Title: The Nursing intervention separation of the influence of maternal maternal and infant
ABSTRACT
Objective
To investigate and analyze the physical and psychological state of high-risk pregnancy mothers after their babies being transferred to Neonatal Intensive Care Unit, evaluate the effect of nursing methods, and discuss the influential factors of this intervention. Eventually, to explore a scientific nursing Intervention model for high-risk pregnancy mothers after being separated from their newborn.
Methods
a quasi-experiment design was conducted among 6 high-risk pregnancy mothers recruited after being separated from their newborns. For the intervention group, the researcher provided nursing intervention, while the control group was only given routine nursing care. Data were collected on the 1st, 7th and 42nd day of cesarean section (including STA-I, EPDS, HR, SBP, BS, Mammary Swelling Incidence and Breastfeeding Incidence). T-test > Chi-square test ^ Mann-Whitney U test and Multivariate stepwise regression were performed throughout the data analysis.
Results
1. On the 1st day of cesarean section, the psychological state of high-risk pregnancy mothers after being separated from their newborns: The S-AI score is 43.80±7.43 and significantly higher than the normal standard in China. The EPDS score is 10.22±4.43 and Postpartum Depression Incidence is 57.9%.
2. Effect of nursing intervention on psychological state of high-risk pregnancy mothers after being separated from their newborns: (1) on the 7th and 42nd day of cesarean incidence in intervention group decreased significantly. on the lst,7th and 42nd day of cesarean section, the S-AI score and EPDS in intervention group decreased significantly; on the 7th day of cesarean section, the control groups S-AI score and EPDS have no statistics differences. (3)on the 7th day of cesarean section, the two groups' endocrine indexes have statistics differences. on the 42nd day of cesarean section, there were no statistics differences of EPDS scores between two groups. on the 7th day of cesarean section, the two groups' physical indexes have no statistics differences.
Conclusion
Nursing intervention can effectively relieve the response intensity of the stress, decrease the Mammary Swelling Incidence and improve breastfeeding.
Key words:Mother-baby separation; High-risk pregnancy Mother; Anxiety; Depression; Nursing intervention