{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,5]],"date-time":"2026-07-05T07:41:12Z","timestamp":1783237272671,"version":"3.54.6"},"reference-count":18,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,8,14]],"date-time":"2018-08-14T00:00:00Z","timestamp":1534204800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003392","name":"Natural Science Foundation of Fujian Province","doi-asserted-by":"publisher","award":["2015J01369"],"award-info":[{"award-number":["2015J01369"]}],"id":[{"id":"10.13039\/501100003392","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Nursing Practice"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The high caesarean section rate is a prominent public health problem in China.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study aimed to determine the effects of midwife\u2010led care during labour on birth outcomes for healthy primiparas.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Randomized controlled trial.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>The Obstetrics Department of Fujian Provincial Maternity and Child Health Hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A total of 666 primiparas in labour were randomly divided into an intervention and control group (333 in each group). The intervention group received a midwife\u2010led model of care during labour.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Data from 648 cases (331 intervention group and 317 control group) were analysed. The intervention group was less likely to experience caesarean section, postpartum haemorrhage, opiate analgesia, vaginal examinations, neonatal asphyxia, and neonatal hospitalization and was more likely to experience shorter length of labour and vaginal birth than the control group (all, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.05). No differences were found in the number of artificial rupture of membranes and oxytocin use (<jats:italic>P<\/jats:italic>\u00a0&gt;\u00a00.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Midwife\u2010led care can reduce the caesarean section rate, promote normal birth, improve birth outcomes, and promote maternal and child health.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijn.12686","type":"journal-article","created":{"date-parts":[[2018,8,15]],"date-time":"2018-08-15T03:44:01Z","timestamp":1534304641000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Effect of midwife\u2010led care on birth outcomes of primiparas"],"prefix":"10.1111","volume":"24","author":[{"given":"Xiu\u2010Min","family":"Jiang","sequence":"first","affiliation":[{"name":"Department of Obstetrics, Fujian Maternal and Child Health Hospital Affiliated Hospital of Fujian Medical University  Fuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qi\u2010Yan","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Fujian Maternal and Child Health Hospital Affiliated Hospital of Fujian Medical University  Fuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheng\u2010Bin","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Fujian Maternal and Child Health Hospital Affiliated Hospital of Fujian Medical University  Fuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li\u2010Zhu","family":"Jin","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Fujian Maternal and Child Health Hospital Affiliated Hospital of Fujian Medical University  Fuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin\u2010Xin","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Fujian Maternal and Child Health Hospital Affiliated Hospital of Fujian Medical University  Fuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiu\u2010Wu","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Fujian Maternal and Child Health Hospital Affiliated Hospital of Fujian Medical University  Fuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin\u2010Xiu","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Fujian Maternal and Child Health Hospital Affiliated Hospital of Fujian Medical University  Fuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hai\u2010Bin","family":"Qu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Fujian Maternal and Child Health Hospital Affiliated Hospital of Fujian Medical University  Fuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6378-8523","authenticated-orcid":false,"given":"Rong\u2010Fang","family":"Hu","sequence":"additional","affiliation":[{"name":"School of Nursing Fujian Medical University  Fuzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,8,14]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.327.7415.584"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2010.05.012"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2013.07.018"},{"key":"e_1_2_9_5_1","first-page":"7","article-title":"The care status and progress of non\u2010pharmaceutical of pain relief in childbirth","volume":"16","author":"Feng L.","year":"2009","journal-title":"Journal of Nursing"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)61096-9"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.11.090399"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.324.7342.892"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.1997.tb14800.x"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69382-3"},{"key":"e_1_2_9_11_1","doi-asserted-by":"crossref","unstructured":"Liang J. 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