Midwife-led psychological interventions can improve the natural delivery rate of pregnant women, shorten the duration of the first stage of delivery, and decrease postpartum hemorrhage.
This meta-analysis illustrates the importance of midwife-led psychological interventions for the natural delivery, providing reliable evidence for its clinical use.
Objective: To systematically review the influence of psychological intervention of midwives on the delivery mode and outcomes. Methods: Databases including Cochrane Library, PubMed, Medline, EMBASE, CINAHL, CNKI, Wangfang, and VIP were searched for randomized controlled trials studying the effects of midwife-led psychological nursing on puerpera. Two evaluators independently searched and screened the papers, extracted relevant data, and quality assessment of the included studies, followed by a meta-analysis of the papers using RevMan 5.3 software. Results: 12 studies with 1,395 patients were included. The results of the meta-analysis showed that compared to conventional nursing, midwife-led psychological intervention can improve the number of people who choose natural delivery [Z = 7.53, 95% CI (2.07, 3.45), P < 0. 001], shorten the duration of the first stage of delivery [Z = 45.10, 95% CI (-4.43, -4.06), P < 0. 001), reduce postpartum hemorrhage after delivery for two hours [Z = 21.68, 95% CI (-63.92, -53.32), P < 0. 001]; these differences were statistically significant. Conclusion: Psychological interventions led by midwives can improve the natural delivery rate of pregnant women, shorten the duration of the first stage of delivery, and decrease postpartum hemorrhage after delivery for two hours; thus, it can be popularized for clinical use.