摘要
目的了解湖北省十堰市孕妇选择剖宫产的原因,探讨产前不同健康教育模式的效果及对孕妇分娩方式的影响。方法对该地168名孕妇按照能否有规律地接受健康教育分为试验组(103名)和对照组(65名)。试验组采用"课堂式"集中健康教育,对照组在门诊孕检时进行。所有孕妇在健康教育前对其拟采用的分娩方式进行问卷调查;对选择剖宫产的孕妇同时行影响因素问卷调查;问卷结束后分别对2组教育前后及实际分娩所采用的分娩方式进行统计分析。结果首次问卷调查的168名中有95名孕妇选择剖宫产(56.55%,95/168)。选择剖宫产的孕妇中有78.95%(75/95)的孕妇认为剖宫产比阴道分娩更安全,其他原因所占比例较低;2组健康教育后选择自然分娩的孕妇数量均明显增加(P<0.05),试验组实际采用自然分娩的孕妇比例明显高于教育前(P<0.05);对照组亦高于教育前,但差异无统计学意义(P>0.05);试验组实际采用自然分娩孕妇的比例高于对照组(P<0.05)。结论孕妇错误地认识是导致孕妇选择剖宫产的主要原因,健康教育对孕妇选择分娩方式影响大,但"课堂式"健康教育较门诊健康教育更有效。
[ Objective] To find out the reasons of the local pregnant women to choose cesarean section, and discuss the effect of different prenatal health education models on the pregnant women to choose the delivery way in Shiyan City of Hubei Province. [ Methods ] A total of 168 local pregnant women were divided into the experimental group （ 103 women） and the control group （65 women） according to their compliance to health education. The experimental group was treated with class-type centralized health education, and the control group was treated when they took antenatal care in the outpatient service. All pregnant women were asked to take the questionnaire survey about the delivery way before the health education. The pregnant women who chose the cesarean section were also asked to do the questionnaire survey about the influencing factors. After the questionnaires, the delivery ways chose before the education, after the education and at the actual time by 2 groups were respectively treated by statistics. [ Results ] At the first questionnaire survey, there were 95 pregnant women of 168 who chose the cesarean section （56.55%, 95/1681. During them, there was 78.95% （75/95） of the pregnant women who chose cesarean section thought it was safer than the vaginal delivery, and other reasons occupied a low proportion. The number of pregnant women to choose natural childbirth of both 2 groups was significantly increased （P 〈 0. 05 ） after health education. The proportion in the experimental group actual using natural childbirth after health education was obviously higher than that before the education （ P 〈 0.05 ）, and there was a same trend in the control group but there was no significant difference （ P 〉 0. 05 ）. The proportion in the experimental group actual using natural childbirth was significantly higher than that in control group （P 〈 0. 05}. [ Conclusion ] The wrong understand- ing of the pregnant women may be the main cause for them to choose cesarean section. The health education has a big influence on preg- nant women to choose the delivery way. And the class -type health education is more effective than the clinic health education.
出处
《职业与健康》
CAS
2013年第16期2050-2052,共3页
Occupation and Health
关键词
健康教育
孕产妇
分娩
调查研究
Health education
Pregnant women
Delivery
Investigation
