Effectiveness of stratified case management on high-risk pregnant women and perinatal infants

ZHOU Suodi; LIU Lingmei; WU Xuelian

doi:10.3969/j.issn.2096-501X.2025.04.010

Abstract：Objective To investigate the impact of stratified case management on high-risk pregnant women classified as orange,red or purple under the"five-color"risk stratification system and their perinatal infants.Methods The high-risk pregnant women who received antenatal care and delivered at Liyang People's Hospital from January 2021 to December 2022 were selected.Based on the five-color risk assessment,540 high-risk pregnant women with risk levels of orange,red or purple from January to December 2021 were assigned to the control group and received routine nursing management.641 high-risk pregnant women with the same risk level from January to December 2022 were assigned to the experimental group and received case-based stratified management.Childbirth-related fear,childbirth self-efficacy,delivery methods,and adverse outcomes in newborns were compared between the two groups.Results After management,in the experimental group,the childbirth attitudes questionnaire(CAQ)score was significantly lower than that in the control group[(30.83±4.39)vs.(35.21±5.14),P<0.05].In the experimental group,the childbirth self-efficacy inventory(CBSEI)score was significantly higher than that in the control group[(244.23±28.06)vs.(210.54±27.47),P<0.05].The vaginal delivery rate was higher in the experimental group(63.96%vs.51.67%,P<0.05).And the incidence of neonatal adverse outcomes was lower(21.84%vs.27.40%,P<0.05).Conclusions The application of stratified case management in high-risk pregnancy women care significantly alleviates childbirth-related fear,enhances childbirth self-efficacy,improves delivery outcomes,as well as reduces the incidence of adverse outcomes of perinatal infants.