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产前教育对孕妇分娩方式及结果的效果探究

Effects of prenatal education for pregnant women on childbirth

  • 摘要: 目的 分析研究有效的产前教育对孕妇自然分娩的效果。方法 选择2013年3月-2014年9月于广东省惠州市第六人民医院就诊的孕妇600例作为研究对象,采用完全随机数表法将上述孕妇随机分为教育组和对照组,每组各300例。对照组中的孕妇给予常规孕期体检及知识指导,对产前教育组的孕妇于建卡后给予产前教育;记录各组产妇分娩方式、剖宫产中社会因素比例以及巨大儿、妊娠高血压疾病、胎位异常发生率。结果 教育组中孕妇阴道分娩比例为75.00%,明显高于对照组的51.00%,两组数据比较差异具有统计学意义(χ2=37.0656,P=0.0000);教育组中剖宫产孕妇的社会因素影响率为24.00%,明显低于对照组中的52.38%,两组数据比较差异具有统计学意义(χ2=17.4157,P=0.0000)。教育组中孕妇妊娠合并症的总发生率为15.00%,明显低于对照组的27.00%,两组数据比较差异具有统计学意义(χ2=13.0199,P=0.0003)。结论 有效的产前教育能够显著提高孕妇的自然分娩率,降低妊娠合并症的总发生率,值得在临床广泛推广。

     

    Abstract: Objective To study the effect of prenatal education for pregnant women on natural childbirth.Methods During March 2013 to September 2014, 600 cases of pregnant women in the Sixth People's Hospital of Huizhou city were recruited as research subjects, and they were randomized into education group and control group using random number table method completely with 300 cases in each group. The pregnant women in control group were received routine prenatal education and guidance, while the pregnant women in education group were received prenatal education after giving the cards, the information of maternity way, related social factors of caesarean section, the huge children, gestational hypertension were collected.Results The proportion of pregnant women with vaginal delivery in education group was 75.00%, which was higher than that in control group (51.00%), and the difference was statistically significant (χ2=37.0656, P=0.0000); In educational group, the influence rate of social factors was 24.00% for pregnant women with cesarean, which was lower than that in control group (52.38%), and the difference was statistically significant (χ2=17.4157, P=0.0000). The overall incidence of pregnancy complications for pregnant women in education group was 15.00%, which was lower than that in control group (27.00%), and the difference was statistically significant (χ2=13.0199, P=0.0003).Conclusion Prenatal education can improve the rate of natural birth for pregnant women and reduce the overall incidence of pregnancy complications, the method is worthy of clinical application.

     

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