Maternal and infant health issues during the puerperium (e.g., breastfeeding difficulties, risk of puerperal infection, neonatal jaundice)
Conditions
Interventions
4C Maternal-Infant Continuity of Care Group:Implementation of the tiered 4C Maternal-Infant Continuity of Care Model through Hospital-Community-Family linkage. This is a comprehensive nursing interven
(2) One-on-one personalized bedside health education
(3) Formation of a collaborative team consisting of "specialist nurse + community nurse + family members" and establishment of a dedicated WeChat group.
2. Post-discharge Continuity Services (Communi
(2) Provision of 24-hour online consultation via the WeChat group and of stage-based health information according to the postpartum recovery phase
(3) Provision of "Internet + Home Nursing" services and referral to specialist clinics (e.g., breastfeeding clinic).
3. Service Duration and Platform:
Services cover 42 days postpartum. The entire pr
Routine Care Group:Receive routine hospital perinatal care services.
Three days after discharge: A specialist nurse conducts one telephone follow-up. The main content includes the mother's physical r
Sponsors
Shaoxing Shangyu Maternal and Child Health Hospital
Eligibility
Sex/Gender
Female
Age
18 Years to 49 Years
Inclusion criteria
Inclusion criteria: 1. Singleton full-term delivery 2. No contraindications to breastfeeding 3. Maternal age: 18-49 years 4. Neonatal birth weight 2500-4000 g 5. Availability of at least one family member for home care 6. Residence in the pilot community during the puerperium 7. Willingness to participate in this study.
Exclusion criteria
Exclusion criteria: 1.Severe complications in either the mother or the infant 2.History of maternal mental illness or cognitive impairment 3. Planning to relocate within 6 weeks postpartum 4.Participation in other intervention studies.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Exclusive Breastfeeding Rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of Breast Engorgement and Nipple Fissure;Neonatal Unscheduled Revisit Rate;Neonatal Transcutaneous Bilirubin (TCB) Value;Incidence of Neonatal Omphalitis;Score on the Chinese Version of the Parenting Sense of Competence Scale (C-PSOC);Nursing Service Satisfaction Score;Score on the Edinburgh Postnatal Depression Scale (EPDS);Incidence of Puerperal Infection;Neonatal jaundice readmission rate; | — |
Countries
China
Contacts
Public ContactWang Fangzhen
Shaoxing Shangyu Maternal and Child Health Hospital
Outcome results
None listed