INTRODUCTIONPrimary nursing care de

INTRODUCTION
Primary nursing care delivers comprehensive and individualized nursing care to patients through the primary nurse who has the authority and autonomy to plan and implement such care (Sellick, Russell, & Beckmann, 1983).
Continuous primary nursing care (CPNC), a new modality of primary care that is based on and goes beyond primary nursing care, was introduced to the practice of obstetric nursing in China in 2008 to improve the quality of care for pregnant women (Wan, Yin, Hou, & Ding, 2009).
Continuous primary nursing care provides comprehensive and continuous individualized nursing care by a primary nurse to pregnant women eight weeks before admission to the hospital, during the hospitalization period, and two weeks after discharge from the hospital (Wan et al., 2009).
The major difference between primary nursing care and Continuous primary nursing care is the length of time that nursing care is provided to the patient by the primary nurse.
In the primary nursing care approach, the primary nurse provides nursing care only during patients’ hospitalization without
covering such an extended period of time.
To our knowledge, the majority of hospitals in China, including hospitals in the city of Shanghai, practice traditional task-oriented nursing care in which different nurses provide different nursing care according to assigned tasks such as administering medications, nursing education, providing nursing care to newborn, and so on (Yang, 2004).
There are several major problems in task-centered nursing care, including fragmental interpersonal relationships between primary care providers and pregnant women, problems with communication between primary care providers and patients, lack of systematic care, and poor patient education on obstetric knowledge (Yang, 2004).
Task-centered nursing care is particularly ineffective against preventing pregnant women’s early postpartum health problems such as urinary retention, breast pain, and problems with breastfeeding (He, 2008).
Researchers have developed several indicators to measure quality of health care services based on patients’ health outcomes.
In maternal–child nursing practice, patient satisfaction has been widely recognized as one of the critical indicators of the quality and the effi ciency of the health care systems (Johansson, Oléni, & Fridlund, 2002).
The other critical indicator is early postpartum health problems including breastfeeding rate, postpartum urinary retention, and breastdiscomfort (Thompson, Roberts, Currie, &Ellwood, 2002).
New mothers often experience certain physical health problems in the postpartum period that may affect their quality of life, their future health condition, and the health of their children (Dhaher, Mikolajczyk, Maxwell, & Krämer, 2008).
It is known that inadequate breastfeeding may lead to breast disorders such as mastitis and breast abscess if treated improperly (Ansara, Cohen, Gallop, Kung, & Schei, 2005).
Therefore, it is important for new mothers to receive professional care and help in order to remedy these early postpartum health problems.
Because primary care nurses play increasingly important roles in the delivery of primary care in obstetric nursing, most of the early postpartum problems can be prevented or reduced by nursing interventions in the early postpartum period
(Rizvi, Khan, & Khan, 2005).
Researchers need to provide empirical evidence of using new effective nursing practices in preventing early postpartum
problems (Keleher, Parker, Abdulwadud, & Francis, 2009).
The purpose of this study was to assess the effect of the practice of Continuous primary nursing care on hospitalized
pregnant women on their satisfaction with nursing care and early postpartum health problems.

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