Objective  To explore the effect of continuous meticulous nursing on outcome and self-efficacy of postpartum breast-feeding in primiparas with high-risk pregnancy.

  Methods  A total of 100 primiparas with high-risk pregnancy were divided into control group (n=50) and observation group (n=50). The control group was given routine nursing, while the observation group was given continuous meticulous nursing. The pregnancy outcome and self-efficacy of postpartum breast-feeding were compared between the two groups.

  Results  The vaginal delivery rate in the observation group was significantly higher than that in the control group (P < 0.05), the cesarean section rate, postpartum hemorrhage rate and neonatal asphyxia rate were significantly lower than those in the control group (P < 0.05). The breast-feeding self-efficacy scale (BSES) score and social support rating scale (SSRS) score in the observation group were significantly higher than those in the control group (P < 0.05). The puerperas in the two groups were followed up regularly for 6 months, and the ratio of puerperas insisting on breast-feeding in observation group was 90.00%, which was significantly higher than 64.00% in the control group (P < 0.05).

  Conclusion  For primiparas with high-risk pregnancy, continuous meticulous nursing can improve the pregnancy outcome and the self-efficacy of postpartum breast-feeding.