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Chinese Journal of Clinicians(Electronic Edition) ›› 2023, Vol. 17 ›› Issue (04): 455-460. doi: 10.3877/cma.j.issn.1674-0785.2023.04.015

• Nursing Garden • Previous Articles     Next Articles

Effects of individualized whole-course nursing intervention based on WeChat mini program on pregnancy weight and delivery outcome

Xueyun Liu, Ying Fan(), Aijun Yao, Shengmiao Zhang, Yani Lv, Bingqing Zhang, Xiaoyu Zhang, Heng. Liu   

  1. Department of Obstetrics, Shougang Hospital, Peking University, Beijing 100144, China
  • Received:2023-03-08 Online:2023-04-15 Published:2023-08-18
  • Contact: Ying Fan

Abstract:

Objective

To explore the effects of individualized whole-course nursing intervention based on WeChat mini program on pregnancy weight gain and delivery outcome.

Methods

A total of 114 women who gave birth at Peking University Shougang Hospital from July 2019 to October 2019 were selected as a control group, and 114 women who gave birth at the same hospital from January 2021 to April 2021 were selected as an observation group. The control group was given routine outpatient guidance. In addition to routine outpatient guidance, the observation group applied WeChat mini program for weight management. The weight gain, abnormal weight gain rate, lateral resection rate of vaginal delivery, cesarean section rate during labor, gestational diabetes rate, macrosomia rate, maternal discharge satisfaction rate, and so on were compared between the two groups.

Results

The pregnant women in the observation group gained 12.906±3.779 kg during pregnancy and the newborn weight was 3336.67±352.021 g. The pregnant women in the control group gained 15.547±4.973 kg during pregnancy and the newborn weight was 3419.56±433.711 g. The difference in the pregnancy weight gain and newborn weight was statistically significant between the two groups (P<0.05). Compared with the control group, In the observation group, the abnormal rate of weight gain during pregnancy, the rate of lateral resection of vaginal delivery, the rate of cesarean section during labor, the incidence of gestational diabetes, the incidence of macrosomia, and the incidence of neonatal hypoglycemia all decreased significantly in the observation group (P<0.05), while maternal discharge satisfaction was increased significantly (P<0.05).

Conclusion

Individualized whole-course nursing intervention based on WeChat mini program can effectively reduce the rate of abnormal weight gain of pregnant women, the rate of lateral resection of vaginal delivery, the rate of cesarean section during labor, and the incidence of gestational diabetes, macrosomia, and neonatal hypoglycemia, and effectively improve maternal and infant delivery outcomes. To some extent, it improves the degree of satisfaction of the puerpera after discharge, and increases the sense of childbirth experience of the puerpera and their family.

Key words: Pregnant women, Weight gain, WeChat mini program, Nursing, Weight management

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