative emotion, shorten the time of labor, reduce postpartum hemorrhage and hospitalization expense, promote early maternal recovery, and improve nursing satisfaction and self-efficacy.