| Objective To investigate the effects of cognitive behavioral intervention on postpartum hemorrhage and delivery outcomes in those puerperae with vaginal delivery. Methods 82 puerperae underwent vaginal delivery in our hospital between Aug 2016 and Aug 2017 were collected as the study objectives, and then following their admission date, they were divided into the intervention group (43 cases) and the control group (39 cases) by means of random number table. Besides the routine nursing for the control group, women in the intervention group received additional cognitive behavioral intervention at the same time. Their childbirth knowledge, childbirth attitude and coping style in the two groups were evaluated by self-made survey scales at admission and after intervention. Meanwhile, their postpartum bleeding, incidence rate of complications, and delivery outcomes were recorded. Results The scores of childbirth knowledge, childbirth attitude and coping style in the intervention group were 19.02±0.33, 43.02±1.74 and 27.93±1.41, respectively, which were higher than those in the control group (15.12±1.24, 36.72±3.45 and 19.08±2.74), with significant differences (P<0.05). The bleeding volume at 2 hours and 24 hours after parturition in the intervention group were both significantly lower than those in the control group. The intervention group had a much lower incidence of postpartum complications (4.65%) in comparison with the control group (23.08%), and their difference was significant (P=0.021). Significant difference was also found between the two groups in the neonatal adverse outcomes (2.33% vs 15.38%; P=0.049). Conclusion Through cognitive behavioral intervention, the postpartum hemorrhage, postpartum complications and neonatal adverse outcomes in those puerperae with vaginal delivery could be reduced. |
