石冬梅　肖文霞

【摘要】 目的：探讨分娩体验教育对孕妇妊娠结局的影响，为推行分娩教育提供理论依据。方法：选取2018年1月1日-12月31日于笔者所在医院门诊建档的360例孕妇为研究对象，随机分为两组，每组180例。对照组参加笔者所在医院安排的孕妇学校课程，观察组在对照组基础上采用分娩体验教育。结果：观察组阴道分娩率明显高于对照组，剖宫产率明显低于对照组，差异有统计学意义（P<0.05）。两组产后出血率比较，差异无统计学意义（P>0.05）。两组新生儿出生体重比较，差异无统计学意义（P>0.05）。观察组总产程时间明显短于对照组，差异有统计学意义（P<0.05）。觀察组家属陪产率及孕妇满意度均明显高于对照组，差异均有统计学意义（P<0.05）。结论：分娩体验教育可提高阴道分娩率，降低剖宫产率及缩短总产程时间，从而改善孕妇的妊娠结局。

【关键词】 分娩体验 健康教育 妊娠结局

doi：10.14033/j.cnki.cfmr.2020.18.068 文献标识码 B 文章编号 1674-6805（2020）18-0-03

Effect of Childbirth Experience Education on Pregnant Outcomes of Pregnant Women/SHI Dongmei， XIAO Wenxia. //Chinese and Foreign Medical Research， 2020， 18（18）： -162

[Abstract] Objective： To study the effect of childbirth experience education on pregnant outcomes of pregnant women， so as to provide theory evidence for popularizing childbirth experience education. Method： A total of 360 pregnant women who were registered in the outpatient department of our hospital from January 1 to December 31， 2018 were selected as the research objects and randomly divided into two groups， 180 cases in each group. The control group participated in the school courses for pregnant women arranged by our hospital， and the observation group adopted childbirth experience education on the basis of the control group. Result： The rate of vaginal delivery of the observation group was significantly higher than that of the control group， and the rate of cesarean section of the observation group was significantly lower than that of the control group， and the differences were statistically significant （P<0.05）. The rate of postpartum hemorrhage was compared between the two groups， and the difference was not statistically significant （P>0.05）. The birth weight of neonatal was compared between the two groups， and the difference was not statistically significant （P>0.05）. The total time of duration of labor in the observation group was significantly shorter than that of the control group， and the difference was statistically significant （P<0.05）. The rate of family accompany and pregnant womens satisfaction in the observation group were significantly higher than those of the control group， and the differences were statistically significant （P<0.05）. Conclusion： Childbirth experience education can increase the rate of vaginal delivery， reduce the rate of cesarean section and shorten the total time of duration of labor， which can improve pregnant outcomes.

[Key words] Childbirth experience Health education Pregnant outcomes

First-authors address： Beijing Dongcheng District Maternal and Child Health and Family Planning Service Center， Beijing 100007， China

分娩是妇女生命中的重要事件，会产生许多生理和心理变化。害怕分娩是孕晚期妇女的常见问题，可导致产后抑郁及母婴关系异常[1]。部分孕妇由于害怕而拒绝阴道分娩，强烈要求剖宫产，不仅导致剖宫产率升高，也导致感染及产后康复延迟。因此，国际卫生组织（WHO）推荐剖宫产应当仅在有医学指征的情况下实施[2]。目前，分娩教育（即孕妇学校）已在国内许多助产机构开展，可为孕妇提供知识、技能以便做好怀孕、分娩和产后康复的准备[3]。分娩教育一般采取助产士和产科医生讲课、孕妇静坐听课的方式进行，虽然可增加怀孕、分娩及产后康复等知识，但是孕妇缺少切身体验。为增强孕妇的切身体验，掌握分娩相关知识，笔者所在医院开设了分娩体验教育，能够使孕妇在孕期进行分娩體验，从而为分娩做好准备。为了……