Limitations
RECRUITMENT, PREGNANCY COMPLICATIONS
This study was conducted between July and December 2020 amidst the COVID-19 pandemic in China. Despite Haikou city experiencing minimal impact from the pandemic during this period, some women expressed concerns regarding their safety in crowded settings and were hesitant to participate in face-to-face sessions. Therefore, the process of subject recruitment posed numerous challenges for researchers, however, ultimately the majority of college-educated women demonstrated a willingness to participate in the program. Further investigation is required to determine the impact of the continuous group care on women with varying levels of education. On the other hand, as this study excluded women with multiple pregnancies and pregnancy complications in the recruitment, further research and discussion are needed to determine the applicability and effectiveness of this study for high-risk women. In addition, the continuous group care implemented in this study begins at the 30 weeks of gestation due to local obstetric management policies and midwives’ occupational limitations in China, setting it apart from other studies that initiate group care during the second trimester [