Impact of midwife-led experience delivery mode on the pregnancy outcomes of primiparas

<b>Objective</b> To explore the clinical implementation of a midwife-led pregnancy experience delivery mode and its influence on the pregnancy outcome of primiparas. <b>Methods</b> A retrospective analysis was conducted on pregnant women who had regular prenatal care and delivery at Obstetrics and Gynecology Medical Center in Nanjing Drum Tower Hospital from March to December 2022. One hundred and ninety nine women who participated in pregnancy experience deliveryl mode led by midwives during pregnancy were included in the observation group, while 107 women who did not participate during the same period were included in the control group. Both groups received pregnancy propaganda and education in the perinatal nursing clinic from the establishment of the card to the admission date, and filled in the general information questionnaire, the childbirth cognition questionnaire, the childbirth attitude questionnaire, pregnancy anxiety scale and self-rating anxiety scale before 36 weeks of gestation. The observation group participated in the course after 36 weeks and filled in the relevant scales again. The differences of each scale score and the delivery outcomes of the two groups of pregnant women were compared. <b>Results</b> The scores of the childbirth attitude questionnaire, pregnancy anxiety scale and self-rating anxiety scale were lower in the observation group than those in the control group ( P ＜0.01). Compared with the control group, the observation group had shorter second stage of labor time and length of breath holding time on the delivery bed ( P ＜0.05), lower uterine contraction pain scores (5.77±1.31 vs 8.73±1.40,t =16.417,P ＜0.01), cesarean delivery rate (5.04%vs 21.50%,χ 2=13.636,P ＜0.01) and lateral resection rate (8.40% vs 19.63%,χ 2=5.996,P =0.019). <b>Conclusion</b> The implementation of the team resource management mode led by midwives integrating medical treatment, midwifery, breastfeeding, and maternal rehabilitation experts in the perinatal care clinic through experiential childbirth simulation education classroom helps pregnant women and their families to familiarize with the obstetric environment beforehand, master the admission indication process, grasp the entire delivery procedure, and experience the delivery bed. This approach enhances confidence in vaginal delivery while improving natural birth rates and ensuring maternal and neonatal health.