目的调查广州地区孕产妇对分娩镇痛的认知度,根据反馈信息提出建议。方法针对广州地区孕产妇对分娩镇痛认知度的不同设计调查问卷,于2006年7~9月分别对广东省妇幼保健院、广州市妇婴医院、广州市第一人民医院、广州医学院第二附属医院、广州医学院第三附属医院,广州市海珠区妇幼保健院、广州市越秀区妇幼保健院、广州市荔湾区妇幼保健院、广州市花都区妇幼保健院、广州从化市中心医院等十家不同级别医院的孕妇和产妇进行问卷调查,共发调查问卷1000份。结果收回有效问卷982份(98·2%)。对分娩镇痛的认识程度:982位孕产妇中,5·4%对分娩镇痛十分清楚,22·1%对分娩镇痛有些了解,41·3%听说过分娩镇痛,但不清楚,31·2%从未听说过分娩镇痛。对分娩镇痛十分清楚的孕产妇最希望采用分娩镇痛方式分娩,其余孕产妇最希望不借助任何镇痛或手术而自然分娩。大部分产妇对分娩痛表示可以坦然对之或毫不畏惧,但有部分从未听说过或仅仅是听说过分娩镇痛的孕产妇对分娩痛有十分恐惧的心理。90%以上的产妇顾虑母婴安全问题。“亲戚朋友、医护人员、孕产妇手册”是各组孕产妇了解分娩镇痛的主要途径。对分娩镇痛十分清楚的孕产妇均能说出一两间提供分娩镇痛服务的医院,而对分娩镇痛不十分了解的孕产妇均不能说出。结论广州地区大部分孕产妇对分娩镇痛的认知度较低,尤其是对其安全性的认识不足,推广分娩镇痛仍是一项艰巨的任务;应加大宣传力度,更新观念,让更多的产妇认识分娩镇痛的安全性及优越性,提高医护人员对开展分娩镇痛的奉献精神及对医护人员适当奖励,因地制宜成立专科麻醉小组,方有利于促进分娩镇痛新技术的开展。 Objective To investigate the degree of maternal awareness of labor analgesia in Guangzhou and put forward suggestions based on feedback information. Methods A questionnaire was designed to identify the analgesia of childbirth in pregnant women in Guangzhou. From July to September 2006, they were performed on Guangdong Provincial Maternal and Child Health Hospital, Guangzhou City Maternal and Child Hospital, Guangzhou First People’s Hospital, and Guangzhou Medical College. Second Affiliated Hospital, Third Affiliated Hospital of Guangzhou Medical College, Maternal and Child Health Hospital of Haizhu District of Guangzhou City, Maternal and Child Health Hospital of Guangzhou Yuexiu District, Maternal and Child Health Hospital of Liwan District of Guangzhou City, Maternal and Child Health Hospital of Huadu District of Guangzhou City, Guangzhou Conghua City Center A questionnaire survey was conducted among pregnant women and maternity women in ten hospitals and other hospitals. A total of 1,000 questionnaires were sent out. Results 982 valid questionnaires were retrieved (98. 2%). Degree of understanding of childbirth and analgesia: Among 982 pregnant women, 5.4% had a clear analgesia for childbirth, 22.1% had some knowledge of childbirth and analgesia, 41.3% had heard of childbirth pain but it was unclear. , 31·2% have never heard of childbirth pain. The maternal who is very clear about childbirth and analgesia is most likely to give birth by way of labor analgesia, and the rest of the mothers and women hope to give birth spontaneously without resorting to any analgesia or surgery. Most of the mothers said they could be right or not afraid of giving birth. However, some pregnant women who had never heard of or had only heard of childbirth had an extremely frightening attitude towards childbirth. More than 90% of maternal women worry about maternal and child safety. The “relatives, friends, medical staff, and maternity handbook” are the main ways for maternal groups to understand the pain of labor. The maternal women who have very clear analgesia for childbirth can tell one or two hospitals that provide childbirth and analgesia services. The maternal women who are not very aware of childbirth and analgesia cannot say anything. Conclusion The majority of pregnant women in Guangzhou have low awareness of labor analgesia, especially their lack of awareness of safety. Promoting childbirth and pain relief is still a difficult task; we must increase publicity efforts, update concepts, and let More maternity women know the safety and superiority of labor analgesia, improve the dedication of medical staff to deliver analgesia, and give appropriate rewards to health care workers. Specialized anesthesia teams should be established according to local conditions to facilitate the development of new technologies for labor and analgesia. .