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目的:探讨产前系统教育对分娩结局的影响。方法:将我院门诊及住院分娩孕妇进行随机分组,自愿加入现代母婴俱乐部接受系统产前教育的100例孕妇为实验组,同期只接受常规围产保健知识教育的100例孕妇为对照组。实验组除常规围产保健知识教育外,还教授产前体操、模拟分娩全过程、拉玛泽减痛分娩法、三个产程的各种姿势及丈夫的配合、妊娠期、分娩期生理心理变化及应对方法、认知产后生理心理的变化及应对方法等。对照组只接受常规的围产保健知识,即观看母乳喂养VCD、讲授孕期、分娩期、产褥期的生理过程和基本的保健知识及母乳喂养相关知识等。结果:实验组剖宫产率及总产程均少于对照组(P<0.05)。结论:产前系统教育能提升孕妇对妊娠、分娩的认知,增加自然分娩的信心,有助于调节神经及各器官功能,缩短产程,降低剖宫产率。
Objective: To explore the influence of prenatal system education on delivery outcome. Methods: Pregnant women in outpatient clinics and inpatient delivery were randomly divided into two groups: 100 pregnant women who volunteered to join the system of prenatal education in the maternal and child clubs voluntarily participated in the experiment group, and 100 pregnant women who received only routine perinatology knowledge education as the control group. In addition to routine perinatology knowledge education, the experimental group also taught prenatal gymnastics, simulating the whole process of delivery, Lamaze pain relief childbirth method, three kinds of labor and various gestures and her husband’s cooperation, pregnancy, childbirth physiological and psychological changes And coping methods, cognitive changes in postpartum physiology and psychology and coping methods. The control group only received routine knowledge of perinatal health care, that is, watching breastfeeding VCD, teaching pregnancy, childbirth, the physiological process of puerperium and basic health knowledge and breastfeeding related knowledge. Results: The rate of cesarean section and the total length of labor in experimental group were less than those in control group (P <0.05). Conclusion: Prenatal education can improve pregnant women ’s awareness of pregnancy and childbirth, increase the confidence of natural childbirth, and help regulate the function of nerves and various organs, shorten the birth process and reduce the rate of cesarean section.