Conclusion and recommendations
macrosomia, weight gain, depression
In this study, we implemented the online and offline hybrid continuous group care in China; the program was significantly effective in controlling the gestational weight gain, reducing the incidence rate of fetal macrosomia, improving the self-efficacy of women, reducing CS rate, exclusive breastfeeding rate and the incidence rate of postpartum depression. This study holds significant reference value for the continued implementation of the group care model in Chinese healthcare system. Additionally, it contributes to expanding the scope of group care. It provides a reference for the extensive implementation of the group care for women in other regions of China or in some regions of other countries, and it need to take into account the needs about the group care of women, the allocation of human resources among care providers and standardized training first when conduct the group care model.